According to the Palliative Performance Scale which patient is considered to possess 70% of normal function?
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40 year old diagnosed with AIDS whose condition makes it impossible to hold a job.
70 year old diagnosed with end stage renal failure who spends most of the day in bed.
50 year old diagnosed with emphysema whose disease has begun to impact normal ambulate.
30 year old diagnosed with muscular dystrophy who is bed bound.
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Question 2
Free
Multiple Choice
The Karnofsky prognostication scale is most appropriately used to screen patients with which medical diagnoses?
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Respiratory diseases
Cancers
Cardiac diseases
AIDS
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Question 3
Free
Multiple Choice
A peaceful death is best characterized by which terminally ill patient?
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One who is surrounded by family
One who uses meditation to help manage pain
One who has advanced directives in place
One who has drifted from lethargy to coma
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Question 4
Free
Multiple Choice
Which patient's decision-making capacity should be a concern for the palliative care nurse?
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The one who asks, "Why do I need palliative care?"
The patient with a diagnosis of moderate Alzheimer's disease
The one whose family is used to being consult about decisions affecting the patient
The patient who has expressed concerns about "all the decisions I have to make."
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Question 5
Free
Multiple Choice
What is the primary factor that characterizes a patient receiving palliative care
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A diagnosis of a serious, life-threatening disease
Ability to make sound health care decisions
An interest in exploring available life sustaining treatment options
A life expectancy of less than 12 months
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Question 6
Multiple Choice
As a patient's condition moves toward their impending death, which nursing intervention demonstrates how the focus of palliative care change?
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The patient is encouraged to discuss their spiritual needs.
The patient is educated concerning the physical changes associated with the dying process.
The patient's advance care plan is formulated and implemented.
The patient's comfort needs are identified.
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Question 7
Multiple Choice
When first diagnosed with Parkinson disease, how can the patient and family best avoid future ethical dilemmas concerning the patient's care?
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Work with the patient and family to create an advanced plan of care.
Explain to the family that the patient's cognitive function will deteriorate as time passes.
Discuss the patient's religious and spiritual concerns to identify potential problems.
Identify which family members will be in control of decision making for the patient.
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Question 8
Multiple Choice
What is the initial step when addressing an ethically challenging situation?
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Identify all those who are involved in the situation.
Review the overall situation to identify the core issues.
Gather all the relevant facts about the situations.
Determine what the ethical dilemma is.
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Question 9
Multiple Choice
Which statement correctly applies to a person's suffering?
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Pain is the cause of suffering.
Suffering and pain are experienced separately.
Suffering can exist without the experience of pain.
Pain is the focus of all nursing assessments.
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Question 10
Multiple Choice
When working with the family of a patient receiving palliative care, what is the nurse's initial intervention?
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Determining who will be the patient's durable power of attorney
Identifying what types of help the family will need to care for the patient
Completely an assessment of the family's strengths and weaknesses
Discuss the dynamics of the family with the patient
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Question 11
Multiple Choice
A daughter tells the nurse that, "Mom will be as good as new when we get this advanced cancer cured." How can the nurse best help the daughter in the role of caregiver?
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Working toward setting realistic goals for both her mother and herself
Finding the daughter in home help to assist with her mother's care
Discuss with the patient the role her daughter will play in her care
Encourage the daughter to regularly share her feelings with her mother
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Question 12
Multiple Choice
The principle of autonomy is best supported by what intervention made available to palliative care patients?
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Arranging for in-home health care
Addressing the patient's specific pain management needs
Helping the patient decide on the details of their advanced plan of care
Conducting a thorough performance status screening on the patient
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Question 13
Multiple Choice
Which statements are true regarding palliative care services? (select all that apply)
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Begins at the time of that a diagnosis of a serious illness occurs
Care can be delivered in most settings.
Expenses are paid for by Medicare.
Is appropriate for all patients regardless of age.
Providers are skilled in symptom management.
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Question 14
Essay
________________ occurs when a physician predicts the course and outcome of a disease process.