End-of-Life Care
Which type of care involves medications, treatments, and therapies with the intent to heal or cure a patient’s illness?
A. Curative
B. Palliative
C. Hospice
D. Postmortem
A. Curative
The nurse recognizes “This can’t be happening to me” as which stage of grief?
A. Acceptance
B. Bargaining
C. Denial
D. Depression
C. Denial
What is the first step when a nurse confirms a client’s death?
A. Notify family
B. Document time of death
C. Prepare body
D. Verify absence of vital signs
D. Verify absence of vital signs
Which term refers to the relationship of all living things in CAM?
A. Meridians
B. Integrative health care
C. Holism
D. Allopathic medicine
C. Holism
Acupuncture is often used to:
A. Cure infections
B. Relieve pain & promote relaxation
C. Treat heart disease directly
D. Improve mobility post-fracture
B. Relieve pain & promote relaxation
Which document allows a patient to legally appoint someone to make healthcare decisions if they become disabled?
A. Living will
B. Durable power of attorney
C. DNAR
D. Living trust
B. Durable power of attorney
Which nursing action supports a family whose culture involves loud expressions of grief?
A. Ask them to grieve in private
B. Provide a quiet space for expression
C. Inform them they may disturb others
D. Avoid being present during grieving
B. Provide a quiet space for expression
What is the primary focus when providing postmortem care?
A. Preparing the body
B. Ensuring respect and dignity
C. Documentation
D. Removing medical devices
B. Ensuring respect and dignity
Complementary therapy is best described as:
A. Traditional medications to treat illness
B. Alternative to conventional medicine
C. Used alongside conventional treatment
D. For chronic illnesses only
C. Used alongside conventional treatment
Massage therapy is contraindicated for which patient? A. Chronic back pain
B. Active blood clot
C. Fatigue
D. Post-op recovery
B. Active blood clot
Which statement by the nurse reflects appropriate end-of-life pain management?
A. “We will avoid opioids to prevent addiction.”
B. “We will give meds as needed for comfort.”
C. “We’ll only medicate if the patient asks.”
D. “Pain meds are limited to every 8 hrs.”
B. “We will give meds as needed for comfort.”
Which nursing goal is most appropriate when supporting a grieving client emotionally?
A. Eliminate sadness
B. Suppress emotions
C. Facilitate expression of grief
D. Distract the client
C. Facilitate expression of grief
Which sensory function is believed to remain last as death approaches, influencing nursing care?
Hearing
What is the nurse’s role regarding CAM?
A. Discourage all CAM
B. Educate on safe, effective options
C. Prescribe CAM
D. Replace conventional treatments
B. Educate on safe, effective options
Which patient is at increased risk with chiropractic care?
A. Migraines
B. Osteoporosis
C. Mild sprain
D. Low back pain
B. Osteoporosis
Which physical finding indicates that death is near?
A. Increased appetite
B. Warm flushed skin
C. Decreased urine output
D. Rapid regular pulse
C. Decreased urine output
A patient with terminal cancer states, “If I can live to see my daughter get married, I’ll do everything the doctors say.” This reflects which grief stage?
A. Anger
B. Depression
C. Bargaining
D. Acceptance
C. Bargaining
When providing comfort during the dying process, which action is appropriate regarding hydration?
A. Force fluids to prevent dehydration
B. Start IV fluids for nutrition
C. Restrict fluids completely
D. Allow patient to decline food/drink, as dehydration can increase comfort
D. Allow patient to decline food/drink, as dehydration can increase comfort
Which type of therapy uses breathing, physical postures, and meditation to reduce stress?
A. Acupuncture
B. Herbal therapy
C. Chiropractic
D. Yoga
D. Yoga
A patient takes St. John’s Wort and is started on an antidepressant. What is the nurse’s priority action?
A. Continue both treatments
B. Assess for drug-herb interactions
C. Say there are no risks
D. Stop all herbs immediately
B. Assess for drug-herb interactions
A terminally ill patient expresses fear of dying. Which nurse response is therapeutic?
A. “Don’t worry; everything will be okay.”
B. “You should focus on the positives.”
C. “Can you tell me more about what you’re feeling?”
D. “Stay strong for your family.”
C. “Can you tell me more about what you’re feeling?”
Which intervention is most appropriate to help a client cope with the loss of a loved one?
A. Encourage avoidance
B. Recommend exercise
C. Provide relaxation techniques
D. Recommend journaling feelings
D. Recommend the client write about their feelings
Which nursing intervention best demonstrates presence for a dying patient and their family?
A. Frequent diagnostic checks
B. Adjusting oxygen settings often
C. Providing silence, touch, and attentive listening
D. Leaving them alone for privacy
C. Providing silence, touch, and attentive listening
Which type of healthcare focuses on personal responsibility, energy balance, and prevention?
A. Western/Allopathic
B. Eastern/Alternative
C. Emergency
D. Biochemical
B. Eastern/Alternative
What should the nurse always assess and document when a patient uses CAM therapies?
The type of CAM used and potential interactions with medications