Palliative Care at End of Life

Palliative Care at End of Life
The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. An 80-year-old female patient is receiving palliative care for heart
failure. Primary purpose(s) of her receiving palliative care is (are)
to (select all that apply)
a. improve her quality of life.
b. assess her coping ability with disease.
c. have time to teach patient and family about disease.
d. focus on reducing the severity of disease symptoms.
e. provide care that the family is unwilling or unable to give.
2. The primary purpose of hospice is to
a. allow patients to die at home.
b. provide better quality of care than the family can.
c. coordinate care for dying patients and their families.
d. provide comfort and support for dying patients and their families.
3. A 67-year-old woman was recently diagnosed with inoperable pancreatic cancer. Before the diagnosis she was very active in her neighborhood association. Her husband is concerned because his wife is
staying at home and missing her usual community activities. Which
common EOL psychologic manifestation is she most likely demonstrating?
a. Peacefulness
b. Decreased socialization
c. Decreased decision making
d. Anxiety about unfinished business
4. For the past 5 years Tom has repeatedly asked his mother to donate
his deceased father’s belongings to charity, but his mother has
refused. She sits in the bedroom closet, crying and talking to her
long-dead husband. What type of grief is Tom’s mother experiencing?
a. Adaptive grief
b. Disruptive grief
c. Anticipatory grief
d. Prolonged grief disorder
5. The home health nurse visits a 40-year-old patient with metastatic
breast cancer who is receiving palliative care. The patient is experiencing pain at a level of 7 (on a 10-point scale). In prioritizing
activities for the visit, the nurse would do which first?
a. Auscultate for breath sounds.
b. Administer PRN pain medication.
c. Check pressure points for skin breakdown.
d. Ask family about patient’s food and fluid intak

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