ELNEC Undergraduate and New Graduate Module 1: Introduction to Palliative Care Nursing
2. A client with end-stage liver cancer and multiple organ failure is approaching the end of life and may have about 6 weeks to live. They express the goal to be home and comfortable. Which intervention would be most appropriate to offer?
Hospice services
10. Which of the following patients should the nurse advocate for obtaining a palliative care referral?
32-year-old with advanced breast cancer
For which of the following patients should the nurse advocate for a palliative care referral?
A 72-year-old female, newly diagnosed with Parkinson's disease, who is being seen in the neurology clinic for frequent falls
5. What 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
7. What 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
5. Which of the following demonstrates the impact a serious illness has on the social domain of quality of life?
Financial burdens resulting from the high costs of medical care
4. Jack, a 6-year-old hospice patient, just died at home 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 following will likely be the MOST helpful to this entire family after Jack's death?
Hospice bereavement care
1. Which of the following BEST describes palliative care's philosophy and delivery?
It supports the patient and family's hope for quality of life and dignity.
3. Which of the following statements reflects the importance of learning about palliative care as a student or new nurse?
Many patients with serious illnesses can benefit from palliative care and understanding disease trajectory and palliative care services will help to advocate for patients. Future employers expect nurses to have education and training in palliative care services.
You are talking to a patient with end-stage liver failure and his partner about what is important to them. Based on their goals, you talk about considering hospice. His partner says, "Isn't that just for people who are dying in the next few days or weeks?" What is your BEST response?
Many people think that, but hospice is actually intended for those who may die in the next 6 months if the disease takes its usual course.
9. 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 patient's goals of care.
2. A client with metastatic cancer is experiencing severe bone pain. Which domain of quality of life is this affecting?
Physical
8. What is one of the nurse's MOST important roles in caring for seriously ill patients and their families?
Providing listening and presence
6. A client tells you that he thinks God is punishing him with pain. Which domain of quality of life is being affected by his serious illness?
Spiritual
1. What should be MOST important in driving decision-making in palliative care?
The patient's goals of care
4. Where is most hospice care delivered?
The private home
3. A client has been 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 was really for patients with cancer.
