Nurs 517 Exam with correct answers

Nurs 517 Exam with correct answers |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




The way forward in palliative care - correct answer✔✔In an ideal world all practitioners have a
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baseline knowledge on palliative care and can then specialize. A vision of the way forward is
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where hospice palliative care is available to Canadians when and where they need it, where
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living well into death is the goal of care.
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HOW TO COMMUNICATE WITH PALLIATIVE CLIENTS - correct answer✔✔Seeking to understand
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pt/families understanding of what's happening, their perspective, thoughts, wishes.
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palliative emergencies - correct answer✔✔pain, acute dyspnea, major bleeding, acute
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function loss, acute anxiety, delirium, epileptic seizures, acute decompensation with aggressive
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behavior of the nonprofessional caregiver. AKA intractable symptoms. sedation can be used.
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palliative goals or care - correct answer✔✔C2 & C1 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




What is the PPS (palliative performance scale) - correct answer✔✔Measurement of function
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for clients who are palliative
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Graded from 100-0% |||\\\ |||\\\




Incorporates 6 different measurements in 5 categories : |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Ambulation, Activity & Evidence of disease, Self-care, Intake, and Level of consciousness |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Why use PPS - correct answer✔✔Has prognostic value
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Function is one of the most important predictors of prognosis in cancer |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Excellent communication tool - Multidisciplinary |||\\\ |||\\\ |||\\\ |||\\\




Helpful to triage workload, make comparisons |||\\\ |||\\\ |||\\\ |||\\\ |||\\\

, T/F as pps % goes down survival rate in days goes down - correct answer✔✔true
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When to use PPS - correct answer✔✔- often done daily (patient rounds) |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




- when patient's condition changes.
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- first admission or in community (baseline)
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challenges of PPS - correct answer✔✔- User variation: often experience related |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




- May be difficult to use with individuals with dementia. (Significant cognitive decline but highly
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functioning physically)
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- difficult to apply in individuals w functional losses: paraplegia
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- Not using the 'best fit' (Individual's who do not seem to be in one category fully: there are no
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what is spirituality - correct answer✔✔- One's search for life's meaning and purpose
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- a person's sense of peace, purpose and connection to others as well as their beliefs about the
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meaning of life
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- an individual's beliefs, values, behaviors and experiences related to ultimate meaning
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SACR-D: A framework for communicating with patients about their spiritual issues - correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




answer✔✔S- Self Awareness |||\\\ |||\\\




A- Assessing the Patient |||\\\ |||\\\ |||\\\




C- Compassionate Presence |||\\\ |||\\\




R- Referring for Additional Spiritual Support
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D - Dialogue |||\\\ |||\\\




Spiritual distress - correct answer✔✔is a disruption in a person's belief or value system. It may
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occur when a person is unable to find sources of meaning, hope, love, comfort, strength, and
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