Nurs 517 Exam with correct answers |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The way forward in palliative care - correct answer✔✔In an ideal world all practitioners have a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
baseline knowledge on palliative care and can then specialize. A vision of the way forward is
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
where hospice palliative care is available to Canadians when and where they need it, where
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
living well into death is the goal of care.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
HOW TO COMMUNICATE WITH PALLIATIVE CLIENTS - correct answer✔✔Seeking to understand
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
pt/families understanding of what's happening, their perspective, thoughts, wishes.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
palliative emergencies - correct answer✔✔pain, acute dyspnea, major bleeding, acute
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
function loss, acute anxiety, delirium, epileptic seizures, acute decompensation with aggressive
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
behavior of the nonprofessional caregiver. AKA intractable symptoms. sedation can be used.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
palliative goals or care - correct answer✔✔C2 & C1 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What is the PPS (palliative performance scale) - correct answer✔✔Measurement of function
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
for clients who are palliative
|||\\\ |||\\\ |||\\\ |||\\\
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
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
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
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
When to use PPS - correct answer✔✔- often done daily (patient rounds) |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- when patient's condition changes.
|||\\\ |||\\\ |||\\\ |||\\\
- first admission or in community (baseline)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
challenges of PPS - correct answer✔✔- User variation: often experience related |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- May be difficult to use with individuals with dementia. (Significant cognitive decline but highly
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
functioning physically)
|||\\\ |||\\\
- difficult to apply in individuals w functional losses: paraplegia
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Not using the 'best fit' (Individual's who do not seem to be in one category fully: there are no
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
½ scores |||\\\
what is spirituality - correct answer✔✔- One's search for life's meaning and purpose
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- a person's sense of peace, purpose and connection to others as well as their beliefs about the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
meaning of life
|||\\\ |||\\\ |||\\\
- an individual's beliefs, values, behaviors and experiences related to ultimate meaning
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
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
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D - Dialogue |||\\\ |||\\\
Spiritual distress - correct answer✔✔is a disruption in a person's belief or value system. It may
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
occur when a person is unable to find sources of meaning, hope, love, comfort, strength, and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The way forward in palliative care - correct answer✔✔In an ideal world all practitioners have a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
baseline knowledge on palliative care and can then specialize. A vision of the way forward is
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
where hospice palliative care is available to Canadians when and where they need it, where
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
living well into death is the goal of care.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
HOW TO COMMUNICATE WITH PALLIATIVE CLIENTS - correct answer✔✔Seeking to understand
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
pt/families understanding of what's happening, their perspective, thoughts, wishes.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
palliative emergencies - correct answer✔✔pain, acute dyspnea, major bleeding, acute
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
function loss, acute anxiety, delirium, epileptic seizures, acute decompensation with aggressive
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
behavior of the nonprofessional caregiver. AKA intractable symptoms. sedation can be used.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
palliative goals or care - correct answer✔✔C2 & C1 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What is the PPS (palliative performance scale) - correct answer✔✔Measurement of function
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
for clients who are palliative
|||\\\ |||\\\ |||\\\ |||\\\
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
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
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
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
When to use PPS - correct answer✔✔- often done daily (patient rounds) |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- when patient's condition changes.
|||\\\ |||\\\ |||\\\ |||\\\
- first admission or in community (baseline)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
challenges of PPS - correct answer✔✔- User variation: often experience related |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- May be difficult to use with individuals with dementia. (Significant cognitive decline but highly
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
functioning physically)
|||\\\ |||\\\
- difficult to apply in individuals w functional losses: paraplegia
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Not using the 'best fit' (Individual's who do not seem to be in one category fully: there are no
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
½ scores |||\\\
what is spirituality - correct answer✔✔- One's search for life's meaning and purpose
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- a person's sense of peace, purpose and connection to others as well as their beliefs about the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
meaning of life
|||\\\ |||\\\ |||\\\
- an individual's beliefs, values, behaviors and experiences related to ultimate meaning
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
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
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D - Dialogue |||\\\ |||\\\
Spiritual distress - correct answer✔✔is a disruption in a person's belief or value system. It may
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
occur when a person is unable to find sources of meaning, hope, love, comfort, strength, and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
