Answer
each of the following questions (there is only one correct answer to
each question).
1
Palliative care refers to:
A.
treatment to cure a person of a disease
B. assisting an ill person
to get personal and financial concerns in order
C. providing care and support to relieve symptoms
in the end stages of life
D. making final arrangements
for someone who has died
2
Diagnostic procedures and special treatments such as
chemotherapy, radiation, nutritional augmentation and pharmacotherapies
may have a place in palliative care if:
A. the procedures are
accessible and cost effective
B. the benefits of providing relief of symptoms
outweigh disadvantages of not having it
C. the procedure is demanded by the family
D. the benefits to science
outweigh the inconvenience to the client and family system
3
Palliative care should be tailored
to meet the needs of the particular client and family system, and focus
on symptom management, which involves all of the following except :
A. active listening
B. curative interventions
C. careful assessment
D. constant reevaluation
4
Which of the following is an example
of a neurological symptom in a client with a terminal condition?
A. cachexia
B. pressure ulcers
C. lethargy/confusion
D. angina
5
Medical supplies and durable equipment
used in palliative care and symptom management may include all of the
following except :
A. oxygen supplies
B. wheelchair
C. computer modem
D. intravenous supplies
6
Which of the following statements
is not true regarding symptom management in clients with terminal
conditions?
A. Symptoms will vary
from person to person depending upon their health problem.
B. One can anticipate
with certainty the types of symptoms a person will display with a given
diagnosis.
C. Intervening early is
an effective way to manage symptom discomfort.
D. Symptoms will change
in intensity, frequency and duration as the disease process progresses.
7
Short-term inpatient care may
be an appropriate component of palliative care if:
A. the client is experiencing
pain
B. in-home aides are temporarily
unavailable
C. significant symptoms
cannot be managed at home
D. the client is unhappy
with aspects of home care
8
Psychosocial issues that accompany terminal illness
inlude:
A. depression
B. anxiety
C. sleep disturbances
D. all of the above
9
The basic spiritual needs of all persons are:
A. the need for meaning and purpose
B. the need for love and
relatedness
C. the need for forgiveness
D. all of the above
10
The American Pain Society recommends that which of
the following should be treated as the fifth vital sign?
A. temperature
B. blood pressure
C. pain
D. pulse
11
A basic scientific definition of pain is:
A. whatever the experiencing person says it
is, existing whenever he says it does
B. a sensation caused by some type of noxious
stimulus
C. an unpleasant, subjective sensory and emotional
experience associated with actual or potential tissue damage, or described
in terms of such damage
D. D. all of the above
12
Which of the following statements regarding the relationship
between pain and aging is true?
A. pain is a natural part of aging
B. older adults have difficulty articulating
the presence and characteristics of pain
C. pain is often a symptom of age-related illnesses
D. all of the above
13
In respect to how pain is triggered is believed that
stimuli are filtered through the ______ system and the _______.
A. lymphatic and occipital lobe
B. limbic-hypothalamic and frontal cortex
C. central nervous and vestibular nuclei
D. integumentary and parietal lobe
14
Pain tolerance is:
A. the earliest point at which a person perceives
stimuli as painful
B. the lowest level of stimulation at which
a person will stop, or seek to stop, the stimulus
C. a theory to explain both the physiologic
and psychologic aspects of pain
D. D. a type of pain originating in the musculoskeletal
system
15
In American culture, how are men generally socialized
in response to pain?
A. cry and complain
B. laugh about it
C. deny or conceal
D. vocalize
16
Studies have shown that people with chronic or recurring
pain:
A. want to be left alone
B. complain of more pain with visitors
C. need to have social support and company
D. like loud noise to distract the pain
17
Non-pharmacologic intervention for pain treatment includes:
A. relaxation
B. guided imagery
C. cutaneous stimulation (ie massage)
D. all of the above
18
A non-pharmacologic intervention for the treatment
of pain that uses cutaneous stimulation to eliminate pain is:
A. patient controlled analgesia (PCA)
B. placebo
C. transcutaneous electrical nerve stimulation
(TENS)
D. D. guided imagery
19
Which organization developed new standards on pain
management for healthcare?
A. NHPCO
B. WHO
C. AHA
D. JCAHO
20
Advanced directives can include all of the following
components addressing terminal care issues except:
A. living wills
B. power of attorney
C. compliance with Medicare mandates
D. information regarding expressed wishes for
care
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