CHPLN Exam 115 Questions with Verified Answers,100% CORRECT

CHPLN Exam 115 Questions with Verified Answers Hospice Care - CORRECT ANSWER Care focuses on a person's last six months of life of less. When curative treatment is no longer an option, hospice professionals work to make the patient's life as comfortable as possible. Palliative Care - CORRECT ANSWER Care designed not to treat an illness but to provide physical and emotional comfort to the patient and support and guidance to his or her family. Does not require a 6 month diagnosis Core IDT - CORRECT ANSWER Nurse Psychosocial Professionals - social workers Counselor- Chaplin, Bereavement, Counselor or Dietitian Physician Hospice Levels of Care - CORRECT ANSWER - routine (home) care •Days 1-60 •Days 61+ - respite care - inpatient hospice care - crisis or continuous care Hypercapnia - CORRECT ANSWER the abnormal buildup of carbon dioxide in the blood Exsanguinate - CORRECT ANSWER to drain of blood R. A. A. S - CORRECT ANSWER Activated by the kidneys when patient is in heart failure. Neuralgia - CORRECT ANSWER nerve pain first hospice in the US - CORRECT ANSWER New Haven, CT in 1960's - Florence Wald Multi-disciplinary team - CORRECT ANSWER More hospital based Uremia - CORRECT ANSWER urine in the blood Mycolonus - CORRECT ANSWER Movement disorder, facial or multi focal, sudden, brief, shock-like, involuntary movements - jerks, twitching, brief spasms of muscles. Assessing/Reassessing - CORRECT ANSWER Usually the correct answer Akathisia - CORRECT ANSWER intense need to move about; characterized by restless movement, pacing, inability to remain still, and the client's report of inner restlessness Dystonia - CORRECT ANSWER a condition of abnormal muscle tone that causes the impairment of voluntary muscle movement Ischemia - CORRECT ANSWER an inadequate blood supply to an organ or part of the body, especially the heart muscles. Causes 87% of strokes Hemorrhagic - CORRECT ANSWER pertaining to profuse or excessive bleeding. Usually occurs suddenly. Dementia - CORRECT ANSWER group of symptoms marked by memory loss and loss of other cognitive functions such as perception, thinking, reasoning, and remembering F.A.S.T scale assessment - CORRECT ANSWER Used to determine the progression of dementia. Baclofen (Lioresal) - CORRECT ANSWER Muscle Relaxant. Can only be given PO/Intrathecal (spinal cord) Left sided heart failure (CHF) - CORRECT ANSWER 1. Pnea, SOB 2. Crackles 3. Oliguria 4. Frothy Sputum 5. Displaced Apical Pulse (Hypertrophy) Xerostomia - CORRECT ANSWER Dryness of the mouth caused by reduction of saliva Right sided heart failure - CORRECT ANSWER 1. Jungular Vein Distention 2. Ascending Dependent Edema 3. Weight Gain 4. Hepatomegaly (Liver Enlargement) Mucositis - CORRECT ANSWER painful inflammation of oral mucous membranes Candidiasis (Thrush) - CORRECT ANSWER Thick, white, raised patches in the mouth Pruritus - CORRECT ANSWER severe itching Melanoma - CORRECT ANSWER The most serious form of skin cancer Melanoma, Brest & Lung Cancer - CORRECT ANSWER 3 cancers that commonly metastasis to these sites Lungs Liver Bone Brain Colorectal and Pancreatic Cancer - CORRECT ANSWER 2 cancers that commonly metastasis to these sites Lungs Liver Prostate Cancer - CORRECT ANSWER Which cancer commonly metastasis to these sites Lungs Liver Bone Valproic Acid - CORRECT ANSWER Depakote - mood stabilizing anti-epileptic Oxcarbazepine - CORRECT ANSWER Trileptal, Oxtellar XR - anticonvulsant Olanzapine - CORRECT ANSWER Zyprexa - atypical antipsychotic Aripiprazole - CORRECT ANSWER Abilify - atypical antipsychotic Quetiapine - CORRECT ANSWER Seroquel - atypical antipsychotic Risperidone - CORRECT ANSWER Risperdal - atypical antipsychotic Ziprasidone - CORRECT ANSWER Geodon - atypical antipsychotic Fluoxetine - CORRECT ANSWER