ELNEC Module 6 Practice Test

These questions are part of the practice quiz. Start practicing

• In Spiritual and Cultural Considerations, which statement best reflects the role of the nurse?
• How should advance care planning conversations be initiated with older adults or patients with chronic illness?
• What is the role of advanced practice clinicians in end-of-life care?
• If advance directives are absent, whose perspective can help share the patient's wishes?
• What evaluation criteria indicate that end-of-life care has achieved patient-centered goals?
• In-hospital cardiac arrest in adults shows what approximate survival to hospital discharge rate?
• Which group is commonly included among nurses' experiences with patients' deaths?
• How can nurses protect patient confidentiality while coordinating end-of-life care across settings?
• Which sign indicates a client is close to death?
• How should clinicians address inconsistent or changing goals of care over time?
• What is the ethical difference between voluntary stopping of treatment and physician-assisted death?
• What are signs of prognosis communication gaps, and how can they be addressed?
• A dying patient becomes restless and agitated; what action should be taken FIRST?
• In the ED waiting room, a family asks if the body can stay until other family members arrive. What is the BEST response?
• Which statement is NOT listed among symptoms explicitly addressed under Symptom Management at End of Life?
• How can nurses support patients choosing to continue life-prolonging treatments while ensuring comfort?
• Which is a key practice in protecting privacy and confidentiality during end-of-life discussions?
• Which statement best describes when to shift from curative to comfort care?
• Which actions support a dying older adult's care?
• Why is it essential to discuss prognosis and goals of care early and repeatedly in chronic illness?
• Who is typically identified to make decisions if the patient cannot?
• In end-of-life care, how does medication management for dyspnea differ from pain management?
• What is the living will typically specify?
• Holistic needs in final hours include which dimensions?
• What is an advance directive and what patient preferences does it typically address?
• Preparing for Death: Which question should the care team ask when preparing for death?
• In ethically complex end-of-life decisions, which teams should be consulted or referred to?
• In surrogate decision-making when wishes are unknown, which standard guides decisions?
• Which items must be disclosed to obtain valid informed consent?
• Dehydration at end of life is associated with which experience?
• When supporting a parent of a dying child, which factors should be considered?
• Which statement best describes effective communication in end-of-life care?
• What is the difference between "futile care" and "prolonging life" in palliative contexts?
• What things were important to [name]? If [name] were able to tell us, what would they say?
• Which nonverbal behavior conveys empathy during end-of-life conversations?
• Define an advance directive and describe its two common components.
• How should clinicians handle requests for organ support in a patient with a DNR order?
• What does a Do Not Resuscitate (DNR) order specify?
• Which framework guides clinicians in delivering bad news to patients and families?
• Which statement describes the Rule of Double Effect in end-of-life analgesia?
• After death and pronouncement, family members may feel numb and confused about what to do next. The best approach is to:
• Which option is NOT a sign of imminent death?
• Which statement best describes the components of a comprehensive end-of-life care plan?
• Which situations require discussing resuscitation status with the patient or surrogate?
• What is the role of an ethics committee in end-of-life care?
• Which statement best describes interprofessional collaboration in end-of-life care?
• Which aspects of culture influence end-of-life decisions?
• Which approach helps resolve mismatches in expectations about prognosis?
• Which option best reflects a comprehensive end-of-life care plan?
• How should a clinician respond to a surrogate who insists on continuing treatment that is non-beneficial?
• How can delirium at end of life be differentiated from dementia, and why does differentiation matter?
• How should clinicians approach differences in religious beliefs and medical recommendations?
• What is the role of spiritual care in end-of-life ethics, and how can nurses support it?
• What is fiduciary duty in the context of end-of-life care?
• A client is not taking in food or fluids, and the family asks why the team is letting them starve to death. What is the BEST response?
• What is the role of documentation in end-of-life decisions?
• What approach best supports presence with a patient nearing death?
• When a patient asks about prognosis, which response best supports understanding?
• During the COVID-19 pandemic, visitor policy restrictions often resulted in patients dying without family present, increasing moral distress among which group?
• Care for the body after death should involve which approach?
• In the nurse's role related to dying and death, which practice is emphasized?
• What strategy is essential to improve communication with nonverbal patients at the end of life?
• Which of the following is a common barrier to advance care planning in practice?
• When discussing CPR with a patient, what is an appropriate initial nurse response?
• What is the approximate survival to discharge rate for children after out-of-hospital cardiac arrest?
• Which statement best describes cultural and spiritual beliefs' impact on end-of-life decision making?
• The FIRST goal of care for the body after death?
• Which statement best describes the surrogate decision-maker's role when the patient's wishes are known?
• Describe the importance of privacy and confidentiality in end-of-life discussions.
• After a patient asks a question, which approach best uses silence?
• Under what conditions is withholding or withdrawing artificial nutrition and hydration ethically permissible?
• What is included in bereavement support as part of patient-centered end-of-life care?
• True or False: The goal of controlled sedation is to relieve intractable symptoms, NOT to hasten death.
• Which action supports patient and family near the end of life?
• What is a key principle when caring for patients nearing end of life regarding decisions?
