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NUR 2016: PALLIATIVE & END OF LIFE CARE: TEST QUESTIONS WITH COMPLETE SOLUTIONS, Exams of Nursing

Aims Community CollegeNursing

NUR 2016: PALLIATIVE & END OF LIFE CARE: TEST QUESTIONS WITH COMPLETE SOLUTIONS

Typology: Exams

2024/2025

Available from 06/08/2025

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NUR 2016: PALLIATIVE & END OF LIFE CARE: TEST
QUESTIONS WITH COMPLETE SOLUTIONS
1) What is palliative care? -- Answer ✔✔ Interdisciplinary approach to relieve suffering
and improve quality of life. More about goal setting. Can be beneficial for chronic
illness/disease.
2) What is something that should be addressed relating to end of life care when a
patient goes on palliative care? -- Answer ✔✔ Their advanced directives
3) True or false: Palliative care is not the same as hospice. -- Answer ✔✔ True
4) How does palliative care differ from hospice? -- Answer ✔✔ Can receive curative
treatment in palliative care
5) True or false: Palliative care is only meant for end of life. -- Answer ✔✔ False (it can
be beneficial for all critically ill patients)
6) What are barriers to palliative care? -- Answer ✔✔ Unrealistic expectations about
medical treatment and prognosis, unwilling to start the conversation,
misunderstanding about what palliative care is
7) What are the stages of grief? -- Answer ✔✔ denial, anger, bargaining, depression,
acceptance
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NUR 2016: PALLIATIVE & END OF LIFE CARE: TEST

QUESTIONS WITH COMPLETE SOLUTIONS

  1. What is palliative care? -- Answer ✔✔ Interdisciplinary approach to relieve suffering and improve quality of life. More about goal setting. Can be beneficial for chronic illness/disease.
  2. What is something that should be addressed relating to end of life care when a patient goes on palliative care? -- Answer ✔✔ Their advanced directives
  3. True or false: Palliative care is not the same as hospice. -- Answer ✔✔ True
  4. How does palliative care differ from hospice? -- Answer ✔✔ Can receive curative treatment in palliative care
  5. True or false: Palliative care is only meant for end of life. -- Answer ✔✔ False (it can be beneficial for all critically ill patients)
  6. What are barriers to palliative care? -- Answer ✔✔ Unrealistic expectations about medical treatment and prognosis, unwilling to start the conversation, misunderstanding about what palliative care is
  7. What are the stages of grief? -- Answer ✔✔ denial, anger, bargaining, depression, acceptance
  1. What are the benefits of palliative care in the ICU? -- Answer ✔✔ Decreased length of stay (LOS) in the ICU and in the hospital, increased family understanding, increased consensus between families and providers, increased consensus between provider groups, decreased use of ventilators, decreased use of artificial nutrition and hydration, increased number of family meetings, increased percentages of DNR orders
  2. What does palliative care look like? -- Answer ✔✔ Symptom management and comfort care, communication, patient and family-centered decision making, emotional and spiritual support, continuity of care, emotional and organization support for clinicians
  3. What is the most common symptom in ICU patients? -- Answer ✔✔ Pain
  4. What makes a pain experience worse? -- Answer ✔✔ Lack of sleep and delirium
  5. How to assess pain for critical ill patients? -- Answer ✔✔ Patient self reporting, vital signs, nonverbal scales such as critical pain observational tool (CPOT) or behavioral pain scale (BPS)
  6. What does the critical pain observational tool (CPOT) assess? -- Answer ✔✔ Facial expressions, body movement, compliance with the ventilator (intubated patients), vocalization (non-intubated patients), and muscle tension. Each of these categories are scored from 0 to 2 with 0 being no pain/restlessness and 2 being the most pain/restlessness. The higher the score, the more the patient is in pain.
  7. A critical pain observational tool (CPOT) of greater than __ is indicative of significant pain. -- Answer ✔✔ 3
  8. What does the behavioral pain scale (BPS) assess? -- Answer ✔✔ Facial expressions (1-3), upper limbs (1-4), compliance with ventilation (1-4). The higher the number, the worse the pain.
  1. What all should advanced directives include? -- Answer ✔✔ Do they want CPR, intubation, feeding tube, breathing tube etc. Should also include a medical power of attorney.
  2. What is a medical power of attorney? -- Answer ✔✔ patient designates an agent to make medical decisions in the event that they lose decision making capacity, can be revoked by patient at any time
  3. What is a Medical Order for Scope of Treatment (MOST) form? -- Answer ✔✔ A type of advanced directive. Provides specific medical orders for end of life treatment. Should be signed by physician.
  4. What is an AND? -- Answer ✔✔ Only comfort measures are provided. No invasive procedures to prolong patient's life
  5. When is treatment withdrawn? -- Answer ✔✔ When it is determined treatments are no longer beneficial or the patient no longer wants to have treatments done to them.
  6. What medications should be provided prior to a terminal extubation? -- Answer ✔✔ Pain meds and anxiolytics
  7. How to pronounce time of death? -- Answer ✔✔ May be 2 RN or only physician depending on facility. Asystole for 2 minutes, no heart or lung sounds for one minute
  8. Who must we contact after pronouncing time of death? -- Answer ✔✔ Donor alliance because they will ask the family if they want to donate tissues/eyes
  9. What is moral distress? -- Answer ✔✔ When the nurse knows the right thing to do but either patient/patient's family or institutional factors make it difficult to do the right thing.
  1. How should the nurse assess and implement their own self-care plan -- Answer ✔✔ Adpie
  2. What does ADPIE stand for in the nursing process? -- Answer ✔✔ Assessment Diagnosis Planning Implementation Evaluation