100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Nur 213 Exam 3 With Questions And Correct Answers Latest Version $14.99   Add to cart

Exam (elaborations)

Nur 213 Exam 3 With Questions And Correct Answers Latest Version

 6 views  0 purchase
  • Course
  • NUR 213
  • Institution
  • NUR 213

Nur 213 Exam 3 With Questions And Correct Answers Latest Version

Preview 4 out of 58  pages

  • September 11, 2024
  • 58
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 213
  • NUR 213
avatar-seller
Schoolflix
Nur 213 Exam 3 With Questions And Correct
Answers Latest Version

Many patients, families, and clinicians see death as what happens when Answer: medicine fails



End-of-Life Care (Hospice care): Answer: Addresses comprehensive symptom management

Psychosocial care

Spiritual support

Typically done in outpatient setting (home health) or inpatient facility (limited number)

QUALITY of life



ALWAYS the goal for clients, it is no different in end-of-life care Answer: Autonomy



Closed awareness Answer: patient is unaware of their terminal state



Suspected awareness Answer: patient suspects others know and attempts to find out details



Mutual pretense awareness Answer: patient, family, and health care professionals are aware that
the patient is dying, but pretend otherwise



Open awareness Answer: patient, family, and health care professionals are aware that the patient is
dying and openly acknowledge this reality



Hospice care Answer: Death must be accepted.




2024

,The patient's total care is best managed by an interdisciplinary team whose members communicate
regularly with one another.

Pain and other symptoms of terminal illness must be managed.

The patient and the family should be viewed as a single unit of care.

Home care of the dying is necessary.

Bereavement care must be provided to family members.

Research and education should be ongoing.



General Answer: Serious, progressive illness

Limited life expectancy

Informed choice of palliative care over cure-focused treatment



Hospice Specific Answer: Presence of a family member or other caregiver continuously in the home
when the patient is no longer able to safely care for himself or herself (some hospices have created
special services within their programs for patients who live alone, although this varies widely).



Medicare and Medicaid Hospice Benefits Answer: Medicare Part A; Medical Assistance eligibility

Waiver of traditional Medicare/Medicaid benefits for the terminal illness

Life expectancy of ≤6 months

Physician certification of terminal illness

Care must be provided by a Medicare-certified hospice program



Routine home care: Answer: All services provided are included in the daily rate to the hospice.



Inpatient respite care: Answer: A 5-day inpatient stay, provided on an occasional basis to relieve the
family caregivers.




2024

,Continuous care: Answer: Continuous nursing care provided in the home for the management of a
medical crisis. Care reverts to the routine home care level after the crisis is resolved. (For example,
seizure activity develops and a nurse is placed in the home continuously to monitor the patient and
administer medications. After 72 hours, the seizure activity is under control, the family has been
instructed how to care for the patient, and the continuous nursing care is discontinued.)



General inpatient care: Answer: Inpatient stay for symptom management that cannot be provided
in the home. This is not subject to the guidelines for a standard hospital inpatient stay.



Nurses assist with Answer: life review, values clarification, treatment decision making, and end-of-
life goals



Nurses must be aware Answer: of their own attitudes about death so that communication can be
more effective.



Communication: Answer: Active listening; especially during time of diagnosis, disease-focused
treatment failures, effectiveness of a particular intervention, and decisions about hospice care.

Patience, empathy, honesty are key

Resist the impulse to fill the "empty space" in communication with talk.

Allow the patient and the family sufficient time to reflect and respond after asking a question.

Prompt gently: "Do you need more time to think about this?"

Avoid distractions (noise, interruptions).

Avoid the impulse to give advice.

Avoid canned responses: "I know just how you feel."

Ask questions.

Assess understanding—your own and the patient's—by restating, summarizing, and reviewing.




2024

, The nurse's role of caring for terminally ill Answer: Assess values, preferences, and practices of
every patient, regardless of ethnicity, socioeconomic status, or background.

Assess and document the patient's and family's specific beliefs, preferences, and practices regarding end
of life care, preparation for death, and after-death rituals.

Use judgment and discretion about timing and setting for eliciting this information

Assessment of end-of-life beliefs, preferences, and practices should be carried out in short segments
over a period of time

Newer nurses can learn a lot from more experienced nurses when discussing these



Awareness of diagnosis, illness stage, and prognosis: Answer: Tell me your understanding of your
illness right now



•Values: Answer: "Tell me what is most important to you as you are thinking about the treatment
options available to you/your loved one."



Preferences Answer: "You've said that being comfortable and pain free is most important to you
right now. Where would you like to receive care (home, hospital, long-term care facility, doctor's office),
and how can I help?"



Expected/desired outcomes: Answer: "What are your hopes and expectations for this (diagnostic
test [e.g., CT scan] or treatment)?"



Benefits and burdens: Answer: "Is there a point at which you would say that the testing or
treatment is outweighed by the burdens it is causing you (e.g., getting from home to the hospital, pain,
nausea, fatigue, interference with other important activities)?"



Spiritual care Answer: The harmony or discord between the patient's and the family's beliefs

Other sources of meaning, hope, and comfort

The presence or absence of a sense of peace of mind and purpose in life


2024

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Schoolflix. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $14.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67096 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$14.99
  • (0)
  Add to cart