Question 1

The first U.S. hospice was established in which state in 1974?&#10;A)Alabama&#10;B)Connecticut&#10;C)New York&#10;D)Washington

Accepted Answer

The first U.S. hospice, Connecticut Hospice, was established in Branford, Connecticut, in 1974, marking the beginning of the hospice movement in the United States.

Question 2

Which of the following is not considered a potential infrastructural barrier to the effectiveness of palliative care?&#10;A)Too many qualified palliative care specialists&#10;B)Sufficient financial support&#10;C)Procedural terminology&#10;D)Quality improvement of data collection methods

Accepted Answer

Having too many palliative care specialists would actually be beneficial to the effectiveness of palliative care, as it would increase access to specialized care. Sufficient financial support, quality improvement of data collection methods, and procedural terminology are all important infrastructural factors that can improve the effectiveness of palliative care.

Question 3

Chronically ill and dying patients often report overwhelming dissatisfaction with provider communication and the physical care they receive. This indicates a need to make health-care delivery:&#10;A)hospital focused.&#10;B)nursing focused.&#10;C)patient focused.&#10;D)physician focused.

Accepted Answer

Given that patients with chronic illnesses and those who are dying report dissatisfaction with provider communication and physical care they receive, it is important to reorient healthcare delivery towards patient-centered care. Other choices such as hospital-focused, nursing-focused or physician-focused do not necessarily address the patients' needs directly. Patient-centered care takes into account the patient's preferences, needs and goals, and fosters a therapeutic relationship between the patient and provider. This leads to improved communication, better management of symptoms, and overall higher satisfaction with health care.

Question 4

Palliative care's origin began in which decade?&#10;A)1940s&#10;B)1950s&#10;C)1960s&#10;D)1970s

Accepted Answer

The answer of Palliative care's origin began in which decade?&#10;A)1940s&#10;B)1950s&#10;C)1960s&#10;D)1970s...

Question 5

The Medicare Hospice benefit allows Medicare recipients to elect its coverage for hospice services once a physician certifies that a patient's disease process will result in death within how many months?

A)2
B)4
C)6
D)12

Accepted Answer

The Medicare Hospice benefit allows Medicare recipients to elect its coverage for hospice services once a physician certifies that a patient's disease process will result in death within six months.

Question 6

Which of these needs is not addressed by palliative care?&#10;A)Economic&#10;B)Physical&#10;C)Social&#10;D)Spiritual

Accepted Answer

Palliative care focuses on providing relief from physical, emotional, psychosocial, and spiritual suffering for patients with serious illnesses. However, it does not directly address economic needs such as financial assistance or insurance coverage for medical treatments.

Question 7

Which of the following is an incorrect assumption that is often made of palliative care?&#10;A)It is only for the end of life.&#10;B)It can be applied throughout a patient's life span.&#10;C)Any patient can benefit from palliative care.&#10;D)The family is not allowed to participate in palliative care.

Accepted Answer

The answer of Which of the following is an incorrect...

Question 8

When a palliative care provider is brought in on a patient with a terminal illness, what role does the clinical nurse specialist (CNS) play in working with the provider?&#10;A)Expert consultation as it relates to the specific case and setting&#10;B)Legal and ethical expertise&#10;C)Administration of medications and other therapies&#10;D)Acting as a representative of the medical team

Accepted Answer

The CNS can provide expert consultation regarding the specific patient case and setting to the palliative care provider. The CNS can help the provider understand the patient's medical history, current condition, and family dynamics. This collaboration can improve the patient's care and comfort during end-of-life care. The other options listed do not accurately reflect the role of the CNS in working with the palliative care provider.

Question 9

Which of the following is most problematic when palliative care is used as a synonym for hospice care?&#10;A)They are not the same.&#10;B)Patients are not referred for palliative care early enough.&#10;C)Patients die without receiving palliative care.&#10;D)Family members are often confused.

Accepted Answer

The answer of Which of the following is most problematic...

Question 10

Most patients prefer to die in which location?&#10;A)Home&#10;B)Hospital&#10;C)Hospice&#10;D)Nursing home

Accepted Answer

Studies have consistently shown that the majority of patients prefer to die at home, surrounded by their loved ones and familiar surroundings. However, this may not be feasible for all patients and their families, and other options such as hospice or palliative care in a hospital or nursing home setting may be necessary. Ultimately, the choice of location should be based on the patient's preferences, medical needs, and available resources.

Question 11

Which coping mechanism is most likely not to occur in the family members of a palliative care patient?&#10;A)Acceptance&#10;B)Anger&#10;C)Avoidance&#10;D)Confrontation

Accepted Answer

The answer of Which coping mechanism is most likely not...

Question 12

What is the primary difference between palliative care and hospice care?&#10;A)Hospice care is limited to the last 6 months of life.&#10;B)Palliative care is limited to the last 6 months of life.&#10;C)Hospice care focuses on extending the life of the patient.&#10;D)Palliative care must occur in a hospital setting.

Accepted Answer

The answer of What is the primary difference between palliative...

Question 13

As of 2010, how many graduate-level nursing programs offer palliative care specialization?&#10;A)5&#10;B)10&#10;C)15&#10;D)20

Accepted Answer

The answer of As of 2010, how many graduate-level nursing...

Question 14

Which of the following is not a diagnosis that indicates it is immediately appropriate for the application of palliative care interventions?&#10;A)Acute respiratory distress syndrome&#10;B)Cancer&#10;C)HIV/AIDS&#10;D)Multiorgan system failure

Accepted Answer

The answer of Which of the following is not a...

Question 15

Which of the following is not a criterion in Saunder's proposed palliative care model?&#10;A)The physician should have an active role throughout a patient's dying process.&#10;B)The physician should confirm the patient's death.&#10;C)The patient's medical team should engage in support of the patient's own sources of comfort.&#10;D)The patient's medical team should use the best available evidence-based practices to manage and relieve physiological symptoms affecting a patient's comfort.

Accepted Answer

The answer of Which of the following is not a...

Question 16

The Latin term palliare means :&#10;A)ancient.&#10;B)child.&#10;C)cloak.&#10;D)feed.

Accepted Answer

The answer of The Latin term palliare means :&#10;A)ancient.&#10;B)child.&#10;C)cloak.&#10;D)feed....

Question 17

Which institution's framework is the cornerstone of adult and pediatric management protocols for cancer and noncancer diagnoses?&#10;A)American Cancer Society&#10;B)American Medical Association&#10;C)Sloan-Kettering Cancer Institute&#10;D)World Health Organization

Accepted Answer

The answer of Which institution's framework is the cornerstone of...

Question 18

Palliative care is intended to accompany more traditional health-care approaches by providing both:&#10;A)cure and comfort.&#10;B)cure and reversal of symptoms.&#10;C)family and patient care.&#10;D)medical and spiritual care.

Accepted Answer

The answer of Palliative care is intended to accompany more...

Deck 5: Palliative and End-Of-Life Care