• What is organ donation's relevance in end-of-life care, and what must be considered before requesting consent?
• When goals of care shift, what is the recommended communication approach?
• What is the difference between voluntary and involuntary cessation of care, and how is consent obtained for voluntary cessation?
• When a dying patient exhibits agitation, which assessment is essential?
• What is the difference between capacity and informed consent in end-of-life decisions?
• Which ethical principles are used to frame shared goals in end-of-life care?
• What should be included in a structured family meeting to address end-of-life care?
• How should conflicts between patient autonomy and family wishes be resolved?
• Why is respecting cultural and spiritual beliefs important in end-of-life care?
• Which element should be included in an end-of-life care plan?
• What factor significantly influences the dying and bereavement process?
• When discussing end-of-life with family, what is essential regarding information sharing?
• Please ensure that the response adheres to the required format.
• What is a key reason for early and ongoing advance care planning discussions with older adults?
• Which action best supports family comfort in the environment?
• What is the ethical equivalence between withholding and withdrawing life-sustaining treatment?
• What is the appropriate stance regarding coercion in organ donation requests?
• List common ethical principles that support patient decision-making at end of life.
• A common reason to involve the interprofessional team in end-of-life care is to address which challenges?
• Which statement best captures the ELNEC framework's emphasis on patient and family education about end-of-life options?
• Which statement correctly defines the ethical meaning of withholding vs withdrawing treatment?
• For an actively dying patient who is unresponsive, the partner asks how to provide comfort. Best response?
• Why is culture important in end-of-life care?
• What is the primary ethical justification for withholding or withdrawing life-sustaining treatment in end-of-life care?
• Which statement best differentiates an advance directive from a POLST/MOLST?
• Which actions most strengthen ethical decision-making in end-of-life care?
• Who has the highest priority to make decisions for a patient lacking capacity when there is no advance directive?
• How can hospitals support staff resilience in palliative and end-of-life care?
• What are essential components of a family meeting focused on goals of care?
• When an older patient near the end of life expresses loneliness due to the absence of family and friends, which response is most appropriate?
• How is decision-making capacity defined in end-of-life care, and how does it differ from general competence?
• End-of-life nursing care includes which domain?
• What does extracorporeal CPR involve?
• What is the role of interprofessional collaboration in achieving quality end-of-life care?
• To support patient autonomy, which approach is appropriate when discussing prognosis?
• When is it appropriate to involve an ethics consultant in end-of-life care?
• Which professionals are involved to address emotional and spiritual needs of patients and families?
• What are ethical considerations in organ donation discussions with families?
• What core ethical principle prioritizes patient choice in end-of-life decisions?
• Define palliative sedation and its distinction from euthanasia or physician-assisted suicide.
• How can clinicians assess for conflict between religious beliefs and medical recommendations?
• End-of-life care should be tailored to the patient in which ways?
• Which term describes not starting a life-sustaining measure for a patient?
• What strategy best initiates conversations about advance directives and goals of care?
• What is the most respectful approach to honor a veteran's end-of-life identity?
• If a patient lacks capacity and the surrogate decisions conflict with known patient wishes, what should guide the decisions?
• How should goals of care be documented during family meetings?
• What is the appropriate nursing response to a client's request for hastened death?
• How should healthcare teams address conflicts between family members about end-of-life care?
• Why is prognosis disclosure challenging in end-of-life conversations, and what strategies help?
• Why is documentation of patient wishes critical in end-of-life care?
• Which statement best validates a patient's experience of distress?
• Which statement best describes the ethical basis for using high-dose analgesia near death when it relieves suffering?
• Which statement reflects ethical end-of-life care regarding patients requesting hastened death and healthcare providers' response?
• Which scenario most clearly warrants an ethics consultation in end-of-life decisions?
• What should be included when documenting goals of care in the medical record?
• What is palliative sedation, and when is it considered appropriate?
• When discussing end-of-life care, what is essential regarding cultural beliefs?
• What is POLST/MOLST and when is it appropriate to use it?
• Advance directives typically address which of the following?
• How do cultural beliefs influence end-of-life decision-making and perceived control?
• To support a family deciding about withdrawal of life-sustaining treatments for a loved one with poor prognosis, what is the best team response?
• What considerations should be made when discussing end-of-life decisions with pediatric patients and families?
• How can nurses assess for and address caregiver anticipatory grief?
• What is the role of surrogate decision-maker priority when a patient has no advance directive and no previously designated surrogate?
• Which statement reflects a common misconception about CPR outcomes?
• Which statement best describes the nurse's role in spiritual and cultural care at end of life?
• Being With and Bearing Witness components: which is NOT a component?
• Which statement best distinguishes passive euthanasia from active euthanasia?
• Which is a sign of imminent death?
• How should nurses ethically respond to a patient requesting physician-assisted suicide or death with dignity in jurisdictions where it is legal?
• How should truth-telling and patient autonomy be handled in end-of-life discussions?
• What legal document governs a patient’s right to refuse treatment?
• What is the difference between a DNR order and a DNRCC (comfort care only) order?
• What is the significance of surrogate decision-maker fatigue and how can teams mitigate it?
