Deck 9: Intensive Caring: Hospice and Palliative Care

Question 1

End-of-life care for people who are not expected to live longer than six months is the role of __________.

A) palliative care
B) living wills
C) intensive care
D) hospice

Answer 1

hospice

Question 2

In __________, patients have to abandon curative care.

A) palliative care
B) hospice
C) cancer treatment
D) intensive care

Answer 2

hospice

Question 3

The __________ model of care is not generally person-centered or holistic.

A) biomedical
B) intensive caring
C) hospice
D) wellness paradigm

Answer 3

biomedical

Question 4

In the wellness paradigm of medical care, efforts are aimed at __________.

A) eliminating disease
B) prolonging life
C) defeating death
D) caring for the whole person

Question 5

In the biomedical model of medical care, care is aimed at __________.

A) accepting disease and death
B) spiritual care
C) prolonging life
D) alleviating suffering

Question 6

All societies have idealized concepts about proper and improper ways to die, the preferred manner being __________.

A) the good death
B) biomedical treatment
C) ceremonial
D) prolonging life

Question 7

In contemporary America there is often a disconnect between __________ and __________.

A) care, pain management
B) funerals, cremation
C) the good death, end of life care
D) science, technology

Question 8

The work of __________ paved the way for the modern hospice movement.

A) Saint Christopher
B) Dame Cicely Saunders
C) David Tasma
D) Bishop Basil

Question 9

The first hospice in the U.S. was located in __________.

A) Rhode Island
B) Tennessee
C) California
D) Connecticut

Question 10

The first hospice organization in the U.S. was formed in __________.

A) 1945
B) 1960
C) 1975
D) 1990

Question 11

The term __________ care has roots in the Latin language denoting that it is aimed at alleviating suffering.

A) palliative
B) preventative
C) intensive
D) biomedical

Question 12

Which organization has formally defined palliative care?

A) World Health Organization
B) U.S. Government
C) American Pediatrics Association
D) Canadian Nurse's Union

Question 13

HBPCP stands for __________.

A) holistic-based preventative care policies
B) hospital-based palliative care programs
C) hospital-based patient care policies
D) holistic-based person-centered programs

Question 14

Most patients that die __________ are under hospice care.

A) suddenly
B) in a hospital
C) at home
D) in a nursing home

Question 15

Estimates suggest that up to __________ percent of American hospitals now offer palliative care services.

A) 10
B) 20
C) 45
D) 60

Question 16

In a palliative care team a __________ is frequently the team coordinator.

A) chaplain
B) social worker
C) doctor
D) nurse

Question 17

For about a decade, Carl has suffered from back pain without relief. What type of pain best describes Carl's condition?

A) acute
B) chronic
C) incident
D) breakthrough

Question 18

Sandra is currently bedridden in a nursing home. She frequently experiences hip pain until the nurse's aid repositions her. What type of pain best describes Sandra's condition?

A) acute
B) chronic
C) incident
D) breakthrough

Question 19

According to the WHO guide for using medications to control cancer pain there are __________ levels to pain management for cancer patients.

A) two
B) three
C) four
D) six

Question 20

The medical term for severe shortness of breath is __________.

A) anemia
B) dyspnoea
C) congestion
D) obstruction

Question 21

The "death rattle" falls under which of the following symptoms associated with the last stages of illness?

A) reduced consciousness
B) gastrointestinal problems
C) breathing difficulties
D) weight loss

Question 22

The term __________ pain describes pain as a physical, psychological, social, and spiritual experience.

A) episodic
B) chronic
C) acute
D) total

Question 23

What legal document do health-care providers follow when an individual is at the end of life or is unable to communicate?

A) living will
B) DNR
C) power of attorney
D) trust

Question 24

Approximately 70 percent of hospice is funded by __________.

A) out of pocket savings
B) private insurance
C) Medicare
D) Medicaid

Question 25

The limited resources of small communities is a problem for what healthcare program?

A) Medicare
B) Medicaid
C) Social Security
D) Disability

Question 26

Explain the basic differences between the biomedical model of care and palliative medicine.

Question 27

Describe the evolution of hospice palliative care in North America. Why does the author refer to it as "hospice palliative care"?

Question 28

Explain the various roles of a "hospice team." What parties are involved and, specifically, what are their responsibilities to patient care?

Question 29

What are the most common symptoms associated with the last stages of illness? Describe how each of the symptom categories manifest in patients at the end of life.

Question 30

Describe the two government-funded programs that help cover medical expenses for Americans. What are their similarities and differences? How do the programs operate?