Exhibits
The nurse is reviewing provider orders for Mrs. Thompson who is in the end- of-life stage. Match each provider order with its appropriate category: anticipated, nonessential, or contraindicated. Select the correct category for each given order.
Administer prescribed pain medication to manage discomfort.
Facilitate family meetings to discuss care goals and provide emotional support.
Initiate aggressive chemotherapy to attempt disease reversal.
Provide regular oral care for comfort.
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"A"}}
Administer prescribed pain medication to manage discomfort. Pain management is a priority in end-of-life care to ensure comfort. Opioids and other pain medications are routinely prescribed in palliative care to alleviate suffering.
Facilitate family meetings to discuss care goals and provide emotional support. Supporting the family and discussing care preferences align with palliative and hospice care goals. Family meetings provide emotional support and ensure that care aligns with Mrs. Thompson’s wishes.
Initiate aggressive chemotherapy to attempt disease reversal. At the end-of-life stage, curative treatments are no longer appropriate. Aggressive chemotherapy is unlikely to provide benefit and may cause unnecessary discomfort. The focus should be on comfort rather than disease reversal.
Provide regular oral care for comfort. Dry mouth and oral discomfort are common at the end-of-life stage, especially with reduced fluid intake. Regular oral care helps maintain moisture, prevents infections, and enhances comfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "The wellness-illness continuum focuses on a person's ability to stay completely well without any variations in health status." This is incorrect because health is dynamic and constantly fluctuates. People move along the continuum based on factors such as lifestyle, environment, and medical conditions.
B. "The wellness-illness continuum is a model that shows a person's health moving between complete wellness and complete illness in a linear fashion." While the continuum represents movement between wellness and illness, health is not strictly linear. It is influenced by multiple factors, including chronic conditions, acute illnesses, and psychological well-being, which can shift unpredictably.
C. "The wellness-illness continuum is used to categorize individuals into distinct health categories, such as healthy or sick." This is incorrect because the model does not classify people into rigid categories. Instead, it acknowledges that health exists on a spectrum, and individuals may shift between different states of well-being.
D. "The continuum recognizes that health is multidimensional and includes physical, mental, and social well-being." This is correct because the wellness-illness continuum accounts for multiple aspects of health, emphasizing that well-being is influenced by physical health, mental state, social interactions, and overall quality of life.
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
Explanation
Grief: A medical condition requiring immediate pharmacological treatment to prevent emotional distress. This is incorrect because grief is a natural emotional response to loss rather than a medical disorder that always requires treatment. While some individuals may develop complicated grief or depression that necessitates therapy or medication, normal grief is a personal and psychological process that varies from person to person.
End-of-life care: An aggressive approach to curing terminal illnesses through extensive medical interventions. This is incorrect because end-of-life care focuses on comfort, dignity, and symptom management rather than curative treatments. At this stage, the goal is to alleviate suffering and honor the patient’s wishes rather than pursue aggressive medical interventions that may no longer be beneficial.
Palliative care: Specialized medical care focused on improving the quality of life for individuals with serious illnesses by managing symptoms, relieving pain, and providing emotional and psychological support. This is correct because palliative care is designed to enhance comfort and quality of life for individuals with serious, chronic, or terminal illnesses. It includes pain management, emotional support, and symptom control, and it can be provided alongside curative treatments or as part of end-of-life care.
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