Prozac - Antidepressant; Selective Serotonin Reuptake Inhibitor (SSRI) Sertraline - CORRECT ANSWER Zoloft - Antidepressant; Selective Serotonin Reuptake Inhibitor (SSRI) Paroxetine - CORRECT ANSWER Paxil - Antidepressant; Selective Serotonin Reuptake Inhibitor (SSRI) Bupropion - CORRECT ANSWER Wellbutrin antidepressant depression, smoking cessation Autonomy - CORRECT ANSWER the right of self-government/self-determination Beneficence - CORRECT ANSWER Doing good or causing good to be done; kindly action Non-maleficence - CORRECT ANSWER do no harm Justice - CORRECT ANSWER fairness; equitable and appropriate treatment Veracity - CORRECT ANSWER truthfulness, honesty Disclosure - CORRECT ANSWER the action of making new or secret information known Informed Consent - CORRECT ANSWER Giving all information to patients so they can make the decision right for them Advocacy - CORRECT ANSWER support; active pleading on behalf of someone or something Fidelity - CORRECT ANSWER Establishing trust; keeping promises Bio Medical Ethics - CORRECT ANSWER Guide for decision making Futility - CORRECT ANSWER Expected gain is not adequate Distributive Justice - CORRECT ANSWER allocation of resources Vulnerability - CORRECT ANSWER A persons susceptibility Compassion - CORRECT ANSWER Deep concern beyond empathy Discernment - CORRECT ANSWER the ability to judge well; to proceed correctly Integrity - CORRECT ANSWER Standing up for what is right Confidentiality - CORRECT ANSWER not disclosing or telling information that is personal or private about a resident, except to authorized people Capacity - CORRECT ANSWER Ability to understand choice Competence - CORRECT ANSWER Legal judgement Surrogate Decision-Maker - CORRECT ANSWER is legally obligated to make decisions as the patient would want Goal of Ethics - CORRECT ANSWER Promote positive patient outcome Components of Total Pain - CORRECT ANSWER Physical Spiritual Emotional Social Somatic pain is: - CORRECT ANSWER JOINTS/MUSCLES - localized, sharp pain; usually obvious (tissue pain) Treatments: NSAIDS or Opioids Visceral pain is: - CORRECT ANSWER ORGANS - vaguely localized, diffuse aching; occurs from stretching or activation of nociceptors Treatment: Conventional analgesics and antispasmodics Abstinence Syndrome - CORRECT ANSWER a characteristic cluster of symptoms that results from a sudden decrease in the level of usage of a substance Pseudoaddiction - CORRECT ANSWER Patient behaviors (drug seeking) that may occur when pain is undertreated. Hyperalgesia - CORRECT ANSWER increased sensitivity to pain; Opposite of tolerance Allodynia - CORRECT ANSWER Pain due to a stimulus that does not normally provoke pain Addiction - CORRECT ANSWER compulsive drug craving and use, despite adverse consequences Misuse - CORRECT ANSWER taking or using medicine in a way that is not intended Tolerance - CORRECT ANSWER Adaption with decreased effectiveness over time Double Effect - CORRECT ANSWER Ethical principle that action with good effect may be harmful as well Neuropathic Pain - CORRECT ANSWER abnormal processing of pain message; sharp, burning, shooting, shock-like in nature Adjuvant Analgesics - CORRECT ANSWER used to treat chronic pain that is neuropathic in nature Antiepileptic - CORRECT ANSWER Often useful for lancing, shooting or shock-like neuropathic pain. Works to decrease pain by decreasing the conduction of pain signals along damaged peripheral nerves *start low and go slow Examples: gabapentin, carbamazepine, valporic acid and pregabalin Corticosteroids - CORRECT ANSWER anti-inflammatory agents *decrease pain *increase mood *increase appetite Examples: Dexamethasone and Prednisone Indications: Metastatic bone pain, spinal cord compression, cerebral edema, neuropathic pain and visceral pain Muscle Relaxants/Antispasmodic - CORRECT ANSWER