Reference no: EM133845747
Question
1. Baggage refers to values, beliefs, opinions and experiences you carry:
a) True
b) False
2. Part of maintaining your therapeutic boundary with your client is to be clear about your scope of practice and your job description:
a) True
b) False
3. Patterns of dying include sudden, stuttering, and slow:
a) True
b) False
4. Hospice palliative care teams work to ensure that a person dies as quickly as possible and are sedated sufficiently to ensure they have no pain:
a) True
b) False
5. Terms associated with caring for the dying include "palliative" or "end-of-life" care:
a) True
b) False
6. An appropriate death ensures that the person is treated with dignity and their needs and preferences are addressed by the health care team:
a) True
b) False
7. Silence is a poor communication technique with a dying person as they become uneasy when there is no conversation occurring:
a) True
b) False
8. Both diarrhea and constipation can be related to the dying person's disease, intake, lack of mobility and medications:
a) True
b) False
9. Anorexia is the loss of appetite:
a) True
b) False
10. What a dying person likes to eat is not as important as good nutrition practices:
a) True
b) False
11. Choose the appropriate definition for dyspnea:
a) Difficulty breathing or a feeling of breathlessness
b) Feeling short of breath
c) Clients say they feel like they can't catch their breath, or are struggling to breathe
d) All of the above
12. Cachexia could be described as:
a) Random weight loss due to over exercising
b) Weight loss that occurs regardless of intake with accompanying loss of muscle
c) Weight loss caused by dieting
d) The same as anorexia and bulimia
13. Which of the follow answers best describes dehydration?
a) Difficulty swallowing
b) Client does not want to drink water
c) Inability to drink fluids unless a straw is used
d) Lack of adequate fluids in the body to maintain normal function
14. A brain disease that develops gradually is:
a) Dementia
b) Delirium
15. A sudden change in a person's mental abilities is:
a) Dementia
b) Delirium
16. Changes in a person's condition such as fever, infection and dehydration, may cause:
a) Dementia
b) Delirium
17. Which of the following choices identifies symptoms of mouth discomfort that the person may have?
a) Dry lips, gums and tongue
b) Moist, pink gums and tongue
c) Swollen mucosa, lips and tongue, possibly with white patches
d) Both a and c
18. If you observed your client moaning, frowning, not wanting to be touched or refusing care it may indicate:
a) The client doesn't like you and would like to be left alone
b) The client has untreated or increased pain
c) The client is taking too much medication
d) The client is angry
19. Which answer best indicates helpful responses to your client who is experiencing difficulty breathing:
a) Have the client breath with you
b) Position upright with pillows under arms
c) Open a window and have a fan running, loosen any tight clothing
d) All of the above
20. A body map is used so that a person can indicate where on their body they are experiencing pain:
a) True
b) False
21. People with Alzheimer's type dementia lose higher level of functioning and then progress to losing basic functions including the ability to swallow:
a) True
b) False
22. Which of the following are not effective in late-stage dementia?
a) Gastric tubes
b) IV's
c) CPR
d) All of the above
23. Which of the following is a common physical change during the last hours of a dying person's life?
a) Increased intake
b) Regular, deep respirations
c) Increased drowsiness
d) Watery eyes
24. Advance Care Planning is the conversation that people have with their loved ones about their values, beliefs and hopes regarding their own end of life care:
a) True
b) False
25. The person chosen by the dying person or the health care team to speak on the person's behalf when they are no longer able to direct their own care is the:
a) Executor
b) Lawyer
c) Paralegal
d) Substitute Decision Maker
26. Using correct language with children concerning the subject of death prevents confusion and helps children develop an understanding of death:
a) True
b) False
27. Which of the following is not one of the three "C's" that relate to the concerns children have when their loved one is dying?
a) Could I catch it?
b) Who will care for me?
c) Did I cause it?
d) Can I cure it?
28. Which of the following expresses truth about loss and grief?
a) Only the elderly experience loss and grief
b) Everyone grieves and eventually gets over it
c) Grief is a whole person experience
d) Denial is an ineffective way to cope with grief
29. The dying person often experiences decreased intake and involuntary weight loss. This is not stressful for the family:
a) True
b) False
Questions 30 - 32 relate to the topic of the three colours of a traffic light (red, yellow, green) and how they can help a caregiver assess whether or not they are experiencing compassion fatigue. Indicate "a" or Green, "b" for Yellow, or "c" for red.
30. You feel your very best before work, you are well-rested, and excited to go to work with your clients who are receiving palliative care. What colour is your traffic light?
a) Green
b) Yellow
c) Red
31. You are feeling tired and stressed. It's hard to get out of bed and if one more person asks you to go do something for them, you are going to crack. Life is busy at home, you don't feel like working and looking after anyone other than yourself. What colour is your traffic light?
a) Green
b) Yellow
c) Red
32. You have been working for the same employer for 10 years and you have loved your job so far, but lately you have noticed that the workload has increased and you frequently work short staffed. You are feeling like you don't like your job anymore and maybe it's time to move on to something else before you really hate it. What colour is your traffic light:
a) Green
b) Yellow
c) Red
33. You are using the PPS to make observations of your client. At the time of your observation, you find your client to be: totally bedbound, unable to do any activity, requiring total care, drowsy at times and only taking minimal sips of water. What PPS level would you rate them at?
a) 20%
b) 60%
c) 40%
d) 10%
34. It is important to provide post-mortem care soon after death, before the body cools and becomes less flexible to move (rigor mortis):
a) True
b) False
35. Most families are eager for the person to start on opioids because they help to prevent constipation and stop vomiting:
a) True
b) False
36. List five principles for using medication to manage symptoms:
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