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End Of Life II - Clinical Management - PT - 3 Hour

INSTRUCTIONS
You will need to answer 11 questions correctly to pass the test.
(1) More than 90% of the people who die from disease have a long period of illness with gradual deterioration. (p.3)
(A) True
(B) False
(2) Patients who are too fatigued to move should have a "donut" cushion placed around areas that show signs of pressure induced cutaneous ischemia. (p.4)
(A) True
(B) False
(3) Central cyanosis and oliguria are commonly seen in individuals close to death. (p.6)
(A) True
(B) False
(4) Terminal delirium is _______. (p.7)
(A) Rarely caused by the sudden onset of uncontrolled pain during the last hours of life.
(B) Relieved by opioids in patients with poor renal clearance.
(C) Effectively managed with patient reorientation strategies.
(D) Defined as hypoactive if the patient experiences auditory and/or visual hallucinations
(5) Changes in a dying patient's breathing pattern may be indicative of significant neurologic compromise. (p.9)
(A) True
(B) False
(6) Approximately half of all people who are nearing death experience _______. (p.11)
(A) Rattle
(B) Pain
(C) Myoclonic jerking
(D) Hemorrhaging
(7) Restlessness, agitation, moaning, and groaning are all signs that the patient is in considerable pain. (p.12)
(A) True
(B) False
(8) Palliative care seeks to cure underlying disease as well as prevent, relieve, reduce, and soothe symptoms. (p.16)
(A) True
(B) False
(9) All levels of hospice care must include which of the following core services? (p.20)
(A) Chaplaincy
(B) Occupational, physical, and speech therapy
(C) Homemaker services
(D) All of the above
(10) Which of the following is NOT one of the proposed definitions of medical futility? (p.21)
(A) A treatment tht won't achieve the patient's intended goal
(B) A treatment whose costs are unjustified relative to intended outcome
(C) A treatment that is ineffective more than 99% of the time
(D) A treatment that does not serve a legitimate goal of medical practice
(11) Value conflicts between the patient/family/surrogate and the health care team are typically focused on goals and/or benefits. (p.24)
(A) True
(B) False
(12) There is strong evidence that _______ improves energy levels and prolongs survival in patients with end-stage disease. (p.27-29)
(A) enteral nutrition
(B) parenteral nutrition
(C) artificial hydration
(D) none of the above
(13) Resuscitation includes all interventions that provide cardiovascular, respiratory, and metabolic support necessary to maintain and sustain the life of a dying patient. (p.32)
(A) True
(B) False
(14) A terminally ill patient is given opioid medication to alleviate severe pain. The unintended consequence of this action may the the shortening of the patient's life. This is an example of _______. (p.34)
(A) Euthanasia
(B) The Principle of Double Effect
(C) The Doctrine of Unintended Consequences
(D) Errare hunanum est
(15) Which of the following is TRUE? (p.35)
(A) Physicians are required to provide all life sustaining measures possible.
(B) Patients have a right to refuse treatment, even when treatment might prolong their life.
(C) Physicians are legally required to provide futile care if the patient (or their legal proxy) specifically request it.
(D) None of the above is true.
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