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End-of-Life Care and Palliative Nursing Flashcards

6 cards from real Gerontological Nurse Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. Grief that persists longer than expected and significantly impairs functioning is classified as:

    Answer: Complicated grief (prolonged grief disorder)

    Complicated grief, now recognized as prolonged grief disorder in DSM-5-TR, is characterized by persistent and disabling grief symptoms lasting beyond the expected period of adjustment.

  2. A nurse is supporting a family whose loved one died in the hospital. Which action best demonstrates compassionate end-of-life nursing care?

    Answer: Allowing the family adequate private time with the deceased and offering condolences

    Providing uninterrupted private time with the deceased, demonstrating empathy, and supporting the family's grieving process are hallmarks of compassionate end-of-life nursing care.

  3. Terminal sedation (palliative sedation) is ethically appropriate when:

    Answer: The patient has refractory, uncontrollable suffering near the end of life

    Palliative sedation is ethically justified for patients with refractory symptoms causing intolerable suffering at end of life when all other symptom management strategies have failed.

  4. A gerontological nurse advocates for a patient with terminal illness by ensuring their expressed wishes regarding life-sustaining treatment are documented and honored. This reflects which ethical principle?

    Answer: Autonomy

    Respecting and upholding a patient's self-determined wishes regarding their own medical care directly reflects the ethical principle of autonomy.

  5. Which non-pharmacological intervention can help manage dyspnea (breathlessness) in a dying patient?

    Answer: Positioning a small fan to direct airflow across the patient's face

    Cool airflow across the face from a small fan stimulates the trigeminal nerve and facial cold receptors, reducing the sensation of breathlessness even without changing actual oxygen levels.

  6. An older adult states, 'I don't want any heroic measures done when I die.' The nurse's most appropriate action is to:

    Answer: Encourage the patient to discuss their wishes with their physician and complete a formal advance directive

    Informal verbal statements do not constitute a legally binding order; the nurse should facilitate a formal advance directive discussion with the physician to ensure the patient's wishes are legally documented.

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Sources & references

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  1. nursingworld.org — Test delivery, eligibility, exam format, test dates, time limit, score validity, passing score, score release · verified Oct 2026