A terminally ill patient and his family have requested hospice care. The nurse clarifies hospice care philosophy as:

excluding hospital care.

helping the patient dies easily and quickly at home.

supporting assisted suicide if that is the patients wish.

focusing on symptom management and comfort care.

Answer and Explanation

The Correct Answer is D

A. Hospice care does not exclude hospital care entirely. While the primary focus is on providing care in the patient's preferred setting, whether it be at home, in a nursing facility, or in a hospital, hospice services can extend to these settings as needed.

B. Hospice care does aim to provide comfort and support to patients at the end of life, but it does not focus on hastening death. Instead, it emphasizes enhancing the quality of life and ensuring comfort during the dying process, whether at home or in another setting chosen by the patient.

C. Hospice does not support assisted suicide or euthanasia. Its primary goal is to provide holistic care and support to patients and their families during the end-of-life period while upholding the patient's dignity and autonomy.

D. Hospice philosophy emphasizes symptom management and comfort care as its primary focus. The goal is to enhance the quality of life for terminally ill patients by addressing physical, emotional, and spiritual needs while supporting both the patient and their family through the dying process.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Request a prescription for lactulose from the provider: Lactulose is a laxative commonly used to treat constipation, but it is not appropriate for managing fecal incontinence in a hospice client approaching death. It focuses on promoting bowel movements rather than managing incontinence.

B. Place an occlusive dressing over the client's buttocks every 8 hr: Occlusive dressings are not typically used for managing fecal incontinence. They may trap moisture and exacerbate skin breakdown, especially in a hospice client who may be immobile or bedridden.

C. Insert a lubricated rectal tube gently: Inserting a rectal tube is invasive and may cause discomfort or injury, especially in a client who is approaching death. It is not recommended for managing fecal incontinence in this situation.

D. Keep disposable undergarments clean and dry: This is the most appropriate action for managing fecal incontinence in a hospice client. Keeping disposable undergarments clean and dry helps maintain skin integrity and prevents skin breakdown and discomfort. It also promotes comfort and dignity for the client during this sensitive time.

A. Anger B. Depression C. Denial D. Bargaining E. Acceptance

Correct Answer is A

Explanation

A. Anger: The statement reflects feelings of frustration, resentment, or hostility towards the company for their actions. This aligns with the stage of anger in Kübler-Ross's stages of dying, where individuals may experience anger towards others or the situation. In this case, the individual is expressing anger towards the company for causing harm or inconvenience.

B. Depression: Depression involves feelings of sadness, hopelessness, and despair. The statement does not directly express depressive symptoms but rather indicates a desire to take action against the company.

C. Denial: Denial is characterized by refusing to accept the reality of the situation. The statement does not indicate denial but rather acknowledges and reacts to the situation.

D. Bargaining: Bargaining involves attempting to negotiate or make deals to change the outcome of a situation. The statement does not suggest bargaining behavior but rather an intent to take legal action against the company.

E. Acceptance: Acceptance is characterized by coming to terms with one's impending death or loss. The statement does not reflect acceptance but rather a desire to address and rectify an issue caused by the company's actions.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A terminally ill patient and his family have requested hospice care. The nurse clarifies hospice care philosophy as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A hospice nurse is caring for a client who is approaching death and has fecal incontinence. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. "I'm going after that company for using that chemical on the field next door. "

Correct Answer is A

Explanation

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following statements by the client indicates that the client is in the denial phase of the grief process?

The relief of symptoms when a cure is no longer possible is known as:

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. "Go away, I don't want company. "

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "She's not that sick!"

A terminal patient in a skilled nursing home has stated that he does not want to get out of bed, because he is too tired and weak to sit in a chair. He sleeps on and off all day and night, his position is changed every 2 hours, and he is comfortable on his pain regimen. The next day the nurse will:

Nurses may have a difficult time dealing with patient deaths if they

A death that occurs under suspicious circumstances should be reported to the

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "My family will be fine after I'm gone "