NUR 2016: PALLIATIVE & END OF LIFE CARE: TEST
QUESTIONS WITH COMPLETE SOLUTIONS
1) What is palliative care? -- Answer ✔✔ Interdisciplinary approach to relieve suffering
and improve quality of life. More about goal setting. Can be beneficial for chronic
illness/disease.
2) What is the principal of double effect? -- Answer ✔✔ Consequences a person
intends vs consequences that are unintended but foreseen. Intent matters.
3) What symptoms are common in palliative/end of life care that we as nurses will be
managing? -- Answer ✔✔ Dyspnea, anxiety, delirium, nausea and vomiting
4) How to manage dyspnea in a palliative or end of life patient? -- Answer ✔✔
Supplemental o2, morphine for air hunger, fan on pt for air hunger
5) How to manage anxiety in a palliative or end of life patient? -- Answer ✔✔
anxiolytics, removing people from the room to decrease stress
6) How to manage delirium in a palliative or end of life patient? -- Answer ✔✔ Dim
lights, music, cool temperature in room
, 7) How to manage nausea and vomiting in a palliative or end of life patient? -- Answer
✔✔ Scopolamine patch, oral care
8) Why is scopolamine patch a good option for nausea and vomiting in palliative care
patients? -- Answer ✔✔ Because it will help dry up excess secretions
9) What are advanced directives? -- Answer ✔✔ Any written or oral instructions the
patient gives regarding what care they want during end of life.
10) What all should advanced directives include? -- Answer ✔✔ Do they want CPR,
intubation, feeding tube, breathing tube etc. Should also include a medical power of
attorney.
11) What is a medical power of attorney? -- Answer ✔✔ patient designates an agent to
make medical decisions in the event that they lose decision making capacity, can be
revoked by patient at any time
12) What is a Medical Order for Scope of Treatment (MOST) form? -- Answer ✔✔ A
type of advanced directive. Provides specific medical orders for end of life treatment.
Should be signed by physician.
13) What is an AND? -- Answer ✔✔ Only comfort measures are provided. No invasive
procedures to prolong patient's life
QUESTIONS WITH COMPLETE SOLUTIONS
1) What is palliative care? -- Answer ✔✔ Interdisciplinary approach to relieve suffering
and improve quality of life. More about goal setting. Can be beneficial for chronic
illness/disease.
2) What is the principal of double effect? -- Answer ✔✔ Consequences a person
intends vs consequences that are unintended but foreseen. Intent matters.
3) What symptoms are common in palliative/end of life care that we as nurses will be
managing? -- Answer ✔✔ Dyspnea, anxiety, delirium, nausea and vomiting
4) How to manage dyspnea in a palliative or end of life patient? -- Answer ✔✔
Supplemental o2, morphine for air hunger, fan on pt for air hunger
5) How to manage anxiety in a palliative or end of life patient? -- Answer ✔✔
anxiolytics, removing people from the room to decrease stress
6) How to manage delirium in a palliative or end of life patient? -- Answer ✔✔ Dim
lights, music, cool temperature in room
, 7) How to manage nausea and vomiting in a palliative or end of life patient? -- Answer
✔✔ Scopolamine patch, oral care
8) Why is scopolamine patch a good option for nausea and vomiting in palliative care
patients? -- Answer ✔✔ Because it will help dry up excess secretions
9) What are advanced directives? -- Answer ✔✔ Any written or oral instructions the
patient gives regarding what care they want during end of life.
10) What all should advanced directives include? -- Answer ✔✔ Do they want CPR,
intubation, feeding tube, breathing tube etc. Should also include a medical power of
attorney.
11) What is a medical power of attorney? -- Answer ✔✔ patient designates an agent to
make medical decisions in the event that they lose decision making capacity, can be
revoked by patient at any time
12) What is a Medical Order for Scope of Treatment (MOST) form? -- Answer ✔✔ A
type of advanced directive. Provides specific medical orders for end of life treatment.
Should be signed by physician.
13) What is an AND? -- Answer ✔✔ Only comfort measures are provided. No invasive
procedures to prolong patient's life
