Chapter 14: Palliative and End-of Life
CareTest Bank
Multiple Choice
QUESTIONS AND ANSWERS
1. A patient who is near death is exhibiting signs of agitation, anxiety, and
intractable pain.When discussing palliative sedation with this patient’s family, what
will be discussed?
Select all that apply.
a. The chance that refractory symptoms will be alleviated
b. The fact that this is an intervention of last resort
c. The likelihood that the patient will develop dependence on the drugs
d. The need for informed consent from the patient and family
e. The possibility that this measure may hasten death
ANS: B, D, E
Palliative sedation is used as a treatment of last resort for patients whose symptoms are
intolerable or refractory. Patients, if possible, and family members must give informed
consent. This treatment has the possibility of hastening death by inhibiting respirations.
Symptoms will not be alleviated by using the measure. The chance of drug dependence is
irrelevant in this situation. REF: Palliative Sedation for Management of Intractable
Symptoms in Patients Near Death
2. When should palliative care be initiated by a primary care provider?
a. After an ill patient asks for Hospice services
b. As part of routine health maintenance
c. When a patient is diagnosed with a serious disease
d. When an interdisciplinary team is formed to manage a disease