Deck 21: Palliative and End of Life Care

Question 1

The palliative care team can provide support in all of the following ways except:

A)Simply sitting with the family
B)Holding or lying in bed with the child
C)Limiting family who visit at the hospital
D)Memory-making activities
E)Allowing religious rituals to take place F.ReCommending bereavement programs

Answer 1

C

Question 2

Studies have shown that the use of opiate drug therapy, administered systemically during end of life, hastens death.

Answer 2

False

Question 3

What side effects do diphenhydramine have on the neurological system
I)Excessive secretions
II)Excessive dizziness
III)Excessive Confusion
IV)Excessive dyspnea

A)I and II
B)II and IV
C)III and IV
D)II and III

Answer 3

D

Question 4

What document provides specific interventions that a patient does or does not want to be provided to them

A)Durable power of attorney
B)Do not attempt resuscitate document
C)Advance directives
D)Treatment of Consent form

Question 5

Which of the following statements are true Concerning home hospice care
I)A physician is required to certify life expectancy.
II)Re-enrollment of the patient is required if life expectancy exceeds initial reCommendation.
III)The patient has a prognosis of 6 months to live or less.
IV)Opioids and benzodiazepines can be ordered for home Consumption.

A)I, II, and III
B)I, II, III, and IV
C)I and IV
D)II, III, and IV

Question 6

The simultaneous pursuit of both palliative and curative measures is referred to as ____________.

Question 7

___________ is the method of slowly lowering ventilator support, over hours or days, prior to removal of an endotracheal tube.

Question 8

What is the first-line of defense offered to treat dyspnea or pain at end of life
I)NarCotics
II)Opioids
III)Neuromuscular blockers
IV)Sedatives

A)I, II, and IV
B)I and II
C)III and IV
D)I, II, III, and IV

Question 9

Which of the following advanced directives is a written statement of the patient's health-care preferences

A)Durable power of attorney
B)Durable power of attorney for health care
C)Living will
D)Last will and testament

Question 10

Terminal sedation refers to the careful Control of symptoms with intent to cause death.

Question 11

During dyspnea therapy, what alternate physical measures Could be offered instead of oxygen that would provide Comfort to the patient
I)Offering a fan
II)Opening a window
III)Promoting a calming, soothing environment
IV)Drug therapy

A)I and II
B)III and IV
C)I, II, III, and IV
D)I, III, and IV

Question 12

Euthanasia is gaining support in the United States but still remains illegal.

Question 13

Concurrent care inCorporates which two benefits that will help families make decisions in regard to end of life care
I)Palliative measures
II)Curative measures
III)Early referrals
IV)Curative intent

A)I and II
B)I and III
C)II and III
D)II and IV
E)I and IV

Question 14

A "do not attempt resuscitation" order includes which of the following interventions
I)Chest Compressions
II)Mechanical ventilation
III)Defibrillation
IV)Diagnostic tests

A)I, III, and IV
B)II, III, and IV
C)I, II, and IV
D)I, II, and III

Question 15

Which of the following occurrences can prevent a patient from being an organ donor
I)Disseminated cancer
II)Infection
III)Cardiac disease
IV)Patient wishes

A)I, II, and IV
B)I, II, III, and IV
C)II and IV
D)I and II

Question 16

The family members of a patient have requested extubation to be done immediately.The registered respiratory therapist removes the endotracheal tube without weaning the ventilator to honor the family's wishes.Which of the following terms describes this approach to disContinuing mechanical ventilation

A)Terminal wean
B)Terminal extubation
C)Best wishes wean
D)Dignity with death wean

Question 17

________ focuses on helping patients and families decide what medical interventions are most likely to be helpful, rather than harmful, and also focuses on managing pain and other symptoms where Comfort is the intended outCome.