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End-of-Life Care: Questions and Answers for BEHS 380, Quizzes of Medicine

University of CambridgeMedicine

A set of questions and verified correct answers related to end-of-life care, specifically for the behs 380 course. It covers various aspects of palliative care, psychological manifestations, cultural competence, and nursing interventions for terminally ill patients. The questions address topics such as managing symptoms, addressing spiritual distress, and understanding the stages of grieving. This resource is useful for students studying end-of-life care and healthcare professionals seeking to enhance their knowledge in this area. Insights into the holistic approach to palliative care, emphasizing the importance of addressing the physical, emotional, and spiritual needs of patients and their families. It also highlights the significance of cultural sensitivity and ethical considerations in end-of-life care settings.

Typology: Quizzes

2024/2025

Available from 10/20/2025

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(Answered)BEHS 380 End of Life 2023-2024 Questions &
Verified Correct Answers. Graded A+.
(Answered)BEHS 380 End of Life 2023-2024 Questions &
Verified Correct Answers. Graded A+.
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 psychologic manifestation is she most likely
demonstrating?
a. Peacefulness
b. Decreased socialization
c. Decreased decision making
d. Anxiety about unfinished business - ANSB
A deathly ill patient from a culture different than the nurse's is admitted. Which question
is appropriate to help the nurse provide culturally competent care?
a. "If you die, will you want an autopsy?"
b. "Are you interested in learning about palliative or hospice care?"
c. "Do you have any preferences for what happens if you are dying?"
d. "Tell me about your expectations of care during this hospitalization." - ANSD
A home hospice patient becomes progressively less mobile and is ultimately bed-
bound. A common complication of immobility in the palliative care patient is:
a. Myoclonus
b. Pathological fractures
c. Pressure ulcers
d. Pruritus - ANSC
A hospice nurse who has become close to a terminally ill patient is present in the home
when the patient dies and feels saddened and tearful as the family members begin to
cry. Which action should the nurse take at this time?
a. Contact a grief counselor as soon as possible.
b. Cry along with the patient's family members.
c. Leave the home as soon as possible to allow the family to grieve privately.
d. Consider whether working in hospice is desirable because patient losses are
common. - ANSB
A hospice patient is manifesting a decrease in all body system functions except for a
heart rate of 124 and a respiratory rate of 28. Which statement, if made by the nurse to
the patient's family member, is most appropriate?
a. "These symptoms will continue to increase until death finally occurs."
b. "These symptoms are a normal response before these functions decrease."
c. "These symptoms indicate a reflex response to the slowing of other body systems."
d. "These symptoms may be associated with an improvement in the patient's condition."
- ANSB
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Download End-of-Life Care: Questions and Answers for BEHS 380 and more Quizzes Medicine in PDF only on Docsity!

Verified Correct Answers. Graded A+.

(Answered)BEHS 380 End of Life 2023 - 2024 Questions &

Verified Correct Answers. Graded A+.

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 psychologic manifestation is she most likely demonstrating? a. Peacefulness b. Decreased socialization c. Decreased decision making d. Anxiety about unfinished business - ANSB A deathly ill patient from a culture different than the nurse's is admitted. Which question is appropriate to help the nurse provide culturally competent care? a. "If you die, will you want an autopsy?" b. "Are you interested in learning about palliative or hospice care?" c. "Do you have any preferences for what happens if you are dying?" d. "Tell me about your expectations of care during this hospitalization." - ANSD A home hospice patient becomes progressively less mobile and is ultimately bed- bound. A common complication of immobility in the palliative care patient is: a. Myoclonus b. Pathological fractures c. Pressure ulcers d. Pruritus - ANSC A hospice nurse who has become close to a terminally ill patient is present in the home when the patient dies and feels saddened and tearful as the family members begin to cry. Which action should the nurse take at this time? a. Contact a grief counselor as soon as possible. b. Cry along with the patient's family members. c. Leave the home as soon as possible to allow the family to grieve privately. d. Consider whether working in hospice is desirable because patient losses are common. - ANSB A hospice patient is manifesting a decrease in all body system functions except for a heart rate of 124 and a respiratory rate of 28. Which statement, if made by the nurse to the patient's family member, is most appropriate? a. "These symptoms will continue to increase until death finally occurs." b. "These symptoms are a normal response before these functions decrease." c. "These symptoms indicate a reflex response to the slowing of other body systems." d. "These symptoms may be associated with an improvement in the patient's condition."

  • ANSB

Verified Correct Answers. Graded A+.

