Exam 21: Palliative and End of Life Care

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

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

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

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

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

________ 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.

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.

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

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

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

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

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

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

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

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

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

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