Question 1

As a patient's condition moves toward their impending death, which nursing intervention demonstrates how the focus of palliative care change?

Accepted Answer

A)  The patient is encouraged to discuss their spiritual needs. 
B)  The patient is educated concerning the physical changes associated with the dying process. 
C)  The patient's advance care plan is formulated and implemented. 
D)  The patient's comfort needs are identified. 
A)  The patient is encouraged to discuss their spiritual needs. 
B)  The patient is educated concerning the physical changes associated with the dying process. 
C)  The patient's advance care plan is formulated and implemented. 
D)  The patient's comfort needs are identified. D

Question 2

A daughter tells the nurse that, "Mom will be as good as new when we get this advanced cancer cured." How can the nurse best help the daughter in the role of caregiver?

Accepted Answer

A)  Working toward setting realistic goals for both her mother and herself 
B)  Finding the daughter in home help to assist with her mother's care 
C)  Discuss with the patient the role her daughter will play in her care 
D)  Encourage the daughter to regularly share her feelings with her mother 
A)  Working toward setting realistic goals for both her mother and herself 
B)  Finding the daughter in home help to assist with her mother's care 
C)  Discuss with the patient the role her daughter will play in her care 
D)  Encourage the daughter to regularly share her feelings with her mother A

Question 3

What is the primary factor that characterizes a patient receiving palliative care

Accepted Answer

A)  A diagnosis of a serious, life-threatening disease 
B)  Ability to make sound health care decisions 
C)  An interest in exploring available life sustaining treatment options 
D)  A life expectancy of less than 12 months 
A)  A diagnosis of a serious, life-threatening disease 
B)  Ability to make sound health care decisions 
C)  An interest in exploring available life sustaining treatment options 
D)  A life expectancy of less than 12 months C

Question 4

What is the initial step when addressing an ethically challenging situation?

Accepted Answer

A)  Identify all those who are involved in the situation. 
B)  Review the overall situation to identify the core issues. 
C)  Gather all the relevant facts about the situations. 
D)  Determine what the ethical dilemma is. 
A)  Identify all those who are involved in the situation. 
B)  Review the overall situation to identify the core issues. 
C)  Gather all the relevant facts about the situations. 
D)  Determine what the ethical dilemma is.

Question 5

According to the Palliative Performance Scale which patient is considered to possess 70% of normal function?

Accepted Answer

A)  40 year old diagnosed with AIDS whose condition makes it impossible to hold a job. 
B)  70 year old diagnosed with end stage renal failure who spends most of the day in bed. 
C)  50 year old diagnosed with emphysema whose disease has begun to impact normal ambulate. 
D)  30 year old diagnosed with muscular dystrophy who is bed bound. 
A)  40 year old diagnosed with AIDS whose condition makes it impossible to hold a job. 
B)  70 year old diagnosed with end stage renal failure who spends most of the day in bed. 
C)  50 year old diagnosed with emphysema whose disease has begun to impact normal ambulate. 
D)  30 year old diagnosed with muscular dystrophy who is bed bound.

Question 6

________________ occurs when a physician predicts the course and outcome of a disease process.

Accepted Answer

Prognostication
Prognostication occurs w

Question 7

Which statements are true regarding palliative care services? (select all that apply)

Accepted Answer

A)  Begins at the time of that a diagnosis of a serious illness occurs 
B)  Care can be delivered in most settings. 
C)  Expenses are paid for by Medicare. 
D)  Is appropriate for all patients regardless of age. 
E)  Providers are skilled in symptom management. 
A)  Begins at the time of that a diagnosis of a serious illness occurs 
B)  Care can be delivered in most settings. 
C)  Expenses are paid for by Medicare. 
D)  Is appropriate for all patients regardless of age. 
E)  Providers are skilled in symptom management.

Question 8

Which patient's decision-making capacity should be a concern for the palliative care nurse?

Accepted Answer

A)  The one who asks, "Why do I need palliative care?" 
B)  The patient with a diagnosis of moderate Alzheimer's disease 
C)  The one whose family is used to being consult about decisions affecting the patient 
D)  The patient who has expressed concerns about "all the decisions I have to make." 
A)  The one who asks, "Why do I need palliative care?" 
B)  The patient with a diagnosis of moderate Alzheimer's disease 
C)  The one whose family is used to being consult about decisions affecting the patient 
D)  The patient who has expressed concerns about "all the decisions I have to make."

