End-of-Life Health Care: What it Takes

~ Exam ~

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This test has 12 questions.

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1. The time at the end of life is ____ for each person. Each individual has unique needs for information and support.

  a. similar

  b. the same

  c. different

  d. complex


2. Doctors may be concerned about over- or under-estimating the patient's life span. They also might be fearful of instilling false ___ or destroying a person's ___.

  a. expectations

  b. hope

  c. faith

  d. information


3. Everyone has different needs, but some ___ are common to most dying patients. These include fear of abandonment and fear of being a burden.

  a. emotions

  b. characteristics

  c. issues

  d. problems


4. Certain signs and symptoms can help a caregiver anticipate when death is near.

  a. True

  b. False

  c. Mostly true

  d. Mostly false


5. Patients have the right to make decisions about their own ___.

  a. diagnosis

  b. treatment

  c. condition

  d. tests


6. Advance directives are the ___ documents, such as the living will, durable power of attorney and health care proxy, which allow people to convey their decisions about end-of-life care ahead of time.

  a. informal

  b. formal

  c. legal

  d. personal


7. Hospice services are available to persons who can no longer benefit from curative treatment; the typical hospice patient has a life expectancy of __ months or less.

  a. 3

  b. 6

  c. 9

  d. 12


8. Paying attention to the religious or spiritual beliefs of seriously ill patients has a long tradition within inpatient medical environments. Addressing such issues has been viewed as the domain of hospital ___ or a patient’s own religious leader.

  a. chaplains

  b. social workers

  c. nurses

  d. doctors


9. "Looking back, I see this as a sad departure, almost an abandonment. They were there to help her try to live, but they were not there to help her ___."

  a. cope

  b. understand

  c. die

  d. be comfortable


10. Acknowledging the role of all healthcare professionals in ____, a multidisciplinary group from one cancer center developed a four-stage model that allows healthcare professionals to deliver spiritual care consistent with their knowledge, skills, and actions at one of four skill levels.

  a. care

  b. treatment

  c. social support

  d. spirituality


11. ___, a health insurance program for the elderly or disabled that is administered by the Centers for Medicare & Medicaid Services (CMS) of the Federal Government, provides payment for hospice care.

  a. Medicaid

  b. Medicare

  c. CMS


12. A health care ___ is an agent (a person) appointed to make a patient's medical decisions if the patient is unable to do so.

  a. provider

  b. proxy

  c. designate

  d. professional