Deck 46: Caring for the Chronically Ill Patient

Question 1

Patients living in a group setting are at a lower risk of exposure to infectious diseases.

Answer 1

False

Question 2

In most states, patients may designate a person to make decisions for them if they become unconscious or mentally incapacitated, known as a ____.

A) healthcare proxy
B) certified medical director
C) healthcare director
D) nursing assistant proxy

Answer 2

healthcare proxy

Question 3

____ forms provide options for care which can be chosen by the patient for possible future care, and are not limited to situations when a patient is unresponsive.

A) DNR
B) POLST
C) DNAR
D) DNI

Answer 3

POLST

Question 4

In 1984, the Supreme Court in ____ decided that a competent adult patient had the constitutional right to refuse medical treatment.

A) Bartling v. Superior Court
B) North Coast Medical Group v. Superior Court
C) Barber v. Superior Court
D) Galloway v. Superior Court

Question 5

Administration of atropine and ipratropium bromide would be a problem for patients with acute angle glaucoma.

Question 6

Morphine can be problematic in patients with diseases causing a decreased respiratory drive or in patients taking MAO inhibitors.

Question 7

Oxygen should be administered to all patients with altered mental status.

Question 8

Drugs are tested in all combinations before being made available for prescription.

Question 9

Generally, all cultures are receptive to the concept of hospice or palliative care.

Question 10

The passage of the ____ expanded the right to have advanced directives to nonterminal patients.

A) Patient Self-Determination Act of 1990
B) Medical Practice Act of 1966
C) Patient Protection Act of 2005
D) Medical Act of 1950

Question 11

An increasing number of patients living with chronic diseases, especially if they are elderly, now live in group living situations, such as ____, which provide medical care for the residents.

A) hospice facilities
B) skilled nursing facilities
C) independent living apartments
D) palliative care facilities

Question 12

During the transport of critically ill patients, it is essential for the Paramedic to maintain an even oxygen flow and ____ rate to minimize damage to the brain from the increasing intracranial pressure.

A) ventilation
B) insulin administration
C) glucose administration
D) saline drip

Question 13

Not all chronic illnesses have the same effects.

Question 14

Chronically ill patients often have changes in their ____ status, which is their usual level or condition.

A) control
B) baseline
C) alteration
D) functional

Question 15

Living wills may constitute medical orders.

Question 16

In 2005, New York State adopted ____, a four-page modified version of the POLST form, as an alternative to its DNR form with variations in its use in some regions of the state.

A) DNAI
B) MOLST
C) DNAR
D) DNI

Question 17

In some states, honoring a DNR or DNAR is optional.

Question 18

Often the first indication of a change in the elderly patient's health status is a series of falls.

Question 19

The goal of ____ is to provide patients with quality comfort care rather than increasing the patient's lifespan.

A) hospice services
B) ED care
C) ICU services
D) urgent care

Question 20

Patients with end-stage disease may live in a(n) ____ facility, an organization whose purpose is to provide comfort to a dying patient.

A) independent living
B) assisted living
C) palliative care
D) skilled nursing

Question 21

An increasing number of patients with chronic diseases, especially if they are elderly, now live in ____________________, which have added resources but no direct oversight of residents' medical needs.

Question 22

The abbreviation DNAR stands for ____________________.

Question 23

____ forms are probably the earliest and most widely recognized versions of advanced directive.

Question 24

The abbreviation DPAHC stands for ____________________.

Question 25

It is important to specifically ask chronically ill patients about ____________________ allergies, particularly if they have needed frequent procedures requiring the use of gloves.

Question 26

The abbreviation DNR stands for ____________________.

Question 27

Patients who live in a(n) ____________________ usually need more physical or medical support for the effects of their chronic illness or of aging than patients living at home or in an independent senior living center, but not as much as a patient living in a nursing home.

Question 28

The abbreviation POLST stands for ____________________.

Question 29

The abbreviation MOLST stands for ____________________.

Question 30

The common features of most state-specific DNR/DNAR legislation include a limitation to ____________________ and/or respiratory arrest events only.