HCA204 Palliative Care Final – Written Test
Questions with Complete Solutions
List five (5) effects that using open-ended questions for good communication would have. (5 marks)
Pg. 36 - Correct Answer 1. encourages conversation
2. helps the person feel heard 3. prevents misunderstandings
4. helps the dying person share their story 5. validates the persons experience
•Invites the person to respond
•Invites the person to share their story
•Are unbiased and non-judgmental
•May help the person develop a greater understanding of self and what they are experiencing
•Can help you connect with the person
•Identify their strengths
•Provides a culturally safe environment
List five (5) common physical changes during the last days and hours. (5 marks) pg 186 - Correct Answer 1. unresponsive
2. agitation
3. reduced intake
4. congested breathing
5. muscle twitching
Identify four (4) non-medication comfort measures that you could use for someone in pain. Pg 135-
138 (4 marks) - Correct Answer 1. positioning
2. distracting
3. relaxation strategies
4. warm blankets
5. give time Identify three principles for using medications to support physical comfort. (3 marks) pg 79-80 - Correct Answer 1. dying person determines goal
2. breakthrough doses may be needed 3. combination of meds
4. easier to prevent than to respond to pain crisis
•The dying person determines the goal for pain relief
•It is easier to prevent pain than to respond to a pain crisis
•Medications need to be given regularly and around the clock
•Breakthrough doses may be needed
•Use the simplest delivery route available usually by mouth
•Dose should meet the person's goal while incurring the least side effects
•A combination of medications may be necessary
Identify three (3) physiological signs that will be present at the time of death. (3 marks) pg 194 - Correct Answer 1. no pulse 2. pupils fixed and dilated
3. no resps
4. jaw drop
What is the first thing that we need to establish when offering pain relief? (1 mark) pg 79 - Correct Answer the patients goals
List three (3) possible causes for nausea and vomiting. (3 marks) pg 128 - Correct Answer 1. medication side effects 2. pain
3. anxiety
4. odors
Identify three (3) strategies to support and comfort an individual as intake decreases. (3 marks) pg98-
99 - Correct Answer 1. smaller meals & more frequent
2. provide good mouthcare
3. thickened fluids
Questions with Complete Solutions
List five (5) effects that using open-ended questions for good communication would have. (5 marks)
Pg. 36 - Correct Answer 1. encourages conversation
2. helps the person feel heard 3. prevents misunderstandings
4. helps the dying person share their story 5. validates the persons experience
•Invites the person to respond
•Invites the person to share their story
•Are unbiased and non-judgmental
•May help the person develop a greater understanding of self and what they are experiencing
•Can help you connect with the person
•Identify their strengths
•Provides a culturally safe environment
List five (5) common physical changes during the last days and hours. (5 marks) pg 186 - Correct Answer 1. unresponsive
2. agitation
3. reduced intake
4. congested breathing
5. muscle twitching
Identify four (4) non-medication comfort measures that you could use for someone in pain. Pg 135-
138 (4 marks) - Correct Answer 1. positioning
2. distracting
3. relaxation strategies
4. warm blankets
5. give time Identify three principles for using medications to support physical comfort. (3 marks) pg 79-80 - Correct Answer 1. dying person determines goal
2. breakthrough doses may be needed 3. combination of meds
4. easier to prevent than to respond to pain crisis
•The dying person determines the goal for pain relief
•It is easier to prevent pain than to respond to a pain crisis
•Medications need to be given regularly and around the clock
•Breakthrough doses may be needed
•Use the simplest delivery route available usually by mouth
•Dose should meet the person's goal while incurring the least side effects
•A combination of medications may be necessary
Identify three (3) physiological signs that will be present at the time of death. (3 marks) pg 194 - Correct Answer 1. no pulse 2. pupils fixed and dilated
3. no resps
4. jaw drop
What is the first thing that we need to establish when offering pain relief? (1 mark) pg 79 - Correct Answer the patients goals
List three (3) possible causes for nausea and vomiting. (3 marks) pg 128 - Correct Answer 1. medication side effects 2. pain
3. anxiety
4. odors
Identify three (3) strategies to support and comfort an individual as intake decreases. (3 marks) pg98-
99 - Correct Answer 1. smaller meals & more frequent
2. provide good mouthcare
3. thickened fluids
