ELNEC module questions And Answers 2022

Ms. P is offered hospice care for her end-stage cardiac disease. Which statement by Ms. P reflects a need for the nurse to provide further education? -A. I know i am close to the end of my life -B. my family would really benefit from hospice just as much as i would -C. my friend had hospice care and her only wish was that she'd had hospice care longer than two months -D. why would I get hospice? I thought hospice is really for patients with cancer - Answer- D. why would I get hospice? I thought hospice is really for patients with cancer Which of the following statements BEST describes hospice care? -A. it can only be provided in the patient's home -B. hospice supports the patient and family through the dying process -C. hospice care focuses on continued disease-modifying treatment -D. it is not covered financially by Medicare, Medicaid, or most private insurance companies - Answer- B. hospice supports the patient and family through the dying process Which of the following demonstrates the impact serious illness has on social domain of quality of life? -A. financial burden resulting from the high costs of medical care -B. depression related to the possibility of dying -C. severe nausea and vomiting -D. a loss of hope - Answer- A. financial burden resulting from the high costs of medical care A 92 year old patient dying of end stage heart failure tells you that she is worried that her life had no meaning. What member of the palliative care team would you want to be sure is involved in her care? -A. the physician -B. the chaplain -C. the advanced practice nurse -D. the occupational therapist - Answer- B. the chaplain Mrs. Smith is suffering with severe bone pain from metastatic cancer. Which domain of quality of life is this affecting? -A. physical -B. psychological -C. social -D. spiritual - Answer- A. physical Mr. E tells you he is feeling down about his new diagnosis of advanced lung cancer. Which of the domains of quality of life is impacted for Mr. E? -A. physical -B. psychological -C. social -D. spiritual - Answer- B. psychological Which of the following statements is true about serious, chronic illnesses? -A. the majority of annual US healthcare spending goes toward chronic illnesses -B. very little annual US healthcare funding is spent in acute care admissions from chronic illnesses -C. much attention and financial support goes toward improving quality of life for persons with chronic illnesses -D. the focus of serious illness is often on improving quality of life rather than finding a cure - Answer- A. the majority of annual US healthcare spending goes towards chronic illnesses Which of the following patients should the nurse advocate for obtaining a palliative care referral? -A. a 32 yo with advanced breast cancer -B. a 65 yo male with kidney stones -C. a 49 yo male with chronic back pain -D. a 10 yo female with a broken leg - Answer- A. a 32 yo with advanced breast cancer Which of the following is an important way nurses can improve palliative care access for those who should receive it? -A. Being knowledgeable of the benefits of palliative and hospice care -B. remembering that palliative care i