The client who is of the Jewish faith died during the night. The nurse

End of Life NCLEX Questions

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Question 1 of 5.

The client who is of the Jewish faith died during the night. The nurse notified the family, who do not want to come to the hospital. Which intervention should the nurse implement to address the family's behavior?

A. Take no further action because this is an accepted cultural practice.

B. Notify the hospital supervisor and report the situation immediately.

C. Call the local synagogue and request the rabbi go to the family's home.

D. Assume the family does not care about the client and follow hospital protocol.

Explanation: In Jewish tradition, some families avoid hospital visits post-death, delegating care to professionals, a cultural norm. Supervisor reports, rabbi involvement, or assumptions are inappropriate.

Question 2 of 5.

The nurse is presenting an in-service discussing do not resuscitate (DNR) orders and advance directives. Which statement should the nurse discuss with the class?

A. Advance directives must be notarized by a notary public.

B. The client must use an attorney to complete the advanced directive.

C. Once the DNR is written, it can be used for every hospital admission.

D. The health-care provider must write the DNR order in the client's chart.

Explanation: A DNR order requires a physician's written order in the chart to be actionable, per hospital policy. Notarization and attorneys are not required, and DNRs are typically re-evaluated per admission.

Question 3 of 5.

Which client would be most likely to complete an advance directive?

A. A 55-year-old Caucasian person who is a bank president.

B. A 34-year-old Asian licensed practical nurse.

C. A 22-year-old Hispanic lawn care worker.

D. A 65-year-old African American retired cook.

Explanation: Older adults (e.g., 65-year-old) are more likely to complete ADs due to increased awareness of mortality and health issues, regardless of ethnicity or profession.

Question 4 of 5.

The HCP has notified the family of a client in a persistent vegetative state on a ventilator of the need to 'pull the plug.' The client does not have an AD or a durable power of attorney for health care, and the family does not want their loved one removed from the ventilator. Which action should the nurse implement?

A. Refer the case to the hospital ethics committee.

B. Tell the family they must do what the HCP orders.

C. Follow the HCP's order and 'pull the plug.'

D. Determine why the client did not complete an AD.

Explanation: Without an AD or proxy, disagreements between family and HCP require ethics committee review for resolution. Forcing compliance, following orders against family wishes, or investigating AD absence is inappropriate.

Question 5 of 5.

Which situation would cause the nurse to question the validity of an AD when caring for the elderly client?

A. The client's child insists the client make his or her own decisions.

B. The nurse observes the wife making the husband sign the AD.

C. A nurse encouraged the client to think about end-of-life decisions.

D. A friend witnesses the client's signature on the AD form.

Explanation: Coercion (wife forcing signature) invalidates an AD, as it must reflect the client's voluntary wishes. Child insistence, nurse encouragement, or friend witnessing is acceptable.