The client with end-stage cardiomyopathy states, “I do not want to be resuscitated if I stop breathing.” Full resuscitation is noted on the client’s medical record under code status. Based on this information, which action should the nurse take first?

The nurse is communicating with the client receiving hospice care. Which statement is ineffective because it displays the nurse’s personal beliefs?

The nurse is caring for the terminally ill client. Which planned intervention will provide the family of the client with the greatest sense of both control and satisfaction with the end-of-life care their loved one is receiving?

The family of the terminally ill client has decided to withdraw life support. A family member states, “I don’t want to be there when he dies. I want to remember him as he was.” What is the nurse’s best response?

The hospice nurse shares with the supervisor that dealing with the death of a specific client has been particularly hard. Which response by the nursing supervisor is best?

The nurse is performing postmortem care for the client who died. Which action should be taken by the nurse?

The nurse overheats the client tell his family, “I can’t go on with chemotherapy treatments. I want to go home to die-” The wife begins crying and responds, “You are giving up!” The son responds, “Dad can get over this if he just tries.” The client becomes withdrawn and avoids eye contact with his family. Which nursing diagnosis would be best to add to the client’s plan of care?

The nurse is caring for the adult client who was told an illness is terminal and is offered hospice care. Which statement by the nurse is appropriate?

The nurse is counseling a mother who has had prolonged grief after the death of her child. Which statement would assist the nurse in assessing whether the mother is experiencing guilt?

The client who is near death asks the nurse to lead a prayer to give the client comfort and strength to face the afterlife. The client and the nurse are both of the Baptist faith. Which opening prayer would be most appropriate?

The NA is caring for the dying client who has sensory-perceptual alteration- Which direction by the nurse to the NA is inappropriate?

The client who is Buddhist dies. What should the nurse consider when notifying the client’s family about the death?

The home health nurse assesses that the African American client is in need of hospice care. Which should be the nurse’s initial response when the daughter tells the nurse that she will never agree to hospice care for her father?

The client’s spouse states to a hospice nurse that she regrets that her husband remained agnostic even unto death. Which response by the nurse is best?

The nurse is caring for the dying client who is Native American. Which response is best when a family member requests to light tobacco leaves near the client so that the smoke can be fanned over the client’s skin?

The unresponsive client is unable to give consent for surgery. The client has an advance health care directive that identifies a friend as the legal health care agent. Who should the nurse contact for obtaining consent for this client?

The male client newly diagnosed with stage II prostate cancer states to the nurse, “With this diagnosis, I want the doctor to write a Do not. Resuscitate order.” Which is the nurse’s best initial action?

The client tells the nurse, “I wish my family would let me die in peace. I’m angry that they keep hovering as if I’ve given up. I have terminal lung cancer, and there is no cure!” Which is the nurse’s best therapeutic response?

The terminally ill client of the Catholic faith is to be weaned from a ventilator. The family requests that the client receive the Anointing of the Sick- Which intervention should be implemented first by the nurse?

The client with terminal lung cancer is considering hospice care. Which statement made by the client indicates that the client needs further clarification about hospice care?

The hospitalized client practicing the Jewish faith is grieving after being told that the client’s condition is terminal. Which is the nurse’s best intervention to assist in meeting the client’s spiritual needs?

An elderly widow learns she has a terminal condition and tells the nurse, “I am afraid to die.” Which is the nurse’s best response?

The client of the Orthodox Jewish faith dies after being on hospice care for a month. The hospice nurse and the client’s wife and daughter are with the deceased. Which practice by the family should the nurse consider?

The nurse learns that the Muslim female client is a recent widow. In addition to praying, which behavior should the nurse anticipate from the client in dealing with the loss of a loved one?

The adult daughter of the terminally ill client tells the nurse, “I’ll never get to talk to my mom again” and begins to sob. Which is the nurse’s best response?

A parish nurse leads a bereavement support group for clients whose spouses died over a year ago. Which client should the nurse identify as displaying signs of dysfunctional grieving?

The woman who is a Roman Catholic gives birth to an infant who is unlikely to survive. Which should be the nurse’s priority?

The client of the Islamic faith suffers a massive stroke and is to receive end—of-life care. Which statement made by the nurse to a coworker is correct in describing the beliefs of Islam and end—of-life care?

The nurse observes that a parent of a child who just died is rocking the child back and forth and sobbing; the other parent is sitting quietly nearby. Which response by the nurse is most appropriate?

After the death of her spouse, the woman confides to the nurse that she feels inadequate to meet the physical and emotional needs of her 1 - year old child. Which initial intervention should the nurse implement?

The 5-year-old tells the nurse, “If I wish hard enough, I know my mom will come back from the dead.” Which should the nurse conclude about the child’s statement?

The client with a terminal illness is hospitalized for palliative care. Which conclusion by the nurse about palliative care is correct?

The parents of a 10-year-old were just told that their child is dying. Which intervention is the nurse’s priority?

The nurse is counseling the parents of an adolescent with a terminal illness. Which statement is appropriate when helping the parents with decisions about their child’s care?

The nurse is caring for four clients of varying religious beliefs who are near death or have died. Which action should the nurse plan?

The client requests to die at home in a familiar setting, and hospice care is initiated. Which initial action by a hospice nurse would best support family coping?

The 85-year—old spouse of the client, who passed away 2 months ago, states to the nurse, “Thankfully, my friends and family have been driving me places; I don’t have a driver’s license anymore.” How should the nurse interpret the client’s statements?