A middle-aged patient tells the nurse, "My mother died 4 months ago, and I just can't seem to get over it. I'm not sure it is normal to still think about her every day." Which nursing diagnosis is most appropriate? a. Hopelessness related to inability to resolve grief b. Complicated grieving related to unresolved issues c. Anxiety related to lack of knowledge about normal grieving d. Chronic sorrow related to ongoing distress about loss of mother - ANSC A nurse has been working full time with terminally ill patients for 3 years. He has been experiencing irritability and mixed emotions when expressing sadness since four of his 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. - ANSC A patient in the last stages of life is experiencing shortness of breath and air hunger. Based on practice guidelines, what is the most appropriate action by the nurse? a. Administer oxygen. b. Administer bronchodilators. c. Administer antianxiety agents. d. Use any methods that make the patient more comfortable. - ANSD A patient is receiving care to manage symptoms of a terminal illness when the disease no longer responds to treatment. What is this type of care known as? a. Terminal care b. Palliative care c. Supportive care d. Maintenance care - ANSB A patient who has been diagnosed with inoperable lung cancer and has a poor prognosis plans a trip across the country "to settle some issues with sisters and brothers." The nurse recognizes that the patient is manifesting which psychosocial response to death? a. Restlessness b. Yearning and protest c. Anxiety about unfinished business d. Fear of the meaninglessness of one's life - ANSC A patient with end-stage liver failure tells the nurse, "If I can just live to see my first grandchild who is expected in 5 months, then I can die happy." The nurse recognizes that the patient is demonstrating which of the following stages of grieving?

Verified Correct Answers. Graded A+.

i. Offer support to the family during the patient's illness and their own bereavement. - ANS-A, C, D, F, G, I An 80-year-old female patient is receiving palliative care for heart failure. Primary purpose(s) of her receiving palliative care is (are) to (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. - ANSA, D As a Hispanic client nears death, the spouse begins to weep and call out loudly at the bedside. The nurse responds by: a. Quietly sitting with the spouse b. Leading the spouse away to grieve in another room c. Explaining the importance of a peaceful death to the spouse d. Ask another relative to help control the spouse's reaction - ANSA As the nurse admits a patient in end-stage kidney disease to the hospital, the patient tells the nurse, "If my heart or breathing stop, I do not want to be resuscitated." Which action is best for the nurse to take? a. Ask if these wishes have been discussed with the health care provider. b. Place a "Do Not Resuscitate" (DNR) notation in the patient's care plan. c. Inform the patient that a notarized advance directive must be included in the record or resuscitation must be performed. d. Advise the patient to designate a person to make health care decisions when the patient is not able to make them independently. - ANSA Assessment of a palliative care patient's spiritual or religious beliefs should encompass which of the following? a. Screening for spiritual beliefs that may conflict with the palliative care nurse's religious practices b. Encouraging the patient to join a religious community if they do not already belong to one c. Asking about spiritual customs or rituals around illness and death that are meaningful to the patient d. Assessing spiritual or religious beliefs only if the patient volunteers information about religion and spirituality - ANSC End-of-life palliative nursing care involves a. constant assessment for changes in physiologic functioning. b. administering large doses of analgesics to keep the patient sedated. c. providing as little physical care as possible to prevent disturbing the patient. d. encouraging the patient and family members to verbalize their feelings of sadness, loss, and forgiveness. - ANSD

Verified Correct Answers. Graded A+.

For the past 5 years Tom has repeatedly asked his mother to donate his deceased father's belongings to charity, but his mother has refused. She sits in the bedroom closet, crying and talking to her long-dead husband. What type of grief is Tom's mother experiencing? a. Adaptive grief b. Disruptive grief c. Anticipatory grief d. Prolonged grief disorder - ANSD In discussing end of life care with a terminally ill patient, the nurse explains that in a hospice program: a. The length of care is limited to six months b. Care is provided mainly by volunteers c. Bereavement care is provided beyond six months d. Private insurance is accessed for most clients - ANSC In most states, directives to physicians, durable power of attorney for health care, and medical power of attorney are included in which legal documents? a. Natural death acts b. Allow natural death c. Advance care planning d. Do Not Resuscitate order - ANSA The children caregivers of an elderly patient whose death is imminent have not left the bedside for the past 36 hours. In the nurse's assessment of the family, what findings indicate the potential for an abnormal grief reaction to occur (select all that apply)? a. Family cannot express their feelings to one another. b. Dying patient is becoming more restless and agitated. c. A family member is going through a difficult divorce. d. Family talks with and reassures the patient at frequent intervals. e. Siblings who were estranged from each other have now reunited. - ANSA, C The dying patient and family have many interrelated psychosocial and physical care needs. Which ones can the nurse begin to manage with the patient and family (select all that apply)? a. Anxiety b. Fear of pain c. The dying process d. Care being provided e. Anger toward the nurse f. Feeling powerless and hopeless - ANSA, B, C, D, E, F The family attorney informed a patient's adult children and wife that the patient did not have an advance directive after she suffered a serious stroke. Who is responsible for

Verified Correct Answers. Graded A+.

