End-of-Life Care
End-of-Life is best defined as?
a)The time before someone is pronounced dead.
b)The patient is in the denial stage, after receiving a terminal diagnosis.
c)The final weeks of life just before death.
d)When patients are advised to repent their sins, so they can go to heaven.
What is c) The final weeks just before death?
Acute fatigue is best described as which of the following?
a)Feeling tired at night, but unable to fall asleep.
b)A mental or physical exhaustion associated with a chronic illness
c)A mental or physical exhaustion associated with temporary change in life circumstances.
d)Also known as myalgic encephalomyelitis
What is c) A mental or physical exhaustion associated with temporary change in life circumstances?
Define fibromyalgia.
What is A chronic syndrome characterized by widespread pain?
This type of pain lasts more than 6 months and is most common in adults.
a) Acute pain
b) Visceral pain
c) Chronic pain
d) Referred pain
What is c) Chronic pain?
This person shaped the profession of nursing.
Who is Florence Nightingale?
Hospice and Palliative Nurses Association provide the best care by ensuring which of the following?
a)By ensuring the end-of-life care can make the end-of-life experience as comfortable as possible for the patient and family members.
b)By ensuring the end-of-life care can make the end-of-life experience as comfortable as possible for the patient.
c)By ensuring the end-of-life care can make the end-of-life experience as comfortable as possible for the family members.
d)Ensuring that the hospice aides are doing all assigned tasks.
What is a)By ensuring the end-of-life care can make the end-of-life experience as comfortable as possible for the patient and family members?
Clinical manifestations of fatigue include, which of the following? (Select all that apply)
a)Decrease in blood sugar levels
b)Decreased motivation
c)Hallucinations
d)Exhaustion
e)Impaired decision making
What is..
b)decreased motivation
d)exhaustion
e)impaired decision making
How long do the symptoms of Fibromyalgia have to be present before consideration?
What is 3 months?
What type of nonpharmacologic therapy for pain management is associated with listening to music or doing a hobby?
a) Diversion therapy
b) Massage
c) Hot therapy
d) Meditation
What is a)Diversion therapy
On average, how many miles do nurses walk in a 12-hour shift?
What is 4-5 miles?
To avoid ethical or legal issues in the case of end-of-life care, patients are encouraged to sign what legal document?
a)Organ donation card
b)Advanced directives
c)Living Will
d)Euthanasia consent form
What is b)advanced directives?
A patient states that they are experiencing fatigue at their annual check up, which of the following is an appropriate response from the nurse?
a)“Tell me about it, I have a 1 year old at home and work 12 hour shifts”
b)“I just tried this new café down the street, their coffee always wakes me up. You should try it out!”
c)“How long have you been experiencing fatigue?”
d)“Ensure that you are getting a full 8 hours of sleep every night.”
What is c) how long have you been experiencing fatigue?
A nurse is completing a physical assessment on a patient with a possible diagnosis of Fibromyalgia. The nurse must assess and document pain in how many trigger points out of 18?
What is 11?
What type of pain has the sub categories of somatic, visceral, and referred pain?
a) Chronic pain
b) Acute pain
c) Recurrent pain
d) Progressive pain
What is b)Acute pain?
Where was the first nursing school in the United States established?
What is New York City?
The PCT reports to the nurse that a patient receiving palliative care states that they are nauseous and can not eat. The nurse should do which of the following?
a)Explain to the PCT that is expected with the end-of-life, and to offer the patient soup.
b)Give the patient the PRN Zofran that is prescribed to them.
c)Give the patient larger meals throughout the day instead of small snacks.
d)Ask the family to bring the patient their favorite meal and encourage them to eat.
What is b)Give the patient the PRN Zofran that is prescribed to them?
The nurse is reviewing her assigned patients for her shift. Which patient is most likely to be experiencing fatigue?
a)23 year old male who came in with a broken ankle, who was given 650 mg of acetaminophen 1 hour ago.
b)30 year old female who is in her 3rd trimester of pregnancy and has hypertension.
c)17 year old female who is experiencing pain in her abdomen, she was given a heating pad 15 minutes ago.
d31 year old male who needs 4 stitches in his hand after getting cut at work.
What is b) 30 year old female in her 3rd trimester of pregnancy and has hypertension?
A healthcare provider is prescribing Cymbalta to a patient with fibromyalgia. What is the primary reason for this medication?
What is Depression; to up serotonin levels?
What are the 3 most common physiological manifestation of acute pain?
a) Sleepiness, boredom, and anger
b) Increased pulse, respirations, and blood pressure
c) Muscle spasms, depression, fatigue
d) Alterations in pulmonary and digestive function
What is b)Increased pulse, respirations, and blood pressure
How much time is one allotted to complete/sit for the NCLEX test?
What is 5 hours?
A male 82-year-old patient in a long term care facilities daughter expresses to the nurse that she thinks her Dad is going down hill and wants to know the nurses opinion. Using the clinical care manifestations that occur at the end-of-life, what will the nurse be looking for. (Select all that apply)
a)Decreased appetite/nutrition
b)Hypotension
c)Persistent cough
d)Abnormal rash
e)Altered levels of consciousness
What is..
a)decreased appetite/nutrition
b)hypotension
e)altered levels of consciousness
The nurse has a patient who is experiencing fatigue, she educates them pertaining to proper nutrition. Which of the following indicates that further teaching is not needed?
a)“I will eat several small meals throughout the day rather than a few large meals.”
b)“I will ask my family to cook some of my favorite meals.”
c)“I will drink coffee and energy drinks as needed in the morning to help wake me up.”
d)“I don’t think my diet causes me to experience fatigue.”
What is a) I will eat several small meals throughout the day rather than a few small meals?
The nurse identifies the nursing diagnosis of Chronic Pain as being appropriate for a client with fibromyalgia. Which manifestation did the client most likely report that caused the nurse to select this diagnosis?
A) Pain from eyestrain
B) Pain from a severe skin rash
C) Acute chest pain
D) Tender points in the knees
What is D) Tender points in the knees?
A nurse is assessing a client at her annual wellness visit. The client is 60 years old and was diagnosed with osteoarthritis 5 years ago, last year she was prescribed a new medication to manage her pain related to her arthritis. Which of the following statements from the client tells the nurse that her pain is being properly managed?
a) “After this appointment I am going grocery shopping, I love to cook and do it every night”
b) “I often struggle to fall asleep at night and typically wake up multiple times because I am so uncomfortable”
c) “Lately I have been staying in bed even after I wake up, I just don’t want to move”
d) “The last few months I haven’t been able to write to my son who is in the military because I can no longer hold a pen without pain”
What is a) "After this appointment I am going grocery shopping, I love to cook and do it every night."?
Rationale: Statement A shows the nurse that the client is able to do her hobbies and is mobile enough to go to the grocery store on her own. It also shows she is able to do tasks of daily living like cooking and shopping that require a lot of mobility, fine motor skills, and even light lifting that can be difficult with too much joint pain from arthritis.
What are the steps of the nursing process?
What is Assess, diagnose, plan, implement, evaluate?