Deck 19: Palliative Care and End-Of-Life Care

Question 1

Bereavement is the process of experiencing the death of a loved one and adjusting to a world without the deceased.Bereavement can be expressed in many ways.Which of the following relates to bereavement and grief? Select all that apply.
1)Normal grieving is only presented through emotional responses.
2)Medical providers should instruct those involved regarding normal grief reactions and bereavement resources in the community.
3)Memory loss and impaired concentration are common grief reactions.
4)Risk for self-harm is only present when loved ones left behind have a prior diagnosis of major depressive disorder.
5)Bereavement care should include questioning of spiritual and religious beliefs.

Answer 1

2, 3, 5

Question 2

Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage.Which of following is true regarding pain? Select all that apply.
1)Pain is mostly perceived by the individual and often not real.
2)Pain is always treatable.
3)The patient's own report is the best indicator of pain.
4)Pain is a common end-of-life symptom in the older adult.
5)Pain is not an indicator of an illness.

Answer 2

3, 4

Question 3

Jean is a breast cancer patient given 2 to 3 years of survival.Her condition is up and down. Which of the following types of care is indicated for the patient?
1)Naturopathic care
2)Complementary care
3)Maintenance care
4)Palliative care

Answer 3

4

Question 4

In a life-threatening illness, which of the following are tools to help minimize and relieve suffering? Select all that apply.
1)Establish an exercise program to keep the patient active.
2)Offer a support system to help patients live as actively as possible until death.
3)Provide relief from pain and other distressing symptoms.
4)Integrate psychological and spiritual aspects of patient care.
5)State that everything will be okay.

Question 5

Mrs.Smith is 90 years old and a frail, older woman with functional limitations, cognitive impairment, and lack of family or social support.Which type of care is best for the patient?
1)Hospice care
2)Palliative care
3)Skilled nursing care
4)Physical therapy care

Question 6

Pain is categorized into different types.Which of the following type of pain originates in the thoracic, abdominal, and pelvic viscera and presents diffused pain that often radiates?
1)Neuropathic pain
2)Somatic pain
3)Visceral pain
4)Mixed pain

Question 7

Which of the following is the best statement regarding dyspnea?
1)Smoking causes dyspnea.
2)Dyspnea is one of the most common reasons for visits to the emergency room for individuals with advanced disease.
3)Dyspnea is a rare symptom as patients approach the end of life.
4)Females are more likely to develop symptoms of dyspnea.

Question 8

Geriatric patients in end-of-life conditions suffer from many symptoms.The most prevalent symptoms include delirium, dyspnea, and pain.Which of the following is a common additional symptom for patients in end-of-life conditions?
1)Insomnia
2)Speech impairment
3)Hearing impairment
4)Tremors

Question 9

Mr.Goldberg is diagnosed with late-stage Hodgkin's lymphoma.His wife, Barbara, noticed that his attention and awareness abilities are decreasing, fluctuating during the course of the day, and worsening at night.From which of the following could Mr.Goldberg be suffering?
1)Confusion
2)Dyspnea
3)Depression
4)Delirium

Question 10

Marie is a fibromyalgia sufferer.Her treatment program includes pain relief, antidepressant medications, and an exercise program.From which of the following types of pain might she be
Suffering?
1)Neuropathic pain
2)Somatic pain
3)Visceral pain
4)Mixed pain

Question 11

Which of the following may be present in those suffering from delirium? Select all that apply.
1)Cognitive changes involving memory impairment, disorientation, and language disturbance.
2)Perceptual disturbances, including delusions and hallucinations.
3)Marked lethargy.
4)Disturbance of consciousness with impaired ability to focus.
5)Depression.

Question 12

Physiological changes of aging and multiple comorbidities influence the dying process.The growing acceptance of hospice and palliative care is creating a more natural dying experience.
Which of the following is true regarding the process of death?
1)Urinalysis is usually performed as a diagnostic test for further infection.
2)Age has no bearing on the risk of death.
3)The meaning and experience of death are often influenced by society.
4)The meaning and experience of death are often influenced by one's culture and ethnicity.

Question 13

Hospice services are an option for patients with end-stage life-threatening illness.These services are covered by Medicare, Medicaid, and most private insurance providers.According to studies, which of the following are the current leading causes of death? Select all that apply.
1)Elective surgeries
2)Falls and accidents
3)Malignant neoplasms
4)Cerebrovascular accidents
5)Diverticulitis

Question 14

Which of the following statements is true regarding palliative care and hospice care? Select all that apply.
1)Palliative care can begin at diagnosis, and at the same time as treatment.
2)Palliative care may be offered by hospitals, home care agencies, cancer centers, and long-term care facilities.
3)Hospice care begins after treatment of the disease is stopped and when it is clear that the person is not going to survive the illness.
4)Only hospice care provides comfort.
5)Only a patient's family can give the best care.

Question 15

Dyspnea derives from interactions of physiological, psychological, social, and environmental factors that may induce secondary physiological and behavioral responses.Which of the following are layman's terms for dyspnea? Select all that apply.
1)Shortness of breath
2)Breathlessness
3)Sobbing
4)Asthma
5)Hyperventilation