The nurse cares for a terminally ill patient who is experiencing pain that is continuous and severe. How should the nurse schedule the administration of opioid pain medications? a. Give around-the-clock routine administration of analgesics. b. Provide PRN doses of medication whenever the patient requests. c. Offer enough pain medication to keep the patient sedated and unaware of stimuli. d. Suggest analgesic doses that provide pain control without decreasing respiratory rate. - ANSA The nurse cares for an adolescent patient who is dying. The patient's parents are interested in organ donation and ask the nurse how the decision about brain death is made. Which response by the nurse is most appropriate? a. "Brain death occurs if a person is flaccid and unresponsive." b. "If CPR is ineffective in restoring a heartbeat, the brain cannot function." c. "Brain death has occurred if there is no breathing and certain reflexes are absent." d. "If respiratory efforts cease and no apical pulse is audible, brain death is present." - ANSC The primary purpose of hospice is to a. allow patients to die at home. b. provide better quality of care than the family can. c. coordinate care for dying patients and their families. d. provide comfort and support for dying patients and their families. - ANSD The son of a dying patient tells the nurse, "Mother doesn't really respond any more when I visit. I don't think she knows that I am here." Which response by the nurse is appropriate? a. "You may need to cut back your visits for now to avoid overtiring your mother." b. "Withdrawal may sometimes be a normal response when preparing to leave life." c. "It will be important for you to stimulate your mother as she gets closer to dying." d. "Many patients don't really know what is going on around them at the end of life." - ANSB The spouse of a patient with terminal cancer visits daily and cheerfully talks with the patient about wedding anniversary plans for the next year. When the nurse asks about any concerns, the spouse says, "I'm busy at work, but otherwise things are fine." Which nursing diagnosis is most appropriate? a. Ineffective coping related to lack of grieving b. Anxiety related to complicated grieving process c. Caregiver role strain related to feeling overwhelmed d. Hopelessness related to knowledge deficit about cancer - ANSA Which action is best for the nurse to take to ensure culturally competent care for an alert, terminally ill Filipino patient? a. Ask the patient and family about their preferences for care during this time.

Verified Correct Answers. Graded A+.

b. Let the family decide whether to tell the patient about the terminal diagnosis. c. Obtain information from Filipino staff members about possible cultural needs. d. Remind family members that dying patients prefer to have someone at the bedside - ANSA Which care setting is most appropriate to initially transition an 88-year-old hospitalized stroke patient with a stage III sacral pressure ulcer requiring physical and occupational therapy? a. Long Term Acute Care Hospital (LTACH) b. Home with home health care services c. Skilled Nursing Facility (SNF) d. Long Term Care (LTC) Facility - ANSC Which nursing actions for the care of a dying patient can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN) (select all that apply)? a. Provide postmortem care to the patient. b. Encourage the family members to talk with and reassure the patient. c. Determine how frequently physical assessments are needed for the patient. d. Teach family members about commonly occurring signs of approaching death. e. Administer the prescribed morphine sulfate sublingual as necessary for pain control. - ANSA, B, E Which patient should the nurse refer for hospice care? a. 60-year-old with lymphoma whose children are unable to discuss issues related to dying b. 72-year-old with chronic severe pain as a result of spinal arthritis and vertebral collapse c. 2 8 - year-old with AIDS-related dementia who needs palliative care and pain management d. 56-year-old with advanced liver failure whose family members can no longer provide care in the home - ANSC While caring for his dying wife, the husband states that his wife is a devout Roman Catholic but he is a Baptist. Who is considered the most reliable source for spiritual preferences concerning EOL care for the dying wife? a. A priest b. Dying wife c. Hospice staff d. Husband of dying wife - ANSB While taking routine vital signs on a palliative care unit, a client suddenly begins to weep, telling the nurse that "I know my cancer is punishment for the things I did when I was younger". The nurse would best support the client by: a. Assuring the client that cancer can strike anyone b. Inquiring if the client has a spiritual support person