NRSI 280 Med Surg Chapter 9 Pallative Care at End of Life
Questions With Complete Solutions
A 67 year old woman was recently diagnosed with inoperable
pancreatic cancer. Before the diagnosis she was very active in
her neighborhood association. Her husband is concerned
because his wife is staying at home and missing her usual
community activities. Which common EOL psyhcologic
manifestation is she most likely demonstrating?
a. peacefulness
b. decreased socialization
c. decreased decision making
d. anxiety about unfinished business Correct Answers b.
decreased socialization
A 80 year old female patient is receiving palliative care for heart
failure. The primary purpose of her receiving palliative care is to
what? select all that apply
a. improve her quality of life
b. assess her coping ability with disease
c. have time to teach patient and family about disease
d. focus on reducing the severity of disease symptoms
,e. provide care that the family is unwilling or unable to give
Correct Answers a. improve her quality of life
d. focus on reducing the severity of disease symptoms
A nurse has been working full time with terminally ill pateints
for 3 years. He has been experiecing irritability and mized
emotions when expressing sadness since four of the patients
died on the same day. To optimize the quality of his nursing
care, he should examine his own?
a. full time work schedule
b. past feelings toward death
c. patterns for dealing with grief
d. demands for involvement in patient care Correct Answers c.
patterns for dealing with grief
A patient comes to the hospital to have a colonsocpy done. Her
daughter pulls the nurse aside and tells the nurse she is really
worried about her mother because she has never been the same
since her husband (the daughters father) died. She tells the nurse
he died 3 years ago, and her mother is neglecting taking her
meds and taking showers, she doesnt go to her weekly knitting
group that she practically religiously used to go to and she often
cries at night. What condition would the nurse suspect based on
this information?
a. anticipatory grief
, b. adaptive grief
c. she is in the depression stage of grief cycle
d. prolonged grief disorder Correct Answers d. prolonged grief
disorder
A patient diagnosed with cancer about a couple weeks ago state
the are mad. What stage of grief wheel is he in? Correct
Answers Protest
A patient has come to terms with the new cancer diagnosis and
is stating she feels better and that she is starting to get back to
her normal routine agains. What stage in the grief wheel is she?
Correct Answers re- organization
A patient is dying of cancer, they become restless and keep
saying they need to fix things with their brother before they go.
What is the best action for the nurse to do?
a. tell them that their brother is okay, and he needs to focus on
taking care of himself
b. tell him his brother is on the way
c. talk to the family and have them to talk to the patient and
reassure the patient
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