End of Life Care NCLEX
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Question 1 of 5.
The Hispanic client who has terminal cancer is requesting a curandero to come to the bedside. Which intervention should the nurse implement?
A. Tell the client it is against policy to allow faith healers.
B. Assist with planning the visit from the curandero.
C. Refer the client to the pastoral care department.
D. Determine the reason the client needs the curandero.
Explanation: Facilitating a curandero visit respects Hispanic cultural beliefs, per patient-centered care. Denying, referring, or questioning the need is less culturally sensitive.
Question 2 of 5.
In which client situation would the AD be consulted and used in decision making?
A. The client diagnosed with Guillain-Barré who is on a ventilator.
B. The client with a C6 spinal cord injury in the rehabilitation unit.
C. The client in end-stage renal disease who is in a comatose state.
D. The client diagnosed with cancer who has Down syndrome.
Explanation: ADs are consulted when a client cannot make decisions, such as in a comatose state (end-stage renal disease). Ventilated, rehab, or Down syndrome clients may still have decision-making capacity.
Question 3 of 5.
The client with an AD tells the nurse, 'I have changed my mind about my AD. I really want everything possible done if I am near death since I have a grandchild.' Which action should the nurse implement?
A. Notify the health information systems department to talk to the client.
B. Remove the AD from the client's chart and shred the document.
C. Inform the client he or she has the right to revoke the AD at any time.
D. Explain this document cannot be changed once it is signed.
Explanation: Clients can revoke ADs at any time, per legal rights. Notifying health information, shredding without process, or claiming unchangeability is incorrect.
Question 4 of 5.
The client asks the nurse, 'When will the durable power of attorney for health care take effect?' On which scientific rationale would the nurse base the response?
A. It goes into effect when the client needs someone to make financial decisions.
B. It will be effective when the client is under general anesthesia during surgery.
C. The client must say it is all right for it to become effective and enforced.
D. It becomes valid only when the clients cannot make their own decisions.
Explanation: A durable power of attorney for health care activates when the client is incapacitated, per legal standards. Financial decisions, anesthesia, or client permission are incorrect triggers.
Question 5 of 5.
The nurse is aware the Patient Self-Determination Act of 1991 requires the health-care facility to implement which action?
A. Make available an AD on admission to the facility.
B. Assist the client with legally completing a will.
C. Provide ethically and morally competent care to the client.
D. Discuss the importance of understanding consent forms.
Explanation: The Patient Self-Determination Act mandates offering AD information on admission for Medicare/Medicaid facilities. Wills, ethical care, and consent forms are unrelated.
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