[usPropHeader] Error loading user control: The file '/CMSWebParts/WK.HLRP/LNC/LNCProductHeader.ascx' does not exist.

Article Content



* Read the article on page 7.


* Take the test, recording your answers in the test answers section (Section B) of the CE enrollment form. Each question has only one correct answer.


* Complete registration information (Section A) and course evaluation (Section C).


* Mail completed test with registration fee to: Broad Data Systems, Inc, 74 Brick Blvd, Bldg 4, Suite 206, Brick, NJ 08723.


* Within 3-4 weeks after your CE enrollment form is received, you will be notified of your test results.


* If you pass, you will receive a certificate of earned contact hours and answer key. If you fail, you have the option of taking the test again at no additional cost.


* A passing score for this test is 13 correct answers.


* Need CE STAT? Visit http://www.nursingcenter.com for immediate results, other CE activities, and your personalized CE planner tool.


* No Internet access? Call 1-800-787-8985 for other rush service options.


* Questions? Contact Lippincott Williams & Wilkins: 1-800-787-8985



Registration Deadline: February 28, 2019


Provider Accreditation:


Lippincott Williams & Wilkins, publisher of the Journal of Hospice and Palliative Nursing, will award 1.0 contact hour for this continuing nursing education activity.


Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.


This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hour.


Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454.


The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.


Disclosure Statement:


The authors have disclosed that they have no financial relationships related to this article.


Payment and Discounts:


* The registration fee for this test is $12.95


* Send two or more tests in any nursing journal published by LWW together by mail, and deduct $0.95 from the price of each test.


* We offer special discounts for as few as six tests and institutional bulk discounts for multiple tests. Call 1-800-787-8985, for more information.




PURPOSE: To describe the experiences of non-Jewish nurses caring for a population of elderly Orthodox Jewish patients with chronic ventilator-dependent respiratory failure who were nearing the end of life (EOL).


LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to:


1. Explain specific cultural references pertaining to the Orthodox Jewish community.


2. Evaluate the literature related to issues of moral distress in nurses and the study design and results.


3. Describe the experiences of nurses in this study as they cared for Orthodox Jewish patients at the EOL.


1. The Torah is composed of


a. the first five books of the Bible.


b. the book of Revelations from the Bible.


c. a set of writings that are unique to the Jewish faith.


2. The codex of Jewish law is called the


a. Mishpucha.


b. Qorbanot.


c. Shulchan Aruch.


3. Halacha means


a. "to walk": a guide for walking through life.


b. "to serve": to devote one's life to the service of others.


c. "to obey": to follow a defined set of ethical and legal constructs.


4. The principle of pikuach nefesh, which takes precedence over all other religious duties, is defined as the duty to


a. love each person as you love yourself.


b. resign one's health to the will of God.


c. restore the health and wellness of a fellow man.


5. When making decisions regarding the continuation of life-sustaining measures, Orthodox family members typically follow the directive of the


a. physician.


b. rabbi or posek.


c. family older adult.


6. Fourie (2013) defined moral distress as what kind of response to morally challenging situations?


a. a psychological reaction


b. the inability to act


c. physical illness


7. According to McAndrew and Leske (2014), factors contributing to balance in EOL decision making include all of the following except


a. knowing one's own beliefs.


b. having ample time away from the unit.


c. understanding the perspectives of others.


8. Hamric et al (2012) found an inverse relationship between moral distress and the perception of


a. the futility of care.


b. powerlessness.


c. a positive ethical climate.


9. What demographic data were collected from nurses participating in the study?


a. religious affiliation


b. current job title


c. level of nursing education


10. Participants who worked the day shift differed from those who worked nights in that they had


a. more years of formal nursing education.


b. a higher certification rate.


c. less years of nursing experience.


11. Qualitative data were collected for 6 weeks through the use of


a. focus groups.


b. an online survey.


c. written questionnaires.


12. Which theme identified in this study was reflected in the quote, "What would it be every once in a while to have a lunch given[horizontal ellipsis]? Nothing is given back."?


a. emotional responses to distress: disempowerment


b. desire for acknowledgment of intensity of the work


c. depth-of-field dissimilarity


13. Which of the following themes is common to nurses caring for patients at EOL?


a. concern about poor staffing patterns


b. providing unrealistic hope to patients and families


c. inadequate interdepartmental communication


14. A theme from this study that is universal to nurses in a variety of clinical settings is the nurses' perception of their


a. workload.


b. futility.


c. self-worth.


15. The "depth-of-field dissimilarity" theme identified in this study relates to differences in


a. clinical experiences.


b. demographics.


c. worldview.


16. Study participants emphasized some positive aspects of their work, including all of the following except


a. their commitment to teamwork.


b. support received from the nurse manager.


c. opportunities for institutional advancement.


17. Findings from the study suggest that more moral distress may be experienced by nurses with


a. more experiences.


b. more formal education.


c. stronger religious beliefs.


18. A strength of this study as identified by the authors was


a. the "group think" data quality.


b. its high participation rate.


c. data collection during nursing shifts.