Hospice & Palliative Care
A patient wants symptom relief while continuing chemotherapy. What type of care is appropriate?
What is palliative care?
A patient requests to see a priest before surgery. What should the nurse do?
What is arrange the visit?
Which herb increases bleeding risk when taken with warfarin?
What is Garlic or Ginkgo biloba?
The nurse enters a patient's room and finds the patient crying after learning they have terminal cancer. What should the nurse do first?
What is sit quietly with the patient and encourage expression of feelings?
A patient recently diagnosed with terminal cancer says, "There must be a mistake. My test results got mixed up."
What is Denial?
A patient with a prognosis of six months has stopped curative treatment. What type of care is indicated?
What is hospice care?
A patient says, "God is punishing me." What is the best nursing response?
What is "Can you tell me more about those feelings?"
Which herb is commonly used to reduce nausea?
What is Ginger?
A patient says, "I don't want CPR if my heart stops." Which nursing action is the priority?
What is determine whether the patient has an advance directive and notify the provider if clarification is needed?
A patient awaiting a heart transplant says, "If I can just live long enough to see my daughter graduate, I'll never complain again."
What is Bargaining?
Why is morphine commonly given to hospice patients?
What is relieve pain and dyspnea?
A patient is angry with God after a new diagnosis. What nursing diagnosis fits best?
What is spiritual distress?
A patient receiving chemotherapy reports drinking ginger tea daily. Which symptom is the patient most likely trying to manage?
What is nausea and vomiting?
A patient receiving hospice care reports pain of 8/10 one hour after receiving morphine. What should the nurse do next?
What is reassess the patient and administer additional prescribed pain medication if appropriate?
A patient states, "I've had a good life. I'm ready for whatever comes next."
What is Acceptance?
The priority goal of hospice nursing care is:
What is comfort and quality of life?
A patient declines treatment because of religious beliefs. What ethical principle applies?
What is autonomy
A patient practices meditation and guided imagery. What type of CAM is this?
What is Mind-body therapy ?
A patient's spouse asks, "He's making a gurgling sound when he breathes. Is he suffering?" What should the nurse explain?
What is the "death rattle" is common near the end of life and is usually more distressing to family than to the patient?
A patient with end-stage COPD refuses visitors, cries frequently, and says, "I don't have anything left to look forward to."
What is Depression?
A patient says, "Choosing palliative care means I'm giving up." How should the nurse respond?
What is palliative care can be provided with curative treatment
What should the nurse assess before discussing end-of-life decisions?
What is the patient's understanding and wishes?
What is the nurse's priority before administering prescribed medications to a patient using herbal supplements?
What is assess for drug-herb interactions?
The nurse is caring for a patient who suddenly states, "I don't believe life has any purpose anymore." Which nursing action has the highest priority?
What is assess for spiritual distress and suicidal ideation while providing therapeutic communication?
A patient continues to experience intense grief and is unable to return to work 10 months after the death of a spouse.
What is Prolonged Grief Disorder (Complicated Grief)?