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Clinical Nursing Skills 8th Edition Smith Duell Martin Test Bank

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Clinical Nursing Skills 8th Edition Smith Duell Martin Test Bank

ISBN-13: 978-0135114735

ISBN-10: 013511473X

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Clinical Nursing Skills 8th Edition Smith Duell Martin Test Bank

ISBN-13: 978-0135114735

ISBN-10: 013511473X

 

 

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Free Nursing Test Questions:

 

Chapter 34

End-of-Life Care

Test Item File

  1. Match the statements in column B that best describe the stage of grief in column A.
  Column A Column B
__________

__________

__________

__________

__________

a. Shock and disbelief

b. Developing awareness

c. Restitution

d. Resolution

e. Idealization

1. Rituals of death take place.

2. Anger and crying are common.

3. Intimate feelings are reinvested toward other love objects.

4. Refusal to comprehend death.

5. Recall of dead person’s attributes.

  1. Match the grief process according to Kübler-Ross described in column B with its correct stage in column A.
  Column A Column B
__________

__________

__________

__________

__________

a. First

b. Second

c. Third

d. Fourth

e. Fifth

1. Anger

2. Depression

3. Bargaining

4. Acceptance

5. Denial

  1. Circle T if the statement is true or F if the statement is false.

T      F         a.  In terminal illness, it is unlikely that the grief process has begun before the death of a person.

T      F         b.  Expressions of happiness can occur during the denial  stage in the grief process.

T      F         c.  During the anger stage of the grief process, anger is usually not expressed toward loved ones but toward the nursing staff.

T      F         d.  It is important for nurses to not show their feelings when working with dying clients to enable the client to cope better with the dying process.

  1. Describe at least 4 core principles for end-of-life care.

a._________________________________________________________________________

b._________________________________________________________________________

c._________________________________________________________________________

d._________________________________________________________________________

  1. Describe four nursing interventions that are of assistance to the dying client.

a._________________________________________________________________________

b._________________________________________________________________________

c._________________________________________________________________________

d._ ________________________________________________________________________

  1. Describe two measures that minimize a client’s discomfort when dying.

a._________________________________________________________________________

b._________________________________________________________________________

  1. State four critical factors that are charted for postmortem care.

a._________________________________________________________________________

b._________________________________________________________________________

c._________________________________________________________________________

d._________________________________________________________________________

  1. A client with the diagnosis of cancer of the liver says, “Oh, there’s nothing really wrong with me. I’ve just been working hard.” This reaction, according to Elisabeth Kübler-Ross, is called
  2. Defense mechanism.
  3. Denial.
  4. Rationalization.
  5. Anxiety.
  6. Elizabeth Kübler-Ross defines anger as the phase of the grieving process.
  7. First
  8. Second
  9. Third
  10. Fourth
  11. When a client is in the denial phase of the grief process, diverting the conversation from happier times assists the client to move into the anger stage.
  12. True
  13. False
  14. Describe three actions the nurse can carry out to support the client near the end of life.

a._________________________________________________________________________

b._________________________________________________________________________

c._________________________________________________________________________

  1. To provide comfort and assistance to the dying male client, the nurse should always stay with him, even if he seems to withdraw and his actions indicate he wants to be alone.
  2. True
  3. False
  4. According to the WHO three-step Analgesic Ladder for Pain Control, Step 2 includes:
  5. Use of non-opiod with adjunctive drugs.
  6. Opiod for moderate to severe pain and adjunctive drugs.
  7. Opiod for mild to moderate pain and non-opiod drug.
  8. Opiod for severe pain without non-opiod.
  9. Providing postmortem care includes all of the following actions except
  10. Raising the head slightly.
  11. Placing dentures in the mouth.
  12. Cleansing the body.
  13. Removing all tubes and drains.
  14. Which of the following basic dimensions in end-of-life care vary according to cultural beliefs? (Select all that apply)
  15. Communication of bad news.
  16. Locus of decision making.
  17. Attitudes toward advance directives.
  18. Type of health care worker assigned to care for client in last stages.
  19. Identify how the staff can support the family or caregiver of families of critically ill, dying clients.

a._________________________________________________________________________

b._________________________________________________________________________

c._________________________________________________________________________

d._________________________________________________________________________

ANSWERS

Content Examination

  1. a. 4
  2. 2
  3. 1
  4. 5
  5. 3
  6. a. 5
  7. 1
  8. 3
  9. 2
  10. 4
  11. a. F Grief work may have begun before the actual death.
  12. T
  13. F Anger is expressed toward loved ones, other individuals, or the environment.
  14. F It is sometimes very helpful to show your feelings and concern as a mechanism to assist families and clients to cope.
  15. Refer to Core Principles in p. 1365.
  16. a. Minimize client’s discomfort.
  17. Provide immediate attention when symptoms indicate.
  18. Notify charge nurse of impending crisis.
  19. Encourage client to do as much as possible for himself or herself.
  20. Provide emotional nursing care for client.
  21. Provide care that assists client to retain confidence in health care team.
  22. Assist client through process of dying.
  23. a. Provide warmth.
  24. Provide assistance in moving and positioning the client.
  25. Provide assistance in bathing and personal hygiene.
  26. Provide appropriate and timely pain medication.
  27. a. Events leading to death, such as the cessation of vital signs.
  28. Time physician was notified and death pronounced.
  29. Time family members were notified.
  30. Mortuary release and consent forms signed.
  31. b. The client is experiencing denial—a temporary defense used as a buffer until the client is able to face the implications of the diagnosis.
  32. b. Anger follows denial in the grief process. In this stage, a person is angry at having to give up life.
  33. b. It is essential to allow the client to express himself or herself by discussing happier times in order to progress to the other phases of the grief process.
  34. a. Determine and instruct how family members may assist client.
  35. Reduce extraneous noise and odors.
  36. Provide room lighting that is muted and soft.
  37. Move client’s bed near window.
  38. b. The most appropriate assistance for a dying client is to identify cues that indicate he or she wants to be alone.
  39. c
  40. d. Many facilities request that tubes and drains remain in the client, especially if an autopsy is to be completed.
  41. a, b, c
  42. The ways staff can support the family and caregiver are identified on page 1374. They range from providing honest answers to their questions to providing psychological support.

 

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