Examples: methocarbamol and baclofen (discontinue slowly) Indications: Muscle spasms, grabbing pain - abdomen and bladder spasms Morphine (MS Contin, Avinza, Kadian, Roxanol) - CORRECT ANSWER *Considered 'gold standard' for opioid analgesic comparison *Metabolites Codeine - CORRECT ANSWER opiate with relatively low potency often prescribed for minor pain *can be used to treat cough Hydromorphone (Dilaudid) - CORRECT ANSWER *Short half-life *More potent than morphine *No significant metabolites *Recommended for patients with renal failure Acetaminophen - CORRECT ANSWER Actions: analgesic, antipyretic; does not have anti-inflammatory effect Adverse Effect: May cause liver dysfunction and decrease renal function *2,000-3,000mg/daily nonsteroidal anti-inflammatory drugs (NSAIDs) - CORRECT ANSWER Actions: analgesic, antipyretic and anti-inflammatory Adverse Effect: gastrointestinal and bleeding problems Methadone (Dolophine) - CORRECT ANSWER *Inexpensive *Useful for neuropathic and nociceptive pain *long and variable half life (12-190 hours) *monitor closely for arrhythmias Oxycodone - CORRECT ANSWER *Used in acute, cancer and chronic non malignant pain *Can be combined with acetaminophen or aspirin *Mild to severe intensity *Oral formulation only *Short and Long acting Constipation - CORRECT ANSWER Most common side effect to opioids Kubler-Ross stages of grief - CORRECT ANSWER 1. Denial 2. Anger 3. Bargaining 4. Depression 5. Acceptance Anticipatory Grief - CORRECT ANSWER grief experienced prior to a loss Complicated Grief - CORRECT ANSWER a person has a prolonged or significantly difficult time moving forward after a loss Disenfranchised Grief - CORRECT ANSWER the emotion surrounding a loss that others do not support, share, or understand Mourning - CORRECT ANSWER culturally prescribed way of displaying reactions to death Childs Grief - CORRECT ANSWER *Mourn and grieve based on they developmental level *Not linear (stop/start;circular) Neoplasm - CORRECT ANSWER abnormal growth of cells that form a tumor Ischemic Stroke - CORRECT ANSWER a type of stroke that occurs when the flow of blood to the brain is blocked Hemorrhagic Stroke - CORRECT ANSWER a stroke where the blood loss is caused by the rupture of a blood vessel Aphasia - CORRECT ANSWER inability to speak Dysphagia - CORRECT ANSWER difficulty swallowing Xerostomia - CORRECT ANSWER Dryness of the mouth caused by reduction of saliva Neutropenia - CORRECT ANSWER Decreased number of white blood cells, affecting the ability to fight infection Lacrimation - CORRECT ANSWER Secretion and discharge of tears. Excessive Crying Localized infection - CORRECT ANSWER an infection that is limited to a specific location in the body and has local symptoms Neutropenia - CORRECT ANSWER Low number of white blood cells. Anemia - CORRECT ANSWER Low number of red blood cells Thrombocytopenia - CORRECT ANSWER low platelet count Epstein-Barr virus - CORRECT ANSWER infectious mononucleosis (mono) Double Effect Principle - CORRECT ANSWER From Thomas Aquinas, and is used to describe situations where harm is induced to cause good. It is controversial, especially among utilitarians. Renal (kidney) failure - CORRECT ANSWER Morphine is contraindicated because of the toxic accumulation of active metabolites in what disease. Apraxia - CORRECT ANSWER impaired ability to carry out motor activities despite intact motor function Ataxia - CORRECT ANSWER the loss of full control of bodily movements Cancer - CORRECT ANSWER Genetic mutation in normal cells Aging - CORRECT ANSWER The greatest risk factor for cancer orthopnea - CORRECT ANSWER ability to breathe only in an upright position atelectasis - CORRECT ANSWER collapsed lung Ptosis - CORRECT ANSWER droopy eyelid. Also the first sign of myasthenia gravis diplopia - CORRECT ANSWER double vision