Deck 34: Palliative Care, hospice, and Care at the End of Life
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Deck 34: Palliative Care, hospice, and Care at the End of Life
1
Living with the knowledge one is dying has been hypothesized to particularly affect perceptions of:
A)Time
B)Tactile sensitivity
C)Food taste
D)Patience
A)Time
B)Tactile sensitivity
C)Food taste
D)Patience
A
2
A strategy for increasing safety in the provision of palliative care is the establishment of:
A)Decision trees
B)Integrated care pathways
C)Oversight committees
D)Prospective payment systems
A)Decision trees
B)Integrated care pathways
C)Oversight committees
D)Prospective payment systems
B
3
Which of the following would be an example of basic palliative care?
A)A nurse on a surgical ward asks the patient if her pain is tolerable and holds her hand to provide reassurance.
B)A pain control specialist comes to the patient's home to monitor administration of morphine.
C)An occupational therapist visits a patient's home to determine what assistive devices might enhance independence for a period of time.
D)A psychiatric social worker meets with the family to discuss goals for end of life.
A)A nurse on a surgical ward asks the patient if her pain is tolerable and holds her hand to provide reassurance.
B)A pain control specialist comes to the patient's home to monitor administration of morphine.
C)An occupational therapist visits a patient's home to determine what assistive devices might enhance independence for a period of time.
D)A psychiatric social worker meets with the family to discuss goals for end of life.
A
4
A life-threatening illness is one that:
A)Has serious potential side effects or long-term consequences
B)Requires life support or other intrusive medical interventions
C)Carries a real risk of death and implies finite survival
D)Has no well-established medical treatment that can reduce symptoms
A)Has serious potential side effects or long-term consequences
B)Requires life support or other intrusive medical interventions
C)Carries a real risk of death and implies finite survival
D)Has no well-established medical treatment that can reduce symptoms
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5
For family members living with someone who is dying,the timeframe for experiencing emotional consequences is typically:
A)Short-lived,ending with the death of the loved one
B)Of indeterminate duration but usually relatively short
C)Of indeterminate duration but often lingering for a relatively long period of time
D)Almost always relatively long often lasting for years
A)Short-lived,ending with the death of the loved one
B)Of indeterminate duration but usually relatively short
C)Of indeterminate duration but often lingering for a relatively long period of time
D)Almost always relatively long often lasting for years
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6
Which of the following is the most appropriate kind of care when progressive deterioration is expected but death may not be imminent?
A)Hospice
B)Supportive care
C)Biomedical intervention
D)Palliative care
A)Hospice
B)Supportive care
C)Biomedical intervention
D)Palliative care
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7
Which of the following is NOT an element of palliative care as defined by the World Health Organization?
A)Provides relief from pain and other distressing symptoms
B)Neither hastens nor postpones death
C)Provides psychological and spiritual aspects of care
D)Relieves the patient and family of decision-making
A)Provides relief from pain and other distressing symptoms
B)Neither hastens nor postpones death
C)Provides psychological and spiritual aspects of care
D)Relieves the patient and family of decision-making
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8
A term that encompasses both hospice and palliative care is:
A)End-of-life care
B)Supportive care
C)Institutional care
D)Psychosocial support
A)End-of-life care
B)Supportive care
C)Institutional care
D)Psychosocial support
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9
Southern European perceptions of a "good death" are more focused on:
A)The individual
B)The nuclear family
C)The individual's relationship with God
D)The community
A)The individual
B)The nuclear family
C)The individual's relationship with God
D)The community
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10
According to Kübler-Ross,most people who are dying experience:
A)Ongoing depression in the face of inevitable loss
B)Five stages culminating in acceptance of death
C)Constant changes in mood and feelings about death
D)There is no common trajectory for grief that accompanies imminent death
A)Ongoing depression in the face of inevitable loss
B)Five stages culminating in acceptance of death
C)Constant changes in mood and feelings about death
D)There is no common trajectory for grief that accompanies imminent death
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