Deck 24: Planning for the End of Life

Question 1

Quality care at the end of life involves:

A) freedom from uncomfortable physical symptoms.
B) feeling supported through personal relationships.
C) being at ease with one's self and place within the larger world.
D) all of the above

Answer 1

all of the above

Question 2

Which of the following is NOT one of the three central tasks in late adulthood described by Erikson, Erikson, and Kivnick?

A) evaluating life's accomplishments
B) organizing advance directives
C) coping with physical, functional, and social losses
D) preparing for the end of life

Answer 2

organizing advance directives

Question 3

These patient conditions increase the risk of inadequate treatment at the end of life:

A) old age
B) dementia
C) substance abuse
D) all of the above

Answer 3

all of the above

Question 4

The first step of the World Health Organization's recommendation for pain management includes:

A) opioid therapy.
B) aspirin, nonsteroidal anti-inflammatory drugs (NSAIDS), or acetaminophen.
C) opioids and NSAIDS or acetaminophen.
D) relaxation techniques.

Question 5

End-of-life care begins when:

A) the doctor believes that medical treatment is no longer effective.
B) the patient no longer desires medical treatment.
C) the family members produce documentation of the patient's final wishes.
D) the patient, family, and provider agree that medical treatment is no longer desired or beneficial.

Question 6

Where did the hospice movement begin?

A) Europe
B) Asia
C) United States
D) India

Question 7

The goal of hospice is to:

A) allow patients to die more quickly.
B) standardize end-of-life care.
C) help people die in the presence of family.
D) enable a dignified and comfortable death.

Question 8

Palliative care differs from end-of-life care in that palliative care:

A) incorporates interdisciplinary strategies.
B) enhances the quality of remaining life for persons of all ages.
C) may coexist with life-prolonging treatment.
D) considers spiritual needs.

Question 9

Which of the following increase the likelihood of dying at home?

A) having terminal cardiovascular disease
B) having Latino origins
C) having a good support system
D) having an elementary education level

Question 10

Given the discrepancy between patient wishes and the actual circumstances surrounding most deaths, it is not surprising that:

A) pain management teams are in high demand.
B) patients and families report dissatisfaction with end-of-life care.
C) many people put their final wishes in writing.
D) malpractice insurance costs and claims are rising.

Question 11

A major barrier to optimal end-of-life care is:

A) inadequate education of health care providers regarding management of dying patients.
B) lack of insurance coverage for palliative care services.
C) misunderstanding about hospice care among family members.
D) patients' refusal to acknowledge their impending death.

Question 12

The goal of symptom management in dying patients should be to achieve:

A) "adequate" relief.
B) "complete" relief.
C) "temporary" relief.
D) "best" relief possible as determined by the provider.

Question 13

When death is within hours or days, symptoms include:

A) decreased urine output and cold and mottled extremities.
B) decreasing heart rate and blood pressure and hallucinations.
C) changes in breathing patterns and respiratory congestion.
D) all of the above