C Care of the Older Adult

Ms. P is offered hospice care for her end stage cardiac disease. Which statement reflects a need for the nurse to provide further education?

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

Which of the following is an important way nurses can improve palliative care access for those who should receive it?

Being knowledgeable of the benefits of palliative and hospice care

Examples of non-verbal communication include: Body language voice intonation Gestures Eye contact speech letter

Body language Gestures Voice intonation Eye contact

Which of the following statements reflects the importance of learning about palliative care as a student nurse?

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 his terrible loss. Which of the following would be a help to them after Jack's death?

Hospice bereavement care

Mr. X has end stage liver disease and multiple organ failure. He wants to be home and comfortable. Which intervention would be most appropriate to offer him?

Hospice services

Which type of open-ended question can be used while communicating with the patient and family?

How are things going for you?

Which of the following describes palliative care's philosophy and delivery?

It supports the patient and familys hope for quality of life and dignity

You are asked to describe palliative care to a family member. Which of the following statements would be best to include in your discussion?

Palliative care supports the patients goals of care

Mrs. Smith is suffering with severe bone pain from metastatic cancer. Which domain of quality of life is this affecting?

Physical

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. Woodrows mother struggling with?

Physical

Which disease and dying trajectory best represents the course for a person with Alzheimer's disease?

Progressive deterioration Progressive deterioration-prolonged decline ending in death

One of the nurse's most important roles in care for seriously ill patients and their families is:

Providing listening and presence

Non verbal guidelines that a caregiver should follow to encourage conversation

Sit "eye to eye" level, lean forward and make uninterrupted eye contact

A 92 year old patient dying of end stage heart failure tells you that she is worried about her life had no meaning. What member of the palliative care team would you want to be sure is involved in her care?

The chaplain

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

The majority of annual U.S. healthcare spending goes toward on chronic illnesses

What should drive decision-making in palliative care?

The patients goals of care

Which of the following demonstrates the impact serious illness has on the social domain of quality of life?

financial burdens resulting from the high costs of medical care

The majority of hospice care is delivered in:

home

Which of the following best describes hospice care?

hospice supports the patient and family through the dying process

Mr. E 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?

Psychosocial Psychosocial- involves symptoms such as distress, anxiety, depression, worry, fear, and cognition/attention

Mr. Rodriguez tells you that he is very frightenened by not knowing what happens after death. Which domain of quality of life is being affected by his serious injury? Psychosocial social spiritual physcial

Spiritual

Which of the following patients should advocate for getting a palliative care referral? 65 kidney stones 49 year old fibromyalgia 10 year old with a broken leg A 32 year old female newly diagnosed with breath cancer

A 32 year old female newly diagnosed with breath cancer