Question 1

A worldwide trend that recognises the importance of integrating a patient's wishes into the holistic management of their chronic life-limiting illness treatment.&#10;A) End-of-life care&#10;B) Advance care planning&#10;C) Advance care arrangement&#10;D) End-of-life treatment

Accepted Answer

Advance care planning is the process that supports adults at any age or stage of health in understanding and sharing their personal values, life goals, and preferences regarding future medical care. It ensures that people’s wishes are known and can be acted upon if they are unable to speak for themselves.

Question 2

Which of the following is considered an unexpected death?&#10;A) A patient who has been diagnosed of stage 4 cancer 3 months ago died 2 days after hospital admission.&#10;B) A patient with chronic renal failure died recently and has been on an end-of-life care for a week.&#10;C) A patient who died on the same day of admission in the hospital with a chief complaint of shortness of breath secondary to asthma.&#10;D) None are correct

Accepted Answer

The death of a patient on the same day of admission due to asthma, when the patient presumably sought care for an acute exacerbation, is considered unexpected. This is because the outcome was sudden and not anticipated at the time of admission, unlike the other scenarios where the patients had terminal conditions and were in stages of care that often anticipate death.

Question 3

The following are bases of how a person copes with death and dying, EXCEPT:&#10;A) Self esteem&#10;B) Culture&#10;C) Experience&#10;D) Emotion

Accepted Answer

Self-esteem is not typically considered a base of how a person copes with death and dying. Culture, experience, and emotion are more directly related to coping mechanisms in the context of death and dying.

Question 4

Which of the following shows an appropriate approach in delivering the bad news, notifying the family of the death of their loved one?&#10;A) 'Miley has passed away'.&#10;B) 'We have tried our best to save Miley. I am so sorry for your loss'.&#10;C) 'If you have just brought Miley to the hospital earlier she could have survived'.&#10;D) 'I am so sorry for your loss. I feel so awful for not being able to save Miley. It's my fault'.

Accepted Answer

Option B is appropriate because it communicates empathy and care while delivering the bad news. It acknowledges the efforts made to save the loved one and expresses condolences, which is a respectful and sensitive approach.

Question 5

What is one of the reasons for not allowing family members to be present during resuscitation?&#10;A) Better communication between family and staff&#10;B) Family may realise the seriousness of the situation&#10;C) Family may interfere during the resuscitation process&#10;D) Family are better able to cope with the outcome of the resuscitation

Accepted Answer

One of the concerns with having family members present during resuscitation is the potential for them to interfere with the medical team's efforts. This could be due to emotional reactions, attempts to physically intervene, or other disruptions that could hinder the effectiveness of the resuscitation process.

Question 6

Evidence preservation is an important process for the Coroner's review of reportable deaths. Which among the following IS NOT TRUE regarding the general principles of evidence preservation?&#10;A) All items removed from the patient during medical interventions should be placed into separate paper bags&#10;B) All medical records must be up to date&#10;C) Any bodily fluids should be preserved&#10;D) All medical devices or equipment that were insitu should be removed and preserved

Accepted Answer

Medical devices or equipment that were in situ (in place) during a patient's treatment or at the time of death are typically not removed and preserved as evidence by medical personnel. Instead, they are often left in place for examination by the coroner or medical examiner to ensure an accurate understanding of the circumstances surrounding the patient's death. Removing such devices could potentially alter the conditions under which the patient died, thereby affecting the investigation.

Question 7

Within how many hours is a medical officer required to complete a certification of death?&#10;A) Within 24 hours&#10;B) Within 48 hours&#10;C) Within 72 hours&#10;D) Within 96 hours

Accepted Answer

A medical officer is typically required to complete a certification of death within 48 hours to ensure timely processing and legal documentation.

Question 8

A staff support program allowing those involved in an incident that puts emergency clinicians at high risk for post traumatic stress disorder to reflect and process the event:&#10;A) Critical incident stress debriefing&#10;B) Post trauma debriefing&#10;C) Post trauma risk assessment&#10;D) Post critical event sessions

Accepted Answer

Critical incident stress debriefing (CISD) is a process designed to help those involved in a critical incident to reflect on and process the event, aiming to reduce the risk of post-traumatic stress disorder (PTSD) among emergency clinicians and other professionals exposed to traumatic events.

Question 9

What is the appropriate way of caring for a deceased bariatric patient?&#10;A) Transport the body using the normal hospital bed&#10;B) Transport through public areas and access should remain open to the public&#10;C) Ensure that the body is completely covered when transporting through public areas&#10;D) Place an oxygen mask on the patient when transporting through public areas

Accepted Answer

Placing an oxygen mask on the deceased bariatric patient prevents drawing attention from the public.

Question 10

What are the central qualities and skills required by emergency clinicians to provide support for dying people and their families. Choose all the appropriate answers. (Select all that apply.)&#10;A) Openness&#10;B) Passive listening&#10;C) Sympathy&#10;D) Warmth&#10;E) Genuineness

Accepted Answer

Active listening and empathy are the other central qualities required by clinicians to support dying pople and their families.

Deck 20: End of Life