A quality control nurse for a large group of long-term care ...

[fbq8i]

A quality control nurse for a large group of long-term care facilities assesses the quality of care at the end of life for the residents. Which of the following measures indicate quality care? (Select all that apply.)
 
  A) Increase in the number of deaths in the hospital
  B) Increase in the number of residents who refuse treatments at the end of life
  C) Increase in the percent of residents with advanced dementia
  D) Increase in the use of hospice services
  E) Increasing number of staff trained in palliative care

Question 2

An emergency room nurse cares for the family of a 70-year-old African American woman who died unexpectedly. In the waiting room, upon hearing of the death, two family members kneel to the floor moaning and do not respond.
 
  Which intervention by the nurse is most appropriate at this time?
 
  A) Allow the family to grieve in this manner directing others away.
  B) Assess these family members' vital signs and neurologic status.
  C) Bring these family members to the body of their loved one.
  D) Call an emergency response team to care for these family members.

[kingfahad97]

Answer to Question 1

Ans: D, E
Studies confirm the need for staff education related to symptom management and other aspects of palliative care. Two measures of quality care at the end of life for nursing home residents are use of hospice services and avoiding death in the hospital. There are a large number of residents with advanced dementia (the desire is that more of these become clients of hospice).

Answer to Question 2

Ans: A
Recognize that this falling out is a culturally based response and not an emergency medical condition; provide support. There is no need to assess these clients for emergency assistance. Bringing all of the family members is appropriate when the family is ready (note: family members may also fall out then too).