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ATI Fundamentals - End-of-Life Assessment 2.0 Exam – 19 Questions & Answers
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ATI Fundamentals - End-of-Life Assessment 2.0 Exam – 19 Questions & Answers
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ATI Fundamentals - End-of-LifeAssessment 2.0 Exam – 19 Questions &
Answers
A nurse is discussing culturally competent care with another nurse. Which of
the following information should the nurse include?
-It is culturally insensitive to talk about impending death in some cultures.
-Most cultures agree with the use of opioids to treat pain.
-A client's cultural information should be obtained from a coworker.
-Culture is irrelevant when a client is making a health care decision. - - -It is
culturally insensitive to talk about impending death in some cultures.
In some cultures, it is culturally insensitive to talk about impending death.
The nurse should understand the cultural beliefs of the individual before
discussing a poor prognosis with a client and their family.
Not B, as many cultures do not agree with the use of opioids to treat pain.
Not C, as a client's cultural information should be obtained directly from the
client and the client's family.
Not D, as culture plays a significant role in a client's health care decisions.
- A nurse is caring for a client who is actively dying. Which of the following
actions should the nurse take for alterations in breathing pattern?
-Withhold opioids because they can hasten the client's death.
-Report changes in the respiratory pattern to the health care provider as
they occur.
-Educate the family about the expected respiratory changes.
-Inform the family that oxygen therapy has no benefit. - - -Educate the
family about the expected respiratory changes.
As the client approaches the end of life, common physiological changes
include shortness of breath, retention of secretions in the respiratory tract,
and an irregular respiratory rate fluctuating between several quick breaths
and periods of apnea. The nurse should provide education to family
members and caregivers that many of the physiological respiratory changes
are predictable as the client is dying.
Not A, as opioids should be administered to decrease anxiety and increase
peripheral vasodilation.
Not B, as changes in the respiratory pattern are expected in a client who is
actively dying and do not need to be reported to the health care provider.
Not D, as oxygen therapy provides psychological comfort to the client's
family and provides some relief for the client's dyspnea.
- A nurse is discussing palliative care with a client who has colon cancer.
Which of the following information should the nurse include?
, -Palliative care is limited to a specific time frame.
-Palliative care uses a holistic approach.
-Palliative care is provided after the client has stopped curative treatment
methods.
-Palliative care is offered to clients who have non-life-threatening illnesses. -
- -Palliative care uses a holistic approach.
Palliative care uses a holistic approach, caring for the client as a whole
person and providing treatment of physical and psychosocial needs. It uses
an interprofessional team approach with providers, nurses, and other
associated health care personnel to meet the needs of the client.
Not A, as palliative care is not limited to a specific time frame.
Not C, as palliative care is provided while the client is still receiving curative
treatment.
Not D, as palliative care is offered to clients who have life-threatening
illnesses. Examples of diseases include advanced stages of cancer, heart
failure, renal or respiratory failure, and conditions such as Alzheimer's and
Parkinson's disease.
- A nurse is reviewing hospice care services with a group of newly hired
nurses. Which of the following information should the nurse include?
-Hospice services are terminated with the death of the client.
-Hospice services are limited to serving the client.
-Hospice care is an interdisciplinary team effort.
-Hospice care volunteer services are limited to direct client care. - - -Hospice
care is an interdisciplinary team effort.
Hospice care is an interdisciplinary team effort. The interdisciplinary team is
made up of providers, nurses, assistive personnel, social workers, spiritual
leaders, and other health care professional services required to meet client
needs.
Not A, as hospice care provides support for a periods of up to 3 months for
the client's family and primary caregivers following the death of the client.
Not B, as hospice services are provided for the client's family and caregiver.
Not D, as hospice care is known to provide volunteer services that offer
support for the client's family and caregiver.
- A nurse is caring for a client who is actively dying. The client's caregiver
asks the nurse about the client's noisy respirations. Which of the following
information should the nurse include? Select all that apply.
-They can be an indication of approaching death.
-Deep suctioning is effective in removing trapped secretions.
-Turning the client's head to the side can assist with drainage.
-Medications can be administered to help dry up the secretions.
-The client is unable to clear the secretions themselves. - - -They can be an
indication of approaching death.
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