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End Of Life I - Psychosocial Considerations - OT - 4 Hour

INSTRUCTIONS
You will need to answer 14 questions correctly to pass the test.
(1) Almost all terminally ill individuals experience the same five sequential stages: denial, anger, bargaining, depression, and acceptance. (p. 5)
(A) True
(B) False
(2) Clinical depression is often experienced by terminally ill patients; it is normal and typically resolves without treatment. (p. 6)
(A) True
(B) False
(3) Which of the following is NOT an example of a dying trajectory? (p. 9-10)
(A) Gradual slant
(B) Peaks and valleys
(C) Ascending slant
(D) Descending plateaus
(4) What are the five E's referring to? (p. 13)
(A) Communication with patients and their family
(B) Clinical steps used to evaluate patient status
(C) Assessment of patient pain
(D) Treatment parameters for terminally ill patients
(5) Imparting information to the patient achieves which of the following? (p. 15)
(A) Grants patients a sense of control
(B) Reduces anxiety
(C) Improves compliance
(D) All of the above
(6) Advance care planning is a process that helps patients identify and clarify their personal values and goals about health and medical treatment. (p. 20)
(A) True
(B) False
(7) A ____________ is a set of instructions based on likely scenarios of illness, goals for care, and specific treatments, combined with a general values statement. (p. 20-23)
(A) living will
(B) medical directive
(C) health care proxy
(D) will
(8) Which of the following criteria is NOT utilized to determine patient decision-making capacity? (p. 26)
(A) The patient must be able to understand the information.
(B) The patient must use the information in a rational way to come to a decision.
(C) The patient's decision must be consistent with the evidence-based advice presented by the medical community.
(D) The patient must be able to appreciate the consequences of the decision.
(9) A referral for hospice care becomes easier if the idea is presented as a response to a need rather than something to turn to when there is nothing left to do. (p. 28)
(A) True
(B) False
(10) Which of the following is NOT commonly seen when the primary goal of care is curative? (p. 30)
(A) Patient's psychological attitude is "win".
(B) Patient symptom relief is a primary focus.
(C) Patient advance care planning is initiated.
(D) Support for the family is addressed.
(11) Caring for a patient at home decreases the technical and emotional demands on the family. (p. 33)
(A) True
(B) False
(12) In which phase of bereavement do individuals commonly experience a combination of intense separation anxiety and disregard or denial of the reality of the loss? (p. 37)
(A) Shock and numbness
(B) Yearning and Searching
(C) Disorganization and Despair
(D) Reorganization
(13) Which of the following is NOT one of Worden's four tasks of grief? (p. 38-39)
(A) Accepting the reality of the loss.
(B) Eliminating the pain of grief.
(C) Adjusting the environment in which the deceased is missing.
(D) Withdrawing emotional energy from the deceased and reinvesting in other relationships.
(14) Complicated grief can take many forms. It may manifest as absent grief, inhibited grief, delayed grief, conflicted grief, or chronic grief. (p. 39)
(A) True
(B) False
(15) Anticipatory grief is defined as conventional (post-death) grief that begins early (pre-death). (p. 42)
(A) True
(B) False
(16) Which of the following is a sign of clinical depression? (p. 44)
(A) Variable behavaior
(B) Pre-occupation with loss
(C) Limited responsiveness to others
(D) Periodic weeping or crying
(17) The three phases of mourning are 1. The urge to recover the lost person. 2. Disorganization and despair. 3. Reorganization. (p. 45)
(A) True
(B) False
(18) Children often play death games as a way of working out their feelings and anxieties in a relatively safe setting. (p. 48)
(A) True
(B) False
(19) At what age do children typically understand that everyone (including themselves) will die? (p. 50)
(A) 9 years and older
(B) 6 - 9 years old
(C) 2 - 6 years old
(D) 0 - 2 years old
(20) Euphemisms for death (e.g., "he passed away", "he is sleeping") should be avoided with children because they can confuse them and lead to misinterpretations. (p. 51)
(A) True
(B) False
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