Exhibits

The nurse is reviewing provider orders for Mrs. Thompson who is in the end- of-life stage. Match each provider order with its appropriate category: anticipated, nonessential, or contraindicated. Select the correct category for each given order.

Administer prescribed pain medication to manage discomfort.

Facilitate family meetings to discuss care goals and provide emotional support.

Initiate aggressive chemotherapy to attempt disease reversal.

Provide regular oral care for comfort.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"A"}}

Administer prescribed pain medication to manage discomfort. Pain management is a priority in end-of-life care to ensure comfort. Opioids and other pain medications are routinely prescribed in palliative care to alleviate suffering.

Facilitate family meetings to discuss care goals and provide emotional support. Supporting the family and discussing care preferences align with palliative and hospice care goals. Family meetings provide emotional support and ensure that care aligns with Mrs. Thompson’s wishes.

Initiate aggressive chemotherapy to attempt disease reversal. At the end-of-life stage, curative treatments are no longer appropriate. Aggressive chemotherapy is unlikely to provide benefit and may cause unnecessary discomfort. The focus should be on comfort rather than disease reversal.

Provide regular oral care for comfort. Dry mouth and oral discomfort are common at the end-of-life stage, especially with reduced fluid intake. Regular oral care helps maintain moisture, prevents infections, and enhances comfort.

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Correct Answer is A

Explanation

A. Religion often includes organized practices, rituals, and community involvement, whereas spirituality is a more personal and individual experience that may or may not include organized practices. This statement accurately differentiates religion and spirituality. Religion typically involves structured beliefs, worship, rituals, and a faith community, while spirituality is a broader, more personal concept that can include seeking meaning, connection, or purpose, with or without religious affiliation.
B. Religion is a personal belief system, while spirituality involves organized practices and rituals. This is incorrect because religion is typically more structured and involves organized practices, while spirituality is often more personal and may or may not include rituals.
C. Religion is exclusively concerned with personal growth and self-improvement, whereas spirituality focuses on adherence to institutional doctrines. This is incorrect because religion often involves both personal growth and adherence to doctrines, while spirituality focuses on personal meaning and connection, which may extend beyond religious structures.
D. Religion and spirituality are synonymous and can be used interchangeably in patient care assessments. This is incorrect because while religion and spirituality are related, they are not the same. Spiritual care can apply to both religious and non-religious individuals, recognizing that spirituality may be expressed in many ways beyond religious affiliation.

A. "This service provides my caregiver the opportunity to take time for themselves." B. "I will need to go to a skilled facility to receive these services." C. “This service assists with making me comfortable during my illness." D. "I will receive help with managing my meals with this service."

Correct Answer is C

Explanation

A. "This service provides my caregiver the opportunity to take time for themselves." While respite care offers temporary relief for caregivers, palliative care focuses primarily on symptom management and improving the quality of life for individuals with serious illnesses.
B. "I will need to go to a skilled facility to receive these services." Palliative care can be provided in various settings, including hospitals, outpatient clinics, nursing homes, and even the client’s home. It does not require admission to a skilled nursing facility.
C. "This service assists with making me comfortable during my illness." Palliative care aims to improve comfort by managing pain, symptoms, and emotional distress for individuals with chronic or terminal illnesses. It focuses on enhancing quality of life rather than curing the disease.
D. "I will receive help with managing my meals with this service." While palliative care teams may offer nutritional support as part of symptom management, their primary role is to address pain, dyspnea, nausea, and emotional distress rather than meal planning.

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Exhibits The nurse is reviewing provider orders for Mrs. Thompson who is in the end- of-life stage. Match each provider order with its appropriate category: anticipated, nonessential, or contraindicated. Select the correct category for each given order.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is providing teaching to a client who has a terminal illness and is considering palliative care services. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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Exhibits

The nurse is reviewing provider orders for Mrs. Thompson who is in the end- of-life stage. Match each provider order with its appropriate category: anticipated, nonessential, or contraindicated. Select the correct category for each given order.