Question 1

What is the purpose of palliative care?&#10;A) To determine treatment for disease&#10;B) To provide relief of suffering&#10;C) To learn to live with a chronic disease&#10;D) To take the place of hospice care

Accepted Answer

Palliative care is a team approach to prevent and relieve suffering.This approach encompasses the entire care team, and assist in guiding care for individuals in advanced stages of illnesses.Palliative care does not determine treatment for diseases, teach how to live with chronic illnesses or take the place of hospice care.

Question 2

Which is not an outcome of palliative care interventions?&#10;A) Increased length of stay in hospice&#10;B) Improved quality of life&#10;C) Decreased caregiver role strain&#10;D) Increased patient-physician communication

Accepted Answer

Studies show that early palliative care interventions do not increase hospice length of stay, but increases life for patients who utilize palliative care.Also shown are improvements in quality of life, decrease caregiver role strain, and increase patient-physician interaction.

Question 3

The nurse is educating family on what physician symptoms to expect in the dying patient who is newly admitted to palliative care.Which would the nurse include?&#10;A) Increased level of consciousness&#10;B) Dyspnea&#10;C) Hypothermia&#10;D) Increased energy

Accepted Answer

The most common physical symptoms include dyspnea, pain, respiratory secretions, death rattle, and confusion.

Question 4

Which is not a factor related to late referrals?&#10;A) Lack of insurance&#10;B) Fear&#10;C) Mistrust in the medical system&#10;D) Availability of a hospice provider

Accepted Answer

Three categories have been identified for late referrals: patient/family related, health system related, and health care provider related.

Question 5

Which is true regarding the Lesbian, Gay, Bisexual, Transgender, Queer (LGBTQ)community?&#10;A) LGBTQ elders are confident with health and social services.&#10;B) LGBTQ elders have always been welcomed by palliative care.&#10;C) Gender identification needs have historically been met by the palliative care community.&#10;D) Nonheteronormative ideas have not always been embraced.

Accepted Answer

Nonheteronormative ideas, which challenge traditional heterosexual norms and values, have not always been embraced by society at large, including within health and social services. This has often resulted in LGBTQ individuals facing discrimination and lack of understanding in various aspects of life, including in the provision of care.

Question 6

Which action by the nurse would not be helpful for the family of a patient receiving palliative care?&#10;A) Facilitating spiritual guidance&#10;B) Providing emotional support to the extended family&#10;C) Delegating tasks to a different nurse on the unit&#10;D) Managing pain

Accepted Answer

Delegating tasks to another nurse would not be helpful for the family of a patient receiving palliative.The nurse should remain focused on building and maintain rapport with the patient and family.Facilitating spiritual guidance, providing emotional support, and managing pain are all appropriate interventions by the nurse.

Question 7

Which does the nurse recognize as not being one of the five factors associated with increased likelihood of death at home?&#10;A) High intensity of home care services&#10;B) Lack of extended family&#10;C) Social services support&#10;D) Additional in-home care

Accepted Answer

Factors that increase the likelihood of death at home include: direct care in the home, high frequency of home care visits, living with relatives, extended family, friends, and support for the family.

Question 8

The nurse is discussing palliative care with a patient and family.Which does is not a benefit of palliative care?&#10;A) Bedside services of a community-based physician&#10;B) Symptom management&#10;C) Caregiver support&#10;D) Availability across all settings of care

Accepted Answer

There are many benefits of palliative care including symptoms management, caregiver support, availability across all settings of care, among others.Palliative care exists to provide services because bedside services of a community-based physician are limited or nonexistent.

Question 9

What does the nurse identify as a disadvantage to a late referral to palliative care?&#10;A) Insurance will not pay for services.&#10;B) The patient doesn't fully benefit from care.&#10;C) The family doesn't have time to accept diagnosis.&#10;D) The nursing staff doesn't have time to arrange a visit.

Accepted Answer

Late referrals cause up to 30% of patients dying within 7 days of admission into palliative care.This does not allow for the patient and family to fully benefit from care or obtain needed skills to help care for their loved one.

Question 10

Which is not true regarding hospice and end-of-life needs?&#10;A) Hospice is located in hospital settings.&#10;B) The plan of care often changes.&#10;C) Symptoms are dynamic.&#10;D) Families are involved in care.

Accepted Answer

Hospice care is provided across a wide variety of settings, with 59% being provided at the patient's home.The plan of care often changes, symptoms are dynamic, and families are involved in the care of their loved one.

Question 11

How many people are estimated to need palliative care at the end of life, worldwide?&#10;A) 20 million&#10;B) 6 million&#10;C) 12 million&#10;D) 2 million

Accepted Answer

The answer of How many people are estimated to need...

Question 12

Which was the primary patient population served by hospice providers during the early movement? (Select all that apply.)&#10;A) White females&#10;B) Black males&#10;C) Hispanic females&#10;D) Asian males

Accepted Answer

The answer of Which was the primary patient population served...

Question 13

The nurse educator is presenting a lecture on palliative care.Which statement is inaccurate?&#10;A) &#34;The palliative care staff are the unit of care.&#34;&#10;B) &#34;Palliative is integrated throughout the course of disease.&#34;&#10;C) &#34;Palliative care is available across all settings.&#34;&#10;D) &#34;Family members receive education and hands-on caregiving instruction.&#34;

Accepted Answer

The answer of The nurse educator is presenting a lecture...

Question 14

Which action describes the illness-related concerns domain of palliative care?&#10;A) Psychological symptom management&#10;B) Supporting self-care&#10;C) Maintaining social support&#10;D) Providing care for the caregivers

Accepted Answer

The answer of Which action describes the illness-related concerns domain...

Question 15

Which does the nurse recognize as a barrier to palliative care?&#10;A) Lack of diversity of patients&#10;B) Educated personnel&#10;C) Social support based on patient need&#10;D) On-time referrals

Accepted Answer

The answer of Which does the nurse recognize as a...

Deck 21: Palliative Care: Compassionate Care Across Settings of Care