Culture and Spiritual
Treatment & Physiologic Changes
Ethical & Legal Implications
Nursing Diagnoses and Interventions
Family Issues
100
To obtain cultural assessment data, nurses use these types of questions to encourage clients to express themselves.
What is open-ended questions?
100
Often the greatest fear for people at the end of life.
What is pain?
100
A directive that specifies what a person’s wishes are for end of life care.
What is a Living Will?
100
The main nursing diagnosis for those dealing with a terminal illness.
What is Grieving?
100
Theory in which periods of psychologic crisis are precipitated by hazardous circumstances.
What is Caplan Theory of Loss?
200
This mnemonic device helps nurses assess a patient’s spiritual and religious practices.
What is FICA: Faith, Influence, Community, Address?
200
The final cause of death, regardless of the terminal illness.
What is lack of oxygen to the brain?
200
The person who writes a Do-Not-Resuscitate order.
What is a Physician?
200
This activity may help reduce the severity of chronic sorrow.
What is identifying triggers?
200
Theory in which grief and mourning are reactions to loss.
What is Frued's Theory of Loss?
300
A religion that does not find organ donation or having an autopsy acceptable.
What is Judaism?
300
The physiologic change that is relieved by providing small sips of water or an atomizer spray.
What is dehydration?
300
Whose wishes must be carried out as much as possible?
What is the patient’s?
300
Encouraging independence and involvement in care may aid what nursing diagnosis?
What is death anxiety?
300
Theory in which there are five stages that define the response to loss.
What is Kubler-Ross Theory of Loss?
400
In this culture, a terminal illness should be presented by a trusted healthcare team member to the family and never to the patient while they are alone. Most believe in tagdir (will of God), death is predestined. Notify head of family first. Advance directive decisions are made by the family. Family may want to bathe the body.
What is Iranian?
400
Extremities are cooler and cyanosis is seen in nail beds, skin, and lips. Also, renal perfusion and urinary output is decreased.
What are hypotension symptoms?
400
What a nurse must do with her own issues about end of life.
What is deal with them and not push them on others?
400
Name two other professionals the nurse may collaborate with in planning care for the dying patient.
What is chaplains, social workers, physicians, pharmacy, Hospice, nutrition?
400
The five stages of the Kubler-Ross Theory.
What is denial, anger, bargaining, depression, and acceptance?
500
This culture asks for healthcare providers to consult the head of the family first. The entire family makes a decision on advance directives, with assistance from priest. Patients prefer to die at home. Family has extra time with body and may cry loudly. Spiritual/religious rites are conducted in the room.
What is Vietnamese?
500
The family interprets this as "giving up".
What is a decrease in fluid and food intake?
500
When end of life discussions should begin.
What is when the patient is not emotionally numb?
500
Patient and family discharge teaching cannot be completed by individuals in these positions.
What is LPNs and UAPs?
500
The nurse must view the entire picture when planning care. This includes: the family, support system, environment, family wishes, etc.
What is holistic care?
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