Palliative quiz
Palliative Care Insights Quiz
Test your knowledge on the vital aspects of palliative care with our engaging quiz, designed for healthcare professionals, students, and anyone interested in understanding better end-of-life care.
- 12 thought-provoking questions
- Multiple choice format
- Understand key concepts in palliative care and hospice services
A patient has been receiving palliative care for the past several weeks in light of her worsening condition after a series of strokes. The caregiver has rung the call bell, stating that the patient "stops breathing for a while, then breathes fast and hard, and then stops again." You recognize that the patient is experiencing
Apnea
Bradypnea
Death rattle
Cheyne-Stokes respirations
What is the primary purpose of hospice?
Allow patients to die at home.
Provide better quality of care than the family can.
Coordinate care for dying patients and their families.
Provide comfort and support for dying patients and their families
The hospice nurse identifies an abnormal grief reaction by the wife of a dying patient, who says
"I don't think that I can live without my husband to take care of me."
"I wonder if expressing my sadness makes my husband feel worse."
"We have shared so much that it is hard to realize that I will be alone."
"I don't feel guilty about leaving him to go to lunch with my friends."
A hospice nurse is visiting with a dying patient. During the interaction, the patient is silent for some time. What is the best response?
Recognize the patient's need for silence, and sit quietly at the bedside.
Try distraction with the patient.
Change the subject, and try to stimulate conversation.
Leave the patient alone for a period
The nurse is caring for a patient who has been admitted to the hospital while receiving home hospice care. The nurse interprets that the patient has a general prognosis of which of the following?
3 months or less to live
6 months or less to live
12 months or less to live
18 months or less to live
Which one of the following statements about palliative sedation therapy (a patient is intentionally sedated to manage a refractory symptom) is False?
Palliative sedation done appropriately does not invariably shorten life
It is an ethically acceptable treatment modality so long as the intention is to control a refractory symptom
It invariably shortens life and therefore could be considered a form of euthanasia
It is generally required in only about 5 to 10% of patients at the end of life.
The most common reasons for initiating it are refractory delirium and dyspnea.
Abdullah is 66 and lives with his family. He has had heart problems for many years and he knows it is getting worse. He thinks he is probably dying, and would really like to be at home, with his loved ones, and die peacefully. The specialist has told his children that Abdullah has severe heart failure, it is incurable and he will die. They have asked that Abdullah not be told of his prognosis, because they worry the shock may kill him. They asked about a heart transplant, but the specialist says it is not appropriate. They have been in contact with a relative in the US, who says Abdullah should have an implantable defibrillator. The next time they see the specialist they will insist their father has this life saving procedure. But they don’t get the chance. Abdullah notices his ankles have started swelling and then one night he gets very breathless. The call and ambulance, it comes quickly, and Abdullah is admitted into hospital. His breathing is so bad they admit him into ICU. His usual specialist comes to see Abdullah, and explains to his family that he will not be able to come off the ventilator and medicines making his heart beat strongly. He is going to die in ICU. When deciding to withhold or withdraw life-sustaining treatment form a patient with decision-making capacity, which of the following should receive the least consideration?
Medical indications for treatment
The wishes of the patient’s family
The patient’s wishes
The treatment’s potential benefits and burdens
Which of the following statements is a misconception about palliative care?
Palliative care interventions usually result in hastening death
A central goal of palliative interventions is to improve a patient’s quality of life.
No specific therapy is excluded from consideration as a palliative intervention.
Palliative medicine’s efforts do not effect hospital lengths of stay.
Which of the following statements is true?
Artificial nutrition and hydration (ANH) refers to syringe feeding with canned formula.
A substantial body of evidence suggests that ANH improves the quality of life of people dying from cancer and other terminal illness.
ANH can be withdrawn when it no longer meets its therapeutic goal.
Once ANH has been initiated, it requires ethics committee action for withdrawal.
If a physician opposed to a terminally ill patient’s treatment choice, such as instituting mechanical ventilation at the very end of life, the physician should do which of the following?
Help the patient find another physician who is comfortable implementing the patient’s choice.
Call a meeting of the ethics committee.
Attempt to convince the patient to make a decision the physician can support.
Refuse to provide futile care for the patient
A 52-year-old terminally ill man with unrelieved pain requests a prescription for a 3-month supply of secobarbital. You are concerned that his intention is to use the medication to end his life. In addition to calling for help from your team, what is the best response?
Refer the patient to a colleague who is likely to writ the requested prescription.
Listen to this concerns and document the conversation carefully.
Write a prescription for a 1-week supply of secobarbital and advise the patient to call for refills as needed.
Attempt to determine the cause of the pain and treat it aggressively
Which of the following statements about obtaining informed consent for research is true?
Because many terminally ill patients are often frail and confused and may suffer from multiple problems, it may be difficult for them to understand a request for informed consent; therefore, a proxy should always be consulted.
The roles of clinician and researcher should not be separated to avoid possible conflicts.
Obtaining informed consent should be an ongoing process that is revisited as the patient’s condition changes.
When a terminally ill patient’s cognitive ability is uncertain, there is rarely a need to use independent evaluators to formally determine cognitive ability
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