Question 9

When first diagnosed with Parkinson disease, how can the patient and family best avoid future ethical dilemmas concerning the patient's care?

Accepted Answer

A)  Work with the patient and family to create an advanced plan of care. 
B)  Explain to the family that the patient's cognitive function will deteriorate as time passes. 
C)  Discuss the patient's religious and spiritual concerns to identify potential problems. 
D)  Identify which family members will be in control of decision making for the patient. 
A)  Work with the patient and family to create an advanced plan of care. 
B)  Explain to the family that the patient's cognitive function will deteriorate as time passes. 
C)  Discuss the patient's religious and spiritual concerns to identify potential problems. 
D)  Identify which family members will be in control of decision making for the patient.

Question 10

A peaceful death is best characterized by which terminally ill patient?

Accepted Answer

A)  One who is surrounded by family 
B)  One who uses meditation to help manage pain 
C)  One who has advanced directives in place 
D)  One who has drifted from lethargy to coma 
A)  One who is surrounded by family 
B)  One who uses meditation to help manage pain 
C)  One who has advanced directives in place 
D)  One who has drifted from lethargy to coma

Question 11

When working with the family of a patient receiving palliative care, what is the nurse's initial intervention?

Accepted Answer

A)  Determining who will be the patient's durable power of attorney 
B)  Identifying what types of help the family will need to care for the patient 
C)  Completely an assessment of the family's strengths and weaknesses 
D)  Discuss the dynamics of the family with the patient 
A)  Determining who will be the patient's durable power of attorney 
B)  Identifying what types of help the family will need to care for the patient 
C)  Completely an assessment of the family's strengths and weaknesses 
D)  Discuss the dynamics of the family with the patient

Question 12

The Karnofsky prognostication scale is most appropriately used to screen patients with which medical diagnoses?

Accepted Answer

A)  Respiratory diseases 
B)  Cancers 
C)  Cardiac diseases 
D)  AIDS 
A)  Respiratory diseases 
B)  Cancers 
C)  Cardiac diseases 
D)  AIDS

Question 13

The principle of autonomy is best supported by what intervention made available to palliative care patients?

Accepted Answer

A)  Arranging for in-home health care 
B)  Addressing the patient's specific pain management needs 
C)  Helping the patient decide on the details of their advanced plan of care 
D)  Conducting a thorough performance status screening on the patient 
A)  Arranging for in-home health care 
B)  Addressing the patient's specific pain management needs 
C)  Helping the patient decide on the details of their advanced plan of care 
D)  Conducting a thorough performance status screening on the patient

Question 14

Which statement correctly applies to a person's suffering?

Accepted Answer

A)  Pain is the cause of suffering. 
B)  Suffering and pain are experienced separately. 
C)  Suffering can exist without the experience of pain. 
D)  Pain is the focus of all nursing assessments. 
A)  Pain is the cause of suffering. 
B)  Suffering and pain are experienced separately. 
C)  Suffering can exist without the experience of pain. 
D)  Pain is the focus of all nursing assessments.

Exam 12: Palliative Care

As a patient's condition moves toward their impending death, which nursing intervention demonstrates how the focus of palliative care change?

A daughter tells the nurse that, "Mom will be as good as new when we get this advanced cancer cured." How can the nurse best help the daughter in the role of caregiver?

What is the primary factor that characterizes a patient receiving palliative care

What is the initial step when addressing an ethically challenging situation?

According to the Palliative Performance Scale which patient is considered to possess 70% of normal function?

________________ occurs when a physician predicts the course and outcome of a disease process.

Which statements are true regarding palliative care services? (select all that apply)

Which patient's decision-making capacity should be a concern for the palliative care nurse?

When first diagnosed with Parkinson disease, how can the patient and family best avoid future ethical dilemmas concerning the patient's care?

A peaceful death is best characterized by which terminally ill patient?

When working with the family of a patient receiving palliative care, what is the nurse's initial intervention?

The Karnofsky prognostication scale is most appropriately used to screen patients with which medical diagnoses?

The principle of autonomy is best supported by what intervention made available to palliative care patients?

Which statement correctly applies to a person's suffering?

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