Hca204 Palliative Care NCLEX Questions - MED SURG FINAL.pdf file:///C:/Users/HP/Desktop/New%20folder/Hca204%20Palliative%2
Hca204 Palliative Care NCLEX Questions
MED SURG FINAL EXAM
1. The nurse explains to a patient with advanced cancer about the differences between
hospice and palliative care. Which statement, if made by the patient, indicates that
teaching was effective?
A) "Hospice care is not available if I am in the hospital."
B) "Palliative care provides better methods of pain control."
C) "Hospice care will help me and my family prepare for death."
D) "Palliative care does not include any advance directives."
Answer C
Hospice care provides compassion, concern, and support for the dying. The empha- sis of care at
end of life is on symptom management, advance care planning, spiritual care, and family support,
including bereavement. Hospice care may be delivered in a variety of settings, including home,
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,Hca204 Palliative Care NCLEX Questions - MED SURG FINAL.pdf file:///C:/Users/HP/Desktop/New%20folder/Hca204%20Palliative%2
inpatient settings, and long-term care facilities.
2. The hospice nurse visits with the wife of a dying patient. The nurse is most concerned if
the patient's wife makes which statement?
A) "I don't think that I can live without my husband to take care of me."
B) "I wonder if expressing my sadness makes my husband feel worse."
C) "We have shared so much that it is hard to realize that I will be alone."
D) "I don't feel guilty about leaving him to go to lunch with my friends."
Answer A
Normal reactions to loss include the statements in options b, c, and d. Option a indicates an
abnormal grief reaction and possible suicidal thinking.
3. An 80-year-old female patient is receiving palliative care for heart failure. The
primary purpose(s) of her receiving palliative care is (are) to (select all that apply)
A) Improve her quality of life.
B) Assess her coping ability with disease.
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