Fundamentals of Nursing Final Exam: Chapter 44

spirituality is an essential part of __ (holistic/hospice/perioperative) care

daily living habits | general frame of reference (thinking about oneself and world) | health and illness | relationships | required and prohibited behaviors are all and of a person’s life in spirituality

how has dying in america changed over the years?
a. better management of acute illness (tech, med, process and settings)
b. complex decisions - life sustaining treatment
c. cost of care at end of life
d. family involvement

the 4 selected recommendations for dying in the us are: __ (hint: cdpp)

clinician-pt communication and advanced care planning | delivery of care | professional education and development | public education and engagement

match the types of loss with their appropriate definition:
a. actual
b. anticipatory
c. maturational
d. perceived
e. situational
1. experienced bc of an unpredictable event
2. experienced as a result of natural development process
3. recognized by others
4. loss has not yet taken place
5. less obvious to others; individual experience

grief is:
a. the state of grieving
b. the internal emotional reaction to loss
c. actions and expressions of grief - outward expressions

mourning is:
a. the state of grieving
b. the internal emotional reaction to loss
c. actions and expressions of grief - outward expressions

bereavement is:
a. the state of grieving
b. the internal emotional reaction to loss
c. actions and expressions of grief - outward expressions

dysfunctional grief is an abnormal response. true or false?

unresolved grief is:
a. trouble expressing feelings or loss
b. suppressed feelings that can lead to somatic symptoms (e.g. abdominal pain)

inhibited grief is:
a. trouble expressing feelings or loss
b. suppressed feelings that can lead to somatic symptoms (e.g. abdominal pain)

death can be defined by an individual who has either irreversible cessation of ALL (1) or (2)

a person is “dead” based on these 3 criteria:

clinical signs of death include: __ (hint: cdddlnnruw)

the 5 stages of grief are: __ (hint: dabda)

true or false. terminal illness can be defined as an illness w/expected death w/in a limited space of time

mark the correct options about terminal illness:
a. physician is responsible for this decision
b. pt knows what to do
c. most pts want to know their prognosis and what to do
d. culture influences how much info and who is involved

in terms of the pt view for terminal illness, most pts about their condition while competent pts have the right to and __ treatment, even life-sustaining ones

in terms of the family view of terminal illness, the family of a pt should be to participate in planning pt’s care plan, and needs to be able to the pt’s status w/health care providers. the nurse can provide and as the family begins the grieving process.

what is the difference between palliative and hospice care?

which of the following are NOT true about palliative care:
a. enhances quality of life
b. requires life expectancy
c. expenses covered by philanthropy, fee-for-service, and direct hospital support
d. ideally begins at diagnosis of terminal illness
e. peds pts are covered by the mandates from the Affordable Care Act

which of the following are NOT true about hospice care:
a. pts have 6+ to live
b. expenses are paid by Medicaid, Medicare, and most private health insurers
c. pt/family chooses not to receive aggressive, curative care

durable power of attorney for healthcare indicates what?

an advanced directive indicates the kind of __ treatment the pt wants or doesn't want

polst stands for __

molst stands for __

you do not resuscitate a pt on these 2 conditions:
(1)
and/or
(2)

what is the standard of care?

what age groups are impacted by advanced directives? molst?

an advanced directive has instructions for (current/future) treatment, while molst has instructions for (current/future) treatment

does an advanced directive guide emts? does molst?

does an advanced directive guide inpatient care? molst?

death certificate must be completed with signature (depending on state's laws) and (in special circumstances)

a pt who has died is qualified for organ donation, what does this mean?

when conducting an autopsy, is needed because some refuse it and __ are determined by the coroner

the main purpose of talking with a dying client is __

when is it the most appropriate to talk to a dying pt?

what nursing interventions can you take when supporting the hope of a dying client? (hint: abdff)

what should you do to meet the needs of the family with a dying family member? (hint: elpp)

during postmortem care, the nurse should position the deceased pt into which position?
a. semi-fowler's
b. high-fowler's
c. normal anatomical position

should the nurse wash the body of a deceased pt?

what is the nurse responsible for in postmortem care?

the 5 common symptoms of end-of-life are: __ (hint: cddfp)

you should increase fluid intake by how much in a dying pt with constipation?

how much fiber should you increase when fluid intake reaches 1500 mL?

besides fluid intake and fiber, what else can you give the pt with constipation?

a pt has delirium in hospice. what med do you administer?

what non-pharma management would you carry out for a hospice pt with delirium?

a hospice pt has dyspnea. what med can you administer?

a hospice pt is anxious about dying. what med can you give them?

what non-pharma interventions would you manage for a hospice pt experiencing dyspnea?

a hospice pt is experiencing fatigue. what can you manage for them?

a hospice pt is experiencing pain. what med is the golden standard for cancer pts?

what other meds besides morphine can you give a hospice pt undergoing pain?

why is acetaminophen a concern for pain management?

why are nsaids a concern for pain management?

why is demerol a concern for pain management?

what non-pharma interventions can the nurse manage for a hospice pt experiencing pain? (hint: ccmmt)