NURS3730: WEEK 11 EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED GRADED A++
Your patient has advanced COPD. He is spending his entire day in bed, is unable
to do any activity, and requires total care. Fluid and nutritional intake is normal,
and they are entirely conscious. Using the palliative performance scale, what PPS
level would they receive?
30%
Your patient has stage 1 breast cancer. They are able to ambulate, maintain
normal activity and self-care, and are eating and drinking as normal. Their breasts
are red, flaky, and swollen. Using the palliative performance scale, what PPS level
would they receive?
90%
Your patient has type 1 diabetes, and has entered renal failure. Recently, they had
their lower leg amputated as a result of gangrene, so they are having a hard time
getting around. As a result of their disease progression, they are unable to do any
work. In addition, due to limited mobility, they require someone to help with their
self-care. But, they are eating and drinking normally, and are fully conscious at all
times. Using the palliative performance scale, what PPS level would they receive?
50%
Your patient has stage 4 ovarian cancer. She is completely bed bound, unable to
do any activity, and requires total care. At this point in her disease progression,
,her family is requesting mouth care only. She is in and out of consciousness,
unable to respond. Using the palliative performance scale, what PPS level would
they receive?
10%
_____ is a person's emotional response to the experience of a loss.
grief
____ is the state of having experienced a loss.
bereavement
____ is the process of adapting to life after a loss. it refers not so much to the
reaction to the loss but rather the process of integrating the loss into every day
life.
mourning
What are ambiguous losses?
unacknowledged losses (i.e., loss of the "person" when a person has cognitive
impairment/dementia)
Which of the following are important nursing considerations for patients with a
PPS level between 10-20%? Select all that apply.
A. talking as if the person can still hear and respond
B. asking the dignity question
C. opening doors to advance care planning
D. modeling ways of being with the person
, A and D
asking the dignity question, which is "what do I need to know baout you as a person to
help me provide the best care?", should be asked when a patient has a PPS level
between 60-50%
opening doors to advance care planning should be done when the patient has a PPS
level between 80-70%
Your patient has a PPS level of 50%. Which of the following should the nurse
implement in their care? Select all that apply.
A. preparing for patient to experience confusion
B. offering to connect them to spiritual or religious support
C. reducing/eliminating medications that may no longer be needed (i.e., insulin,
BP meds, heparin)
D. prepare an emergency kit
A and B
reducing/eliminating medications and preparing an emergency kit should be done when
a patient reaches a PPS level of 40-30%
At which PPS level should you consider switching medication route because the
patient will eventually lose the ability to swallow?
WITH COMPLETE SOLUTIONS VERIFIED GRADED A++
Your patient has advanced COPD. He is spending his entire day in bed, is unable
to do any activity, and requires total care. Fluid and nutritional intake is normal,
and they are entirely conscious. Using the palliative performance scale, what PPS
level would they receive?
30%
Your patient has stage 1 breast cancer. They are able to ambulate, maintain
normal activity and self-care, and are eating and drinking as normal. Their breasts
are red, flaky, and swollen. Using the palliative performance scale, what PPS level
would they receive?
90%
Your patient has type 1 diabetes, and has entered renal failure. Recently, they had
their lower leg amputated as a result of gangrene, so they are having a hard time
getting around. As a result of their disease progression, they are unable to do any
work. In addition, due to limited mobility, they require someone to help with their
self-care. But, they are eating and drinking normally, and are fully conscious at all
times. Using the palliative performance scale, what PPS level would they receive?
50%
Your patient has stage 4 ovarian cancer. She is completely bed bound, unable to
do any activity, and requires total care. At this point in her disease progression,
,her family is requesting mouth care only. She is in and out of consciousness,
unable to respond. Using the palliative performance scale, what PPS level would
they receive?
10%
_____ is a person's emotional response to the experience of a loss.
grief
____ is the state of having experienced a loss.
bereavement
____ is the process of adapting to life after a loss. it refers not so much to the
reaction to the loss but rather the process of integrating the loss into every day
life.
mourning
What are ambiguous losses?
unacknowledged losses (i.e., loss of the "person" when a person has cognitive
impairment/dementia)
Which of the following are important nursing considerations for patients with a
PPS level between 10-20%? Select all that apply.
A. talking as if the person can still hear and respond
B. asking the dignity question
C. opening doors to advance care planning
D. modeling ways of being with the person
, A and D
asking the dignity question, which is "what do I need to know baout you as a person to
help me provide the best care?", should be asked when a patient has a PPS level
between 60-50%
opening doors to advance care planning should be done when the patient has a PPS
level between 80-70%
Your patient has a PPS level of 50%. Which of the following should the nurse
implement in their care? Select all that apply.
A. preparing for patient to experience confusion
B. offering to connect them to spiritual or religious support
C. reducing/eliminating medications that may no longer be needed (i.e., insulin,
BP meds, heparin)
D. prepare an emergency kit
A and B
reducing/eliminating medications and preparing an emergency kit should be done when
a patient reaches a PPS level of 40-30%
At which PPS level should you consider switching medication route because the
patient will eventually lose the ability to swallow?
