Nursing 430 Final Exam Questions with Correct Answers.

Adjuvant Drugs Correct Answer Non analgesic medications used along with analgesics to increase effectiveness. Examples: antidepressants, muscle relaxants, corticosteroids, anticonvulsants Advanced directives Correct Answer Documents that detail a patient's wishes. They take effect only when the patient becomes unable to communicate their wishes. May also be called Living Will, Durable Power of Attorney for Healthcare or Healthcare Proxy depending on the state. The Patient Self-Determination act of 1991 ruled that patients must be given information about their right to prepare advanced directives. Breakthrough pain Correct Answer Pain that "breaks through" the baseline analgesic dosing schedule. Requires PRN analgesic dosing 10-20% of 24 hour dose. Healthcare proxy Correct Answer A person designated to make medical decisions for a patient once the patient becomes unable to make them for him/herself. Hospice Homecare Correct Answer At home CMO care for patients with a prognosis of less than 6 months. Interdisciplinary team. DOES NOT SHORTEN OR PROLONG LIFE. Hospice vs. Palliative Correct Answer Hospice = CMO, 6 mo prognosis verified by at least 2 physicians Palliative = any intervention that makes the patient feel better but does not cure/treat the cause of the discomfort Hospice Correct Answer - Provide comfort and support - Care for the whole person - Support family members - Any setting, often home - Multifaceted care - Not just cancer - DOES NOT SHORTEN OR PROLONG LIFE - Not curative Medicare Hospice Benefit criteria Correct Answer - Eligible for medicare part A - 2 physicians + hospice medical director certify 6 mo prognosis - Pt signs statement foregoing treatments for terminal illness (Medicare continues to cover treatments for co-occurring non-terminal illnesses) - Hospice program is Medicare-approved