*NURSING > QUESTIONS and ANSWERS > ATI Adult Nursing (NUR 105) Med Surg Test Questions and Answers with Explanations Chapter 16 End-of- (All)
ATI Adult Nursing (NUR 105) Med Surg Test questions and Answers Chapter 16: End-ofLife Care 1. In the past three to four decades, nursing has moved into the forefront in providing care for the dyi... ng. Which phenomenon has most contributed to this increased focus of care of the dying? a. Increased incidence of infections and acute illnesses b. Increased focus of health care providers on disease prevention c. Larger numbers of people dying in hospital settings d. Demographic changes in the population Ans: D Feedback: The focus on care of the dying has been motivated by the aging of the population, the prevalence of, and publicity surrounding, life-threatening illnesses (e.g., cancer and AIDS), and the increasing likelihood of a prolonged period of chronic illness prior to death. The salience of acute infections, prevention measures, and death in hospital settings are not noted to have had a major influence on this phenomenon. 2. A nurse who works in the specialty of palliative care frequently encounters issues and situations that constitute ethical dilemmas. What issue has most often presented challenging ethical issues, especially in the context of palliative care? a. The increase in cultural diversity in the United States b. Staffing shortages in health care and questions concerning quality of care c. Increased costs of health care coupled with inequalities in access d. Ability of technology to prolong life beyond meaningful quality of life Ans: D Feedback: The application of technology to prolong life has raised several ethical issues. The major question is, Because we can prolong life through increasingly sophisticated technology, does it necessarily follow that we must do so? The increase in cultural diversity has not raised ethical issues in health care. Similarly, costs and staffing issues are relevant, but not central to the most common ethical issues surrounding palliative care. 3. The nurse is caring for a patient who has been recently diagnosed with late stage pancreatic cancer. The patient refuses to accept the diagnosis and refuses to adhere to treatment. What is the most likely psychosocial purpose of this patients strategy? [Show More]
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