ElNEC Quizzes Module 6 WGU C475 With Complete Solutions.

You are caring for a veteran who served in World War II and is now near the end of life. He has shared with you how important his service in the Navy was to him. Which of the following interventions would be most appropr ...

You are caring for a veteran who served in World War II and is now near the end of life. He has shared with you how important his service in the Navy was to him. Which of the following interventions would be most appropriate for you to do to honor his service? Find out if he would like you to see if the local veterans group could visit him. You are caring for a 12-year-old child who is imminently dying from leukemia. The child is unconscious and has been for days. The child's mother tells you that she hopes her daughter would open her eyes one last time before dying. Knowing that this is unlikely, what is your best response? "If that is not possible, what else might you hope for? You are caring for a man who is near the end of life. During morning care, the man asks you if he is dying. Your best response would be: "That is a very serious question. What is it that makes you ask that today?" Your patient, who has end-stage renal disease, has been asked by the doctor covering the hospital if he would like to have "everything done," including CPR. The patient asks you if CPR is a good thing to do. Your best response is: "What do you know about CPR? Have you ever heard about it before?" You are caring for Ms. F who is dying from lung cancer. She is no longer taking in food or fluids and the family asks you why the team doesn't feed her with a tube? They state, "It seems like you are all trying to starve her to death." You respond: "Ms. F's body can no longer handle food or fluids; it would cause her more harm than good to feed her with a tube." The family of a patient who is dying asks you why the nurses always come in and look under the sheets at his legs when they are checking his blood pressure. You explain: "They are assessing for signs that death may be near." You are caring for an 85-year-old man who is dying. He has been comatose for several days. His respirations are now shallow and rattling. His adult children at the bedside state, "We don't want our father to suffocate." Which action should you take? Reassure the family that terminal secretions are normal and try repositioning the patient. Your patient, Mr. W, has been unresponsive for the past day and is actively dying. His family is with him. He had appeared comfortable but has been showing some signs of restlessness and agitation over the past hour. What should you do? Assess for evidence of pain, constipation, urinary retention, or other possible physical cause. Question 9 : Mr. T is nearing end of life and tells you that he has seen his deceased father coming to visit him in his room. What is your best action? Find out from Mr. T how it feels to have his father visiting, is it frightening him? Mr. J is in the final hours of life. He is dying from his end-stage chronic lung disease. His breathing pattern has changed and is very irregular and he is even going 10-15 seconds without a breath. The family asks you to please call respiratory therapy to see what they can do to help his breathing. You respond: "His breathing pattern is difficult to watch, but the irregularity is a normal part of the dying process." You are caring for Mr. S who has been in and out of the hospital for a long time with end-stage liver failure. On this admission, he is unresponsive. Which of the following signs indicate he is close to death? Mottling of his sacrum Mrs. K's family has informed you that she is Roman Catholic and that her wishes were to have a priest administer the sacrament of the sick when she was close to death. You recognize that she is getting very close and suggest: "Can I help you call a priest to come and honor her wishes?" You have been caring for a Hispanic patient with advanced obstructive lung disease for the past several weeks. The family has been at the bedside daily, with one member spending the night throughout the hospital stay. In assessing cultural beliefs and practices related to death and dying for the patient and family, it is necessary for you to consider which of the following factors? What rituals, practices, and beliefs about death are important to the patient and family You are working in the emergency room and a patient came in with a massive heart attack and cannot be resuscitated. The doctor has just informed the family that the patient is dead and asks you to go to the private room where they have been waiting to see if they need anything. "We will do everything we can to give the other family members time to get to the ER." Mrs. Smith has suffered with terrible bone pain from metastatic breast cancer for the past three admissions to your unit. She is now nearing end of life. Her family requests that you not give her any pain medications because they are afraid it will hasten her death. What should you do? Educate the family about the importance of keeping her comfortable and that the pain medication will not hasten her death. A patient's daughter asks you what she can do to help make her mother, who is dying, more comfortable. The daughter has been sitting at her mother's bedside for the past two days and is feeling helpless. Your best response would be: "Some patients relax when we give them a gentle foot massage. Would you like me to show you how?" You are caring for an elderly woman who is dying from Parkinson's disease. Her husband died years ago and all of her friends are also now deceased. She has no children or living family members. You are sitting with her and she tells you how lonely she feels. Your best response is: "It must feel so lonely with your family and friends no longer with you." You are caring for a patient who has just died. In caring for the body after death, the goal of care is to: Provide a clean, peaceful impression of the deceased for the family. You are caring for a patient who has just died. In assisting the family to understand what will occur next, you should: Explain how the body will be cared for immediately following the death. Question 20 : Your unit has experienced many deaths in the past month and the staff is feeling very sad. What might you suggest to address this issue? Recommend starting a reflection ritual to honor patients who die on the unit.