Page 1 of 72
NUR445 PRACTICE EXAM PRACTICE
QUESTIONS WITH
VERIFIED SOLUTIONS TESTED AND
APPROVED!!!
What is the FICA tool used for? -- ANSWER--Taking a spiritual history
What does FICA stand for? -- ANSWER--F: faith and belief
I: importance
C: community
A: address in care
The _______________________________ act was the first federal law to focus on rights of
adults to refuse treatment -- ANSWER--Patient self-determination act
T/F once signed advance directives are legally enforceable? -- ANSWER--True
T/F Patient and healthcare proxies can change mind any time during patient's care from what
is defined in document -- ANSWER--True
, Page 2 of 72
What is a advance directive? -- ANSWER--A legal document that records decisions regarding
life-saving or life-sustaining care and actions to be taken in a situation where the patient is no
longer able to provide informed consent.
What is the purpose of advanced directives? -- ANSWER--Help patients identify wishes
regarding healthcare decisions in a legal manner
Aid healthcare personal and family to respect patient's wishes
Provide immunity from liability when providers act in good faith and in accordance with state
law
What is a living will -- ANSWER--A directive from a competently deemed individual,
directed at family and healthcare personnel regarding the treatments the individual wishes to
received should they no longer be able to make decisions on their own.
What are the barriers to quality care at the end of life? -- ANSWER--Failure to acknowledge
the limits of medicine
Workforce too small to meet demands
Lack of training
Hospice/palliative care poorly understood
Lack of payment models linked to quality measures
Rules and regulations
Denial of death
, Page 3 of 72
What are the two parts of prognostication? -- ANSWER--Foreseeing (estimating prognosis)
Foretelling (discussing prognosis)
What parts of performance status did Karnofsky look at? -- ANSWER--ECOG poor
predictors, multiple symptoms, biological markers
What type of patients did the pivotal study for palliative care involve? -- ANSWER--Patients
with metastatic non small cell lung cancer
In the pivotal study for palliative care involving Patients with metastatic non small cell lung
cancer what was found in those who received early palliative care received what benefits? --
ANSWER--Increased quality of life and mood
Less aggressive care
Longer survival``
Does Palliative Care Improve Care, Decrease Hospitalizations & Save Money -- ANSWER-
Yes, improved home care leads to increased satisfaction, fewer admissions, shorter stays, and
savings of more than 700 per patient per month
What is the role of the nurse in palliative care? -- ANSWER--Some things cannot be fixed
Use of therapeutic presence
Maintaining a realistic perspective
T/F patients who recieve an earlier palliative care consult save the hospital money? --
, Page 4 of 72
ANSWER--True:
What should be assessed when utilizing palliative care? -- ANSWER--Physical symptoms
Emotional symptoms
Spirituality
Quality of life
Caregivers outcomes
What role do nurses play in caring for seriously ill patients and their families? -- ANSWER-
Elicit goals of care
Assess, manage, coordinate care
Listen
Bear witness
Communicate with team
Knowledgeable in evidence based practice
What are the top five leading causes of death in america? -- ANSWER--Heart disease Cancer
Chronic lower respiratory disease
Unintentional injury
Cerebrovascular diseases
NUR445 PRACTICE EXAM PRACTICE
QUESTIONS WITH
VERIFIED SOLUTIONS TESTED AND
APPROVED!!!
What is the FICA tool used for? -- ANSWER--Taking a spiritual history
What does FICA stand for? -- ANSWER--F: faith and belief
I: importance
C: community
A: address in care
The _______________________________ act was the first federal law to focus on rights of
adults to refuse treatment -- ANSWER--Patient self-determination act
T/F once signed advance directives are legally enforceable? -- ANSWER--True
T/F Patient and healthcare proxies can change mind any time during patient's care from what
is defined in document -- ANSWER--True
, Page 2 of 72
What is a advance directive? -- ANSWER--A legal document that records decisions regarding
life-saving or life-sustaining care and actions to be taken in a situation where the patient is no
longer able to provide informed consent.
What is the purpose of advanced directives? -- ANSWER--Help patients identify wishes
regarding healthcare decisions in a legal manner
Aid healthcare personal and family to respect patient's wishes
Provide immunity from liability when providers act in good faith and in accordance with state
law
What is a living will -- ANSWER--A directive from a competently deemed individual,
directed at family and healthcare personnel regarding the treatments the individual wishes to
received should they no longer be able to make decisions on their own.
What are the barriers to quality care at the end of life? -- ANSWER--Failure to acknowledge
the limits of medicine
Workforce too small to meet demands
Lack of training
Hospice/palliative care poorly understood
Lack of payment models linked to quality measures
Rules and regulations
Denial of death
, Page 3 of 72
What are the two parts of prognostication? -- ANSWER--Foreseeing (estimating prognosis)
Foretelling (discussing prognosis)
What parts of performance status did Karnofsky look at? -- ANSWER--ECOG poor
predictors, multiple symptoms, biological markers
What type of patients did the pivotal study for palliative care involve? -- ANSWER--Patients
with metastatic non small cell lung cancer
In the pivotal study for palliative care involving Patients with metastatic non small cell lung
cancer what was found in those who received early palliative care received what benefits? --
ANSWER--Increased quality of life and mood
Less aggressive care
Longer survival``
Does Palliative Care Improve Care, Decrease Hospitalizations & Save Money -- ANSWER-
Yes, improved home care leads to increased satisfaction, fewer admissions, shorter stays, and
savings of more than 700 per patient per month
What is the role of the nurse in palliative care? -- ANSWER--Some things cannot be fixed
Use of therapeutic presence
Maintaining a realistic perspective
T/F patients who recieve an earlier palliative care consult save the hospital money? --
, Page 4 of 72
ANSWER--True:
What should be assessed when utilizing palliative care? -- ANSWER--Physical symptoms
Emotional symptoms
Spirituality
Quality of life
Caregivers outcomes
What role do nurses play in caring for seriously ill patients and their families? -- ANSWER-
Elicit goals of care
Assess, manage, coordinate care
Listen
Bear witness
Communicate with team
Knowledgeable in evidence based practice
What are the top five leading causes of death in america? -- ANSWER--Heart disease Cancer
Chronic lower respiratory disease
Unintentional injury
Cerebrovascular diseases
