Question 1

Healthcare professionals are often faced with patients who are terminally ill or no longer able to make decisions about their care. Which suggestion helps to close the gap between medical treatment and end-of-life care?

Accepted Answer

A)   Develop a plan that covers expected changes.
B)   Work with nursing staff to establish realistic goals.
C)   Learn what the patient and family are hoping for.
D)   Continue to suggest medical interventions for a cure. C

Question 2

The metaphor of "fighting" disease and death ingrained in both the broader American culture and the culture of medicine creates the potential for hospice and palliative care to be perceived as "giving up."

Accepted Answer

A) True 
 B)False  True

Question 3

A patient is being transferred from acute care to a rehabilitation facility. The patient's caregiver is present during the transition of care. Which function is the caregiver performing by asking how the patient will be transported to the new facility?

Accepted Answer

A)   Watching the patient
B)   Providing actual physical care
C)   Navigating the health care system
D)   Acting as an advocate for the patient C

Question 4

The nurse manager at an independent facility for patients with Alzheimer disease and dementia is preparing to hire nursing staff. Which qualification does the nurse manager consider the most important asset?

Accepted Answer

A)   Some basic training about dementia
B)   Work experience in another extended care facility
C)   Experience with a family member with dementia
D)   The ability to modify clinical practice as needed

Question 5

Medical care in the United States is typically not designed to accommodate the special needs of patients with dementia and their caregivers. Which is a principle for the care of patients with dementia?

Accepted Answer

A)   Providers will need to redesign their clinical practice.
B)   Providers will obtain specialized training for geriatrics.
C)   Providers will focus on support of the patient-caregiver dyad.
D)   Providers will adhere to best clinical practice components.

Question 6

The nurse is providing care for a patient admitted to an extended care facility. The nurse notices the patient's family caregiver coming to the facility less often and staying for short time periods. Which additional manifestation does the nurse notice as an indication of caregiver stress?

Accepted Answer

A)   The caregiver wears plain, simple clothing for visitation.
B)   The caregiver falls asleep at the bedside of the patient.
C)   The caregiver frequently shares details of a busy daily schedule.
D)   The caregiver expresses a need to return home before darkness.

Question 7

The nurse is providing education for the caregiver of a patient diagnosed with moderate dementia. Which care suggestion by the nurse is appropriate?

Accepted Answer

A)   A nightly back and neck massage will promote sleep.
B)   TV volume is kept loud enough to attract the patient.
C)   Lights are turned up to assure safety when ambulating.
D)   Touch from a stranger is used sparingly to avoid fear\confusion.

Question 8

The nurse is preparing to perform an assessment on the family member that the patient has identified as being the patient's caregiver. Which finding during the assessment indicates the caregiver is well suited for the function?

Accepted Answer

A)   The caregiver uses a lift chair to reach the upstairs bedroom and bathroom.
B)   The caregiver's daily medication list is extensive and covers multiple conditions.
C)   The caregiver requests home care to assist with bathing and dressing the patient.
D)   The caregiver seems reluctant and defensive when answering the nurse's questions.

Question 9

In response to increased stress, caregivers may turn to alcohol or prescription or psychotropic drugs.

Accepted Answer

A) True 
 B)False

Question 10

Regulatory barriers present obstacles to the widespread use of palliative care services.

Accepted Answer