Deck 27: End-Of-Life Care

Question 1

A DNR order is considered a more descriptive and more positive order than an AND order.

Answer 1

False

Question 2

Hospice affirms life and neither hastens nor postpones death.

Answer 2

True

Question 3

When family members are the primary caregivers of the elderly, role changes are very common.

Answer 3

True

Question 4

What piece of legislation addresses some aspects of end-of-life care, but lacks in making services for the dying a priority?

A) American Disabilities Act
B) Patient Self-Determination Act
C) Patient Protection and Affordable Care Act
D) Emergency Medical Treatment and Active Labor Act

Question 5

What piece of legislation is a federal law that requires healthcare providers to routinely provide information about advance directives?

A) American Disabilities Act
B) Patient Self-Determination Act
C) Patient Protection and Affordable Care Act
D) Emergency Medical Treatment and Active Labor Act

Question 6

Which of the following was developed for seriously ill persons receiving treatments that were inconsistent with their stated wishes and designed to honor the person's end-of-life treatment preferences even when transferred from one care setting to another?

A) Five Wishes
B) Do not resuscitate (DNR)
C) Allow natural death (AND)
D) Physician's Orders for Life Sustaining Treatment (POLST)

Question 7

What type of care refers to the comprehensive management of the physical, psychological, social, spiritual, and existential needs of patients?

A) Acute care
B) Curative care
C) Hospice care
D) Palliative care

Question 8

Recognizing its cost effectiveness, the U.S. government incorporated benefits for which type of care into the Medicare program in 1983?

A) Acute care
B) Curative care
C) Hospice care
D) Palliative care

Question 9

The Centers for Medicaid and Medicare Services initiated a higher payment rate for the first how many days of hospice care, and a lower rate for all days after?

A) 10 days
B) 30 days
C) 60 days
D) 90 days

Question 10

Medications used for pain control almost always have which of the following side effects?

A) Dyspnea
B) Anxiety
C) Nausea
D) Constipation

Question 11

As a result of the changes in our attitudes toward death and dying over time, some have said that the United States is a death-denying society.

Question 12

Declining appetite is one of the most difficult concepts for caregivers to embrace because our society tends to equate love with provision of food.

Question 13

Mourning is the natural and normal response to loss of any kind and is experienced psychologically, behaviorally, socially, and physically.

Question 14

Which of the following documents are legal in 42 U.S. states and the District of Columbia and can be used as attachments to other documents, showing intent in the remainder of states?

A) Five Wishes
B) Do not resuscitate (DNR)
C) Allow natural death (AND)
D) Physician's Orders for Life-Sustaining Treatment (POLST)

Question 15

Which of the following implies taking something away, or not doing something for the patient, and can be viewed as a harsh and insensitive state of medical care that promotes a feeling of abandonment by patients and families alike?

A) Five Wishes
B) Do not resuscitate (DNR)
C) Allow natural death (AND)
D) Physician's Orders for Life-Sustaining Treatment (POLST)

Question 16

Eligibility for hospice services is based on a life expectancy of which of the following, if an illness runs its normal course?

A) 6 months or less
B) 12 months or less
C) 18 months or less
D) 24 months or less

Question 17

If what type of care is chosen, many of these deaths will take place in an intensive care unit (ICU) setting with tubes, vents, and devices to do everything possible to preserve life?

A) Respite care
B) Curative care
C) Hospice care
D) Palliative care

Question 18

Which of the following exists in the hope and belief that through appropriate care, and promotion of a caring community sensitive to their needs, individuals and their families may be free to attain a degree of mental and spiritual satisfaction in preparation for death?

A) Acute care
B) Curative care
C) Hospice care
D) Palliative care

Question 19

Which of the following evolved from the hospice movement in the 1960s and 1970s and assists in increasing numbers of people who experience chronic, debilitating, and life-limiting illnesses, and can be practiced in a variety of settings including hospitals, outpatient settings, community home health programs, and hospices?

A) Respite care
B) Curative care
C) Hospice care
D) Palliative care

Question 20

Monitoring the use of medications to relieve the intractable suffering of imminently dying patients, which persists despite the use of multidisciplinary therapies, is referred to as which of the following?

A) Environmental comfort
B) Conscious sedation
C) Terminal sedation
D) Twilight anesthesia