End of Life Nursing

~ Exam ~

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This test has 60 questions.

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1. patients must have a life expectancy of ___months or less and sign a statement choosing hospice care.

  a. 3

  b. 4

  c. 5

  d. 6

2. A hospice team member is on-call 24 hours a day, ___ days a week to provide support

  a. 7

  b. 6

  c. 5

  d. 4

3. Palliative care is available throughout a patient’s experience with cancer or other diseases, whereas hospice is offered only _____.

  a. at home

  b. at hospital

  c. at end of life

  d. in nursing homes

4. The highest level of care is _________.

  a. special inpatient care

  b. general care

  c. end care

  d. general inpatient care

5. Medicare pays hospice a ___ rate.

  a. hourly

  b. daily

  c. weekly

  d. monthly

6. The hospice ___ provide physician services.

  a. may

  b. may not

  c. must

  d. can

7. Patients are ___ entitled to complete information about their illness and how it may affect their lives.

  a. not

  b. fully

  c. sometimes

  d. often

8. Ideally, the process of discussing and writing advance directive should be __________.

  a. done in 2 hours

  b. done in one sitting

  c. done with the family present

  d. ongoing

9. Each state has ___ laws for creating advance directives.

  a. the same

  b. their own

  c. identical

  d. any of the 3

10. A decision not to receive "aggressive medical treatment" is _______ the same as withholding all medical care.

  a. not

  b. always

  c. often

  d. generally

11. Less than ___ % of the severely or terminally ill patients studied had an advance directive in their medical record.

  a. 30

  b. 40

  c. 50

  d. 60

12. ______% of patients with an advance directive had received input from their physician in its development.

  a. 2

  b. 12

  c. 22

  d. 32

13. Nurses are confronted with moral principles such as ________.

  a. feeding the terminally ill

  b. whistle blowing

  c. termination of pregnancy

  d. all 3

14. Virtue ethics deals with the _______ of a person.

  a. values

  b. character

  c. philosophy

  d. strength

15. Global nursing migration deals mainly with ___.

  a. training

  b. qualifications

  c. recruitment

  d. salaries

16. Nurses need to ___ globally and act locally.

  a. plan

  b. be trained

  c. be administered

  d. think

17. Nursing ethics is traditionally viewed as a subcategory of _________ ethics.

  a. professional

  b. public health

  c. medical

  d. health care

18. Global justice is a human rights issue for _______.

  a. everyone

  b. some

  c. nobody

  d. doctors

19. The percent of the elderly who are in nursing homes is less than ________.

  a. 35

  b. 25

  c. 5

  d. 1

20. A lifestyle that combats aging includes ___________.

  a. exercise

  b. mental stimulation

  c. socializing

  d. all 3

21. The ability to adjust to ______ may determine how well one adjusts to aging.

  a. conflicts

  b. loss

  c. friends

  d. family

22. Number of minutes of brisk activity needed to elevate mood is ___.

  a. 60

  b. 45

  c. 30

  d. 15

23. Depression in the elderly ___.

  a. is to be expected

  b. occurs at a higher rate than in other age groups

  c. is treatable

  d. is unrelated to loses of friends and family

24. The most common causes of irreversible dementia in seniors is ________.

  a. multi-infarct dementia

  b. depression

  c. Alzheimer's disease

  d. trauma

25. The percent of accidents in the home is ___.

  a. 20

  b. 33

  c. 50

  d. 80

26. The 4th stage of grief is ___.

  a. denial

  b. self-blaming

  c. anger

  d. shock

27. The rate of aging is affected by ___.

  a. genetics

  b. disease

  c. lifestyle

  d. all 3

28. The share of the cost you pay before the coverage applies is the _______.

  a. deductible

  b. co-payment

  c. premium

  d. extra cost

29. Aging is ___.

  a. normal

  b. a disease

  c. a disorder

  d. a state of mind

30. To increase safety, install grab bars in the ___.

  a. kitchen

  b. hall

  c. staircase

  d. shower

31. Of people 85 years and older, __ percent may have Alzeimers Disease (AD).

  a. 20

  b. 40

  c. 50

  d. 60

32. The first symptoms of AD are problems with ___.

  a. writing

  b. reading

  c. remembering

  d. speaking

33. AD prevention by lifestyle includes ___.

  a. exercise

  b. diet

  c. tobacco-free living

  d. all 3

34. There are ___ drugs that help in DA prevention.

  a. 0

  b. 1

  c. 2

  d. 3

35. The particles that form fibrils are ___.

  a. APP

  b. A-Beta

  c. B-Beta

  d. SP

36. Glutamate aids in ___ memory.

  a. old

  b. new

  c. all

  d. no

37. Spiritual despair deals with __________.

  a. hopelessness

  b. outrage

  c. emptiness

  d. failure

38. According to Dobson, God is the author of ___guilt.

  a. all

  b. none

  c. some

  d. every

39. Spiritual assessment starts with ___.

  a. diagnosis

  b. treatment

  c. data collection

  d. adoption examination

40. Prayer starts with ___________.

  a. taking to God

  b. listening to needs

  c. praising

  d. requesting

41. Our hairstyle and clothing are part of our ___ language.

  a. body

  b. sound

  c. action

  d. touch

42. The language of caring can express ___________ well.

  a. honesty

  b. sensitivity

  c. positiveness

  d. all 3

43. The goal of health care is to ___.

  a. promote health

  b. prevent disease

  c. avoid premature death

  d. all 3

44. The right to decide what will be done with yourself is called __________.

  a. autonomy

  b. privacy

  c. truthfulness

  d. all 3

45. A persons expected and acceptable Quality of Life usually __________.

  a. changes with time

  b. stays the same

  c. becomes irrelevant

  d. never changes

46. Life-sustaining treatment may be ___.

  a. curative

  b. palliative

  c. both curative and palliative

  d. curative but not palliative

47. To allow a patient to experience unbearable pain is __________.

  a. sometimes a good thing

  b. unethical

  c. ethical

  d. lawful

48. Employees shall put forth ___ effort in the performance of their duties (Federal Principles of Ethical Conduct)

  a. energetic

  b. honest

  c. full

  d. much

49. Worldwide in 1990, the percent who died at home was ___.

  a. 77

  b. 80

  c. 89

  d. 95

50. Palliative Care (PC) in relation to death __________.

  a. hastens it

  b. postpones it

  c. helps it along

  d. none of the 3

51. Pain can be managed by ___.

  a. massage

  b. hot packs

  c. medication

  d. all 3

52. The last sense to leave is ___.

  a. hearing

  b. smelling

  c. seeing

  d. tasting

53. Anger should be ______________.

  a. respected

  b. understood

  c. accepted

  d. all 3

54. In death, the skin may turn ___.

  a. red

  b. green

  c. purple

  d. none of the 3

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

  a. true

  b. false

  c. mostly true

  d. mostly false

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

  a. diagnosis

  b. treatment

  c. condition

  d. tests

57. Addressing spiritual issues has long been the domain of hospital ___.

  a. chaplains

  b. social workers

  c. nurses

  d. doctors

58. ____________ is a health insurance for the elderly or disabled conducted by the federal government that pays for hospice care.

  a. Medicaid

  b. Medicare

  c. CMS

  d. social security

59. A healthcare ___ is a person appointed to make a patient's medical decisions if he or she is unable to do so.

  a. provider

  b. proxy

  c. designate

  d. professional

60. The time at the end of life is ___ for each person.

  a. very similar

  b. the same

  c. different

  d. complex