• Which statement best describes the role of chaplain services and social workers in surrogate decision-making?
• Which action best describes the purpose of involving ethics committees or palliative care in end-of-life decision-making?
• Which description best defines Comfort Measures Only in palliative care?
• What is the role of nutrition and hydration in the last days of life?
• What is true about nurses and grieving after patient death?
• Which professionals are involved to address the emotional and spiritual needs of patients and families?
• In end-of-life care, what is the expected approach to patient comfort when life-sustaining therapy is withheld or discontinued?
• How do legal and policy differences across states or countries affect end-of-life care decisions?
• When should prognostic discussions occur to support decision-making?
• What is a key role of nurses regarding CPR education?
• Which statement best describes prognosis' role in end-of-life conversations?
• What is the purpose of 'meaningful legacy work' in bereavement care?
• What is an important consideration when providing medically administered nutrition and hydration at end of life?
• What is the difference between hospice care and general palliative care?
• When a patient requests aggressive measures that conflict with palliative goals, what is the recommended approach?
• Which statement best reflects a 'Good' or meaningful death in end-of-life care?
• The patient has shallow, rattling respirations and terminal secretions; what is the PRIORITY nursing action for the family?
• What steps are involved in medication reconciliation during end-of-life transitions to ensure safety?
• What is the primary purpose of documenting patient goals and values in end-of-life decisions?
• What is the nurse’s role in organ and tissue donation processes after death?
• Which approach best describes how nurses can support surrogate decision-makers who are overwhelmed by the responsibility?
• Which considerations are involved in organ donation discussions with families near the end of life?
• Which of the following is NOT listed under Symptom Management at End of Life?
• What role does spiritual care play in end-of-life nursing, and when should chaplaincy be involved?
• Which reason is commonly given for a patient requesting hastened death?
• Which approach best facilitates understanding when discussing goals of care with families?
• What should be explored when clarifying goals of care with a patient?
• What is a central principle in involving families in end-of-life care discussions?
• How does Do Not Resuscitate (DNR) status interact with other care decisions such as intubation or mechanical ventilation?
• Which statement about end-of-life decision-making is most accurate?
• Which statement demonstrates empathy when a patient says 'I feel like I'm dying'?
• When can palliative care be provided relative to curative treatment?
• Which is NOT an essential element of valid informed consent in end-of-life decisions?
• Which statement describes how a Do Not Resuscitate (DNR) order affects care during cardiac or respiratory arrest?
• Which is identified as a concern in resuscitation ethics?
• How should nurses address disputes among family members about care decisions?
• Which statement accurately describes hospice eligibility and focus?
• What is a comfort measures only order and when is it used?
• How can nurses determine whether a patient is appropriate for hospice referral?
• What is the relationship between symptom management and patient goals in end-of-life care?
• Which outcome is commonly associated with ethically guided advance care planning for patients and families?
• What is the recommended approach when a patient requests discontinuation of life-sustaining therapy against medical advice?
• What is the approximate rate of return of spontaneous circulation after out-of-hospital cardiac arrest?
• In caring for a dying child, which parental need should be acknowledged?
• End-of-life planning requires collaboration with which of the following to address physical, psychological, social, and spiritual needs?
• Why is culturally sensitive communication essential in end-of-life decision making?
• How does the ELNEC module propose addressing spiritual distress in dying patients?
• In the face of uncertainty about prognosis, which is the best way to respond?
• How should clinicians address religious beliefs that influence end-of-life care decisions?
• When a Catholic patient nearing death requests spiritual rites, what is the best nursing action?
• In pediatric end-of-life decisions, assent is best described as ...
• How should nurses address prognosis discussions when patients and families have differing expectations?
• What are typical outcomes of ethically guided advance care planning for patients and families?
• When a patient cannot make decisions, whose determinations should guide ethical decisions, and what should they reflect?
• How does the ELNEC framework guide education about end-of-life options?
• As gastrointestinal function declines, what happens to fluid production and related symptoms?
• Which clinical factor is important in end-of-life care for families?
• What is the importance of documenting informed consent for end-of-life decisions, and what elements should be included?
• Care after death includes which steps to show respect and dignity for the body?
• Which element best demonstrates that end-of-life care respects patient goals?
• A veteran near the end of life has valued his Navy service. How should the nurse respond to the importance of his veteran identity?
• What is the most honest approach when discussing prognosis with the patient and family?
• Which nursing intervention supports families at end of life?
• If a patient asks how long they have left, what is the best approach?
• What is the nurse's BEST initial response when a patient asks, 'Am I dying?'
• A family member informed the nurse that the client is Roman Catholic and they need a sacrament from a priest as death approaches. What is the BEST action by the nurse to respect this request?
• Differentiate between substituted judgment and best interests in surrogate decision-making.
• In end-of-life care, which characteristic best describes the relationship between parents and the nurse?
• How should nurses approach decision-making with surrogate decision-makers when patients lack capacity?
• Which element is essential when involving a pediatric patient in end-of-life decisions?
• Differentiate between withholding and withdrawing life-sustaining treatment with regard to patient autonomy and legal standing.