Support Systems and Patient Education
Medication Administration
Nutrition
Psychosocial Issues
Nursing Care
100
This health care professional is the source of information and support for family members during End-of-Life care.
Who is the nurse?
100
Palliative relief from bacterial infection can be achieved by administrating this class of medication.
What are antibiotics?
100
This form of nutrition received by many end-of-life patients needs to be given through a central line.
What is total parenteral nutrition (TPN)?
100
A natural emotional response to loss which may involve physical symptoms.
What is grief?
100
This type of care, abbreviated CMO, describes the nursing care desired by the dying patient and/or the family.
What is comfort measures only.
200
The nurse asks about this document on admission, which is used to state a patient's wish to not be resuscitated if they should suffer cardiac or respiratory arrest.
What is a "Do not resuscitate" order?
200
The best administration schedule for pain management.
What is around-the-clock?
200
Wasting away of the body that cannot be reversed nutritionally.
What is cachexia?
200
The nurse is in a great position to facilitate this conversation about life experiences with the dying patient.
What is a life review?
200
Mrs. Smith, who has been diagnosed with end-stage bone cancer, is experiencing incontinence and impaired bed mobility related to pain. To prevent impaired skin integrity, the nurse may request an order to use this device.
What is a Foley catheter?
300
The nurse teaches the dying patient's family about this service that provides family bereavement services for up to 12 months after the patient's death.
What is hospice?
300
Current nursing research shows that the best tool for a nurse to assess pain in end-of-life care.
What is a pain scale?
300
An ethical debate is ongoing regarding the use of this kind of feeding in end-of-life care.
What is tube feeding?
300
This grief theorist researched the following stages of grief as they relate to the dying patient: denial, anger, bargaining, depression and acceptance.
Who is Elizabeth Kubler-Ross?
300
This nursing action will promote comfort and prevent dry mucous membranes in the dying patient.
What is oral care?
400
If a patient is incapable of participating in their health care decisions, this document is used to see who the patient appointed as a decision maker for them?
What is a Durable Power of Attorney (DPOA)?
400
The nurse needs to monitor respiratory status during administration of these two naturally occurring opioids.
What are codeine and morphine?
400
This symptom is often concerning to the family, but is a common occurrence in the dying patient.
What is anorexia?
400
Mr. Bob has been given 3 months to live after being diagnosed with Stage 4 prostate cancer. He states, "I can't believe I will never be able to make love to my wife again."
The nurse documents this nursing diagnosis for Mr. Bob.
What is ineffective sexuality pattern.
400
Research shows that the under-treatment of this vital sign is a risk factor for ethical dilemma in end-of-life care.
What is pain?
500
The patient asks the nurse about euthanasia. The nurse informs the patient that "physician-assisted-suicide" is currently legal in only these two states.
What are Washington and Oregon?
500
This tool is used to IV push opioid medications in the hospital. 
What is a carpuject?
500
A serum lab test that demonstrates nutritional status over a period of time.
What is pre-albumin?
500
Mrs. Jacobs, now aphasic, suffered from a stroke 3 months ago and has had poor PO intake for the last week. Her daughter (and DPOA), states that her mother previously affirmed that she would never want to receive tube feedings. The physician wrongly uses this tactic when trying to convince Mrs. Jacobs to consent to a gastrostomy tube.
What is coercion?
500
The nurse may notice this alteration in breathing pattern due to the build up of secretions in the dying patient.
What is Cheyne-Stokes respirations?