MS Quiz 3: end of life care

An adult oncology patient has a diagnosis of bladder cancer with metastasis and the patient has asked the nurse about the possibility of hospice care. Which principle is central to a hospice setting? A. the patient and family should be viewed as a single unit of care B. each member of the interdisciplinary team should develop an individual plan of care C. persistent symptoms of terminal illness should not be treated D. terminaly ill patients should die in the hospital whenever possible

A

Patients who are enrolled in hospice care through Medicare are often felt to suffer unnecessarily because they do not receive adequate attention for their symptoms of the underlying illness. What factor most contributes to this phenomenon? A. rules concerning completion of all cure-focused medical treatment B. unwillingness of patients and families to acknowledge the patient is terminal C. lack of knowledge of patients and families regarding avaliability of care D. unwillingness to over medicate the dying patient

A

A nurse who provides care on an acute medical unit has observed that physicians are frequently reluctant to refer patients to hospice care. What are contributing factors that are known to underlie this tendency? Select all that apply. A. patient's reluctance to accept this type of care B. ease of making a terminal diagnosis C. advances of "curative" treatment in late-stage illnesses D. strong association of hospice care with prolonging death E. financial pressures on health care providers

A,C,E

A medical nurse is providing palliative care to a patient with a diagnosis of end-stage chronic obstructive pulmonary disease (COPD). What is the primary goal of this nurse's care? A. to help the patient develop a seperate plan with each discipline of the health care team B. to support aggresive and inovative treatments for cure C. to improve the patient's and family's quality of life D. to provide physical support for the patient

C

A patient has just been told that her illness is terminal. The patient tearfully states, "I can't believe I am going to die. Why me?" What is your best response? A. "you have lived a long life" B. "life can be so unfair" C. "i know how you are feeling" D. "this must be very difficult for you"

D