nur 354-02

Which of the following is an important way to improve palliative care access for those who should receive it? 1. Being knowledgeable of the benefits of palliative and hospice care 2. Advocating for palliative care only when the patient is close to end of life 3. Remembering that palliative care is for any patient who is in the hospital 4. Discouraging the use of palliative care in the seriously ill pediatric population

Being knowledgeable of the benefits of palliative and hospice care

Which of the following patients should you advocate for getting a palliative care referral? 1. A 65-year-old male with kidney stones 2. A 32-year-old female newly diagnosed with breast cancer 3. A 10-year-old with a broken leg 4. A 49-year-old male with fibromyalgia

A 32-year-old female newly diagnosed with breast cancer

Which of the following statements is true about serious, chronic illnesses? 1. The focus of serious illness is often o improving quality of life rather than finding a cure. 2. Very little annual U.S. health care funding is spent in acute care admissions for chronic illnesses 3. The majority of annual U.S. health care spending goes toward chronic illnesses. 4. Much attention and financial support goes toward improving quality of life for persons with chronic illnesses.

The majority of annual U.S. health care spending goes toward chronic illnesses.

What should drive decision-making in palliative care? 1. The need for end-of-life care 2. The wishes of the inter-professional team 3. Find a cure for the illness 4. The patient's goals of care

The patient's goals of care

What should drive decision-making in palliative care? 1. The patient's goals of care 2. The wishes of the inter-professional team 3. Finding a cure for the illness 4. The need for end-of-life care

The patient's goals of care

Miss Peters is offered hospice care for her end-stage cardiac disease. Which statement reflects a need or the nurse to provide further education? -"I know I am close to the end of my life." -"Why would I get hospice? I thought hospice is really for patients with cancer." -"My friend had hospice care and her only wish was that she'd had hospice care longer than two months." -"My family would really benefit from hospice just as much as I would."

"Why would I get hospice? I thought hospice is really for patients with cancer."

which of the following describes palliative care's philosophy and delivery? 1. Palliative care is offered when the patient o longer wants treatment for their disease.a 2. The focus is only on the final six months of life. 3. Care is provided by one healthcare provider, usually a nurse. 4. It supports the patient and family's hope for quality of life and dignity.

It supports the patient and family's hope for quality of life and dignity.

A 92-year-old patient dying of end stage heart failure tells you that she is worried that her life had no meaning. What member of the palliative care team would you want to be sure is involved in her care? 1. The physician 2. The advanced practice nurse 3. The chaplain 4. The occupational therapist

The chaplain

Mr. Rogers has end-stage liver cancer and multiple organ failure. He wants to be home and comfortable. Which intervention would be most appropriate fro offer him? 1. Hospice services 2. Placement in a nursing facility for 24-hour nursing care 3. Home care with an expert in rehabilitation services 4. Admission to the ICU to get his organ failure under control

Hospice services

You are asked to describe palliative care to a family member. Which of the following statements would be best to include in your discussion? 1. Palliative care is end-of-life care for the imminently dying patient and their family. 2. Palliative care supports the patient's goals of care. 3. Palliative care's main purpose is to improve pain. 4. Palliative care is curative care.

Palliative care supports the patient's goals of care.

Mrs. Woodrow tells you that her mother has been staying with her and is having difficulty sleeping due to poorly controlled pain. Which quality of life domain is Mrs. Woodrow's mother struggling with? 1. Psychological 2. Social 3. Physical 4. Spiritual

Physical

Which disease and dying trajectory best represents the course for a person with Alzheimer's disease? 1. Sudden deathh 2. Progressive deterioration 3. Steady decline 4. Short disease trajectory

Progressive deterioration

Mr. Rodriquez tells you that he is very frightened by not knowing what happens after death. Which domain of quality of life is being affected by his serious illnes 1. Spiritual 2. Social 3. Physical 4. Psychological

Spiritual

Which of the following statements reflects the importance of learning about palliative care as a student in a health care field? 1. The need for palliative care series is declining with the advances in technology. 2. Unless you work in hospice, you probably won't care for patients with life-limiting illnesses. 3. Opportunities for education and training in palliative care are only for physicians. 4. Future employers expect you to have education and training in palliative care services.

Future employers expect you to have education and training in palliative care services.

Jack is a 6-year-old who just died at home with hospice from an aggressive type of brain cancer. His parents and his 12-year-old sister are having a very difficult time dealing with this terrible loss. Which of the of the following would be a help to them after Jack's death? 1. The American Cancer Society 2. Hospice bereavement care 3. The pediatric oncologist 4. The hospital's child life worker

Hospice bereavement care

Which of the following statements best describes hospice care? 1. It is not covered financially be Medicare, Medicaid, or most private insurance companies. 2. Hospice care focuses on continued disease-modifying treatment. 3. Hospice supports the patient and family through the dying process. 4. It can only be provided in the patient's home.

Hospice supports the patient and family through the dying process.

Mrs. Smith is suffering with severe bone pain from metastatic cancer. Which domain of quality of life is this affecting? 1. Psychological 2. Spiritual 3. Physical 4. Social

Physical

The majority of hospice care is delivered in: 1. hospitals 2. inpatient hospice facilities 3. the home 4. residential facilities

the home

Mr. Edwards tells you he is feeling "down" about his new diagnosis of advanced lung cancer. In which of the domains of quality of life does this statement reflect that he is suffering? 1. Social 2. Physical 3. Spiritual 4. Psychological

Psychological

One of the most important roles in caring for seriously ill patients and their families is: 1. advocating for aggressive medical treatment until the last day of life. 2. integrating non-traditional therapies not yet supported by evidence. 3. working alone ... as the one who knows the person best. 4. providing listening and presence.

providing listening and presence.