Deck 25: Chronic Care, Long-Term Care, and Palliative Care

Question 1

Pat is a community health nurse working in palliative care. Pat is preparing the Strong family for their roles in the end-of-life care of their grandmother. Pat is discussing the issues of negative caregiver outcomes including strain, burden, and role breakdown. What type of activity is Pat engaging in?

A) Secondary prevention
B) Tertiary prevention
C) Primary prevention
D) Quaternary prevention

Answer 1

Primary prevention

Question 2

What is the best definition for the term "chronic care"?

A) Persistent conditions that require ongoing medical management over many years
B) An interprofessional team that engages with the patient to arrive at clinical outcomes
C) Population health promotion that aims to prevent illness and enhance community participation
D) Patients with chronic conditions require access to comprehensive, coordinated health care from professionals

Answer 2

Patients with chronic conditions require access to comprehensive, coordinated health care from professionals

Question 3

Sally is a community health nurse who works to provide a seamless transition among various types of interventions and services based on the needs of patients. What type of care is Sally providing?

A) Community-based population care
B) Hospice-based illness prevention care
C) Community-based long-term care
D) Hospital-based chronic care

Answer 3

Community-based long-term care

Question 4

What are the components of facility-based long-term care? Select all that apply.

A) Provide companionship services
B) Provide accommodations
C) Provide hospitality services
D) Provide health services

Question 5

Home and community-based service are intended to be used by which population group?

A) People who do not yet qualify for admission to a palliative care facility
B) People who do not yet qualify for admission to an acute care facility
C) People who do not yet qualify for admission to a long-term care facility
D) People who do not yet qualify for admission to a rehabilitative care facility

Question 6

What term is used to describe a variety of services that are necessary for the physical and psychological needs of patients who are no longer able to function independently?

A) Functional Care
B) Hospice Care
C) Community Care
D) Long-Term Care

Question 7

Which concept is used to describe integrating palliative care principles into any setting of care?

A) Palliative nursing
B) Palliative care
C) Palliative approach
D) Palliative community

Question 8

Why was the Expanded Chronic Care Model developed in Canada?

A) To broaden the focus of chronic care to include elements of population health promotion
B) To acknowledge that chronic care requires professionals to have a special skill set
C) To guide professionals working in chronic care in their clinical decision-making
D) To include the patients to participate in the decisions about their chronic health

Question 9

What is the best term used to describe the largest component of community-based long-term care services in Canada?

A) Home care
B) Hospice care
C) Community care
D) Palliative care

Question 10

Over the next 20 to 30 years, the number of Canadians living with and dying from chronic diseases will increase. Why is this the case?

A) Because new registered nurses will be introduced to the workforce
B) Because the aging population will be increasing
C) Because many nurses will retire and we will have a nursing shortage
D) Because the aging population will be decreasing

Question 11

How many Canadians are known to live with Dementia in 2016?

A) More than 2 million
B) Less than 1 million
C) More than 3 million
D) Less than half a million

Question 12

What are the reasons why people decide to move from their own homes into a collective dwelling? Select all that apply.

A) Lack of availability of willing family caregivers
B) Declining health
C) Increasing frailty
D) Concerns for safety
E) None of above

Question 13

Which of the following is an example of a collective dwelling?

A) Living in a facility that provides long-term care
B) Living with family members in the family home
C) Living with friends in the same position
D) Living alone in an apartment building for seniors

Question 14

Mr. Singh is experiencing a form of terminal cancer. When is it appropriate to discuss the option of palliative care with Mr. Singh?

A) When Mr. Singh's daughter signs off on this approach
B) When Mr. Singh and his family are prepared to accept it
C) When Mr. Singh cannot express his wishes and is in a comma
D) When Mr. Singh's health care team makes this decision

Question 15

What is the correct number of Canadians over the age of 20 years that live with Diabetes?

A) 2.4 million
B) 3.5 million
C) 1.3 million
D) 4.7 million

Question 16

The goal of hospice care is quality end-of-life care in any setting. Where and when did the first hospice open?

A) In England in the 1960s
B) In Canada in the 1950s
C) In England in the 1940s
D) In Canada in the 1930s

Question 17

Which of the following statements is true?

A) Hospice Care is Community Care
B) Chronic Care is Long-Term Care
C) Functional Care is Community Care
D) Hospice Care is Preventative Care

Question 18

Which of the following models is the best-known comprehensive model to address chronic care needs of patients?

A) The Functional Chronic Care Model
B) The Chronic Care Population Health Model
C) The Chronic Care Model
D) The Chronic Health Outcomes Model

Question 19

What type of long-term care services are the most intense type of service delivery on the long-term care continuum?

A) Those provided in an acute care setting
B) Those provided in a residential setting
C) Those provided in a hospice setting
D) Those provided in a rehabilitative setting

Question 20

Joel is a community health nurse working in palliative care with Mrs. Martinez. He is advocating for health policy that influencing social determinants of health and access to services for clients like for Mrs. Martinez and her family. Which Canadian Community Health Nursing Standard of Practice does this work best align with?

A) Professional responsibility and accountability
B) Capacity building
C) Professional relationships
D) Health equity

Question 21

Jesse is a community health nurse working in palliative care with Mrs. Wang's family. Jesse is assessing the level of care-giver burn out. Which term below best describes Jesse's?

A) Secondary prevention
B) Tertiary prevention
C) Primary prevention
D) Quaternary prevention

Question 22

Angie lives next door to Mrs. Ling. Over the years, Angie has noticed that Mrs. Ling has experienced trouble engaging in her personal care. Angie goes to Mrs. Ling's home once a day and helps to shower her. What term is used to describe Angie?

A) A good neighbour
B) A close friend
C) An unpaid caregiver
D) A surrogate daughter

Question 23

Jason is providing excellent palliative care to his patients with the goal of implementing a comfortable dying process. Which term below best describes Jason's work?

A) Secondary prevention
B) Tertiary prevention
C) Primary prevention
D) Quaternary prevention

Question 24

What are the three aims of hospice palliative care?

Question 25

List the three components of facility-based long-term care.

Question 26

The World Health Organization defines palliative care as an approach focused on improving quality of life for both the patient faced with a life-threatening illness and their family. Discuss palliative care from this perspective

Question 27

Which of the following statements is true of caregivers?

A) Caregivers often have sufficient funds to take care of ailing family members
B) It is okay to ask caregivers to pick up the slack when health care services are reduced
C) Caregivers often have lower rates of depression because of engaging in social activities
D) Caregivers often have higher rates of depression and are socially isolated

Question 28

In 2012, how many family caregivers were there in Canada?

A) 7 million
B) 4.5 million
C) 12 million
D) 10.5 million

Question 29

Discuss when it is appropriate for a patient to consider hospice palliative care.

Question 30

What might be some of the reasons to decide to move from one's own home to a collective dwelling?