Deck 6: Living With Dying

Question 1

Which of the following is false regarding cancer?

A)Cancer is the leading cause of death in the United States.
B)Currently, there is a trend for increasing rates of survival for persons diagnosed with cancer.
C)Anorexia is the most common symptom in patients with cancer.
D)Lack of sun exposure causes cancer.

Answer 1

A

Question 2

This medical treatment involves the use of natural drugs to treat patients.

A)Chiropractic medicine
B)Acupuncture
C)Homeopathic medicine
D)Palliative medicine

Answer 2

C

Question 3

The individual credited with starting the modern hospice movement was

A)Elizabeth Kubler-Ross.
B)Howard Becker.
C)Jessica Mitford.
D)Cicely Saunders.

Answer 3

D

Question 4

_______________ is a chronic, degenerative, dementing illness of the central nervous system and involves personality change, emotional instability, disorientation, memory loss, loss of verbal abilities, and an inability to care for oneself.

A)Vascular dementia
B)Alzheimer's
C)Schizophrenia
D)Cognitive disorder

Question 5

The chance of developing Alzheimer's after the age of 65

A)doubles.
B)triples.
C)quadruples.
D)stays the same.

Question 6

__________________ is defined as the use of innovative and methodologically robust research in combination with both clinical expertise and patient and family input to best inform the treatment decisions made by health care professionals and interdisciplinary teams.

A)Chiropractic medicine
B)Acupuncture
C)Homeopathic medicine
D)Evidence-based practice

Question 7

Which of the following is true regarding hospice care?

A)There are approximately 1,200 hospice programs in the United States.
B)Because the quality of hospice care is more personalized for dying patients, its cost usually exceeds that charged by most acute care hospitals.
C)It is rare for major U.S. corporations to provide hospice benefits for their employees.
D)Some major medical insurance policies provide payment for hospice care.

Question 8

Which of the following are not a part of the hospice interdisciplinary team?

A)Physicians
B)Nurses
C)Social workers
D)Patient and his or her family, patient's own physician, nurses, social worker, and physician

Question 9

Which of the following is true regarding hospice care?

A)Hospice practitioners feel that any amount of medication should be given to a patient to remove pain, even if this means sedating him or her.
B)The hospice movement proclaims that only humans who are ambulatory, free of pain, and a minimal burden on friends and family have an inherent right to live a full and complete life up to the moment of death.
C)The hospice approach to care for terminally ill patients is especially designed to deal with anxiety related to the process of dying.
D)U.S. hospice programs today are overwhelmingly nonprofit versus profit.

Question 10

The spread of cancer cells to other organs or tissues is called

A)malignancy.
B)metastases.
C)benign.
D)dynamic cells.

Question 11

What are the leading risk factors for cardiovascular disease?

A)Physical inactivity, spending too much time in the sun, and nutritional choices
B)High blood glucose, excessive exercising, and drinking too much alcohol
C)Cigarette smoking, Type A behavior, and diabetes
D)Being underweight, age, and low blood sugar

Question 12

The leader in palliative medicine is

A)the UK.
B)Spain.
C)the United States.
D)Germany.

Question 13

Hospice care

A)is not covered by Medicare.
B)is covered by Medicaid.
C)is not covered by most insurances.
D)is not covered by Medicaid.

Question 14

In the United States, the majority of hospice care is provided in the

A)hospital.
B)nursing home.
C)home.
D)assisted living facility.

Question 15

Prison hospice programs emerged in the United States in the

A)1960s.
B)1970s.
C)1980s.
D)1990s.

Question 16

This medical treatment involves the use of needles to redirect the flow of energy within the body to treat illness.

A)Chiropractic medicine
B)Folk healing
C)Faith healing
D)Acupuncture

Question 17

According to your textbook, if a patient loses physical functions and lives at home, what types of modifications need to occur?

A)Purchase lever style door knobs
B)Upgrade lightening throughout the home
C)Install ceramic tile in the house
D)Obtain a bedpan and wheelchair

Question 18

What is a step you can take to prevent cancer?

A)Work as a farmer where you are exposed to pesticides
B)Eat a diet high in carbohydrates
C)Protect yourself from the sun
D)Maintain low blood pressure

Question 19

Palliative care is concerned with

A)pain control.
B)spiritual aspects of the individual.
C)psychological aspects of the individual.
D)physical, psychological, social, and spiritual aspects of the individual.

Question 20

The modern hospice movement started in

A)the United States.
B)France.
C)Austria.
D)England.

Question 21

Who coined the term palliative care?

A)Balfour Mount
B)Arthur Frank
C)Elisabeth K ü bler-Ross
D)Morrie Schwartz

Question 22

Discuss issues related to the family as a unit of care in hospice programs. How do hospices try to achieve quality of life for each "patient" they serve? How does the interdisciplinary hospice team concept help accomplish this?

Question 23

Which of the following is the largest inpatient hospice agency?

A)Part of a hospital system
B)Part of a home health agency
C)Free-standing/independent
D)Part of a nursing home

Question 24

What is hospice care? How does it differ from the treatment given by most acute care hospitals? Identify the major functions of a hospice program.

Question 25

Discuss the role of the volunteer in hospice programs?

Question 26

The median length of service in hospice according to the National Hospice and Palliative Care Organization is ______ days?

A)14
B)24
C)34
D)44

Question 27

If you were terminally ill, would you consider entering a hospice? Explain your answer referring to specific reasons such as cost, family burden, and imminent death.

Question 28

Discuss why death rates from heart disease and cancer have gone down in the United States in recent years.

Question 29

What are some of the advantages and disadvantages of alternative medical treatments over traditional treatments?

Question 30

What is meant by "patient-centered" care?

Question 31

What, in your opinion, are the negative aspects of hospice care? How would you suggest they be rectified?

Question 32

Primary source of payment for U.S. hospice care is

A)Medicare.
B)private insurance.
C)Social Security.
D)Medicaid.

Question 33

What is palliative care, and how is it related to hospice care? How does it differ from the treatment given by most acute care hospitals?

Question 34

What is meant by "terminal restlessness"?

Question 35

Approximately _____ U.S. patients are currently waiting for an organ transplant.

A)25,000
B)50,000
C)100,000
D)1.5 million