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palliative care nursing 332 exam 1 Questions and Answers| Already Passed
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palliative care nursing 332 exam 1 Questionsand Answers| Already Passed
maintaining hope in the midst of death - ✔✔1) experiential processes
2) spiritual/transcendent processes
3) relational processes
4) rational thought processes
assessment tools for palliative care - ✔✔- physical symptoms
- emotional symptoms
- spirituality
- quality of life
- caregivers outcomes
role of the nurse in improving palliative care: - ✔✔- some things cannot be fixed
- use of therapeutic presence
- maintaining a realistic perspective
- nurses are the constant across all settings
- expanding the concept of healing
- becoming educated
- joint commission advanced certification (program) in palliative care
responding to ethical issues in palliative care: - ✔✔- ethical dilemmas emerge daily
- changes in social/family systems have added to complexity of care
- advances in technology
, - landmark cases influence legal/ethical history
- attention to help patients make fully informed decisions
common ethical dilemmas in nursing: - ✔✔- euthanasia, assisted suicide, and aid in dying
- prolonging life: balancing benefits vs. burdens
- nursing care and do not resuscitate (DNR) and allow natural death (AND) decisions
- forgoing nutrition and hydration
- registered nurses' roles and responsibilities in providing expert care and counseling at the end of life
ethical/legal aspects of care - ✔✔- goals, preferences, and choices are respected
- palliative care program identifies, acknowledges, and addresses complex ethical issues
- provision of palliative care occurs in accordance with professional, state, and federal laws/regulations
standards of professional nursing practice: - ✔✔- scope of practice and standards of care
- codes of ethical conduct
- guidance for responsible end-of-life/palliative practice
- ANA & HPNA standards
organizational ethics: - ✔✔methods to resolve ethical issues include ethics consultation and
ethics committees
ethical principles: - ✔✔autonomy: making one's own decision
beneficence: intending to do good
nonmaleficence: intending to do no harm
justice: providing equal access
issues of communication and shared decision-making: - ✔✔disclosure, confidentiality,
informed consent, decision-making capacity
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