NURS 445 Final Exam Questions Correct Answers New Update (A Grade
Study online at https://quizlet.com/_i0o1e5
1. What role do nurses play in caring for seriously ill patients and their families?-
: Elicit goals of care
Assess, manage, coordinate care
Listen
Bear witness
Communicate with team
Knowledgeable in evidence based practice
2. What are the top five leading causes of death in america?: Heart disease
Cancer
Chronic lower respiratory disease
Unintentional injury
Cerebrovascular diseases
3. What is the impact of serious illness in America on care?: Exploding healthcare costs
Poor understanding of prognosis
Failure to treat pain and other symptoms
Increased use of technology
4. What constitutes quality of life care at end of life for the health care team?: -
Providing symptom management and discussing the emotional aspects of the disease
5. What constitutes quality care at the end of life for patients: achieving a sense of
control, attaining spiritual peace, succeeding in having finance in order, strengthening relationships with loved ones,
and believing that their life has meaning `
6. T/F most adults prefer to die at home?: True
7. Nearly 40% of enrolled veterans live in _____________ communities: Rural
8. T/F the majority of veterans die in VA facilities: False
9. What is palliative care?: Patient and family centered care that optimizes quality of life by anticipating,
preventing, and treating suffering
10. What are the characteristics of palliative care philosophy and delivery?: Inter-
disciplinary care
Excellent communication between patients, families, and health care providers
Services provided concurrently with or independent of curative/life prolonging care
11. What are the barriers to quality care at the end of life?: Failure to acknowledge the limits
of medicine
1/8
, NURS 445 Final Exam Questions Correct Answers New Update (A Grade
Study online at https://quizlet.com/_i0o1e5
Workforce too small to meet demands
Lack of training
Hospice/palliative care poorly understood
Lack of payment models linked to quality measures
Rules and regulations
Denial of death
12. What are the two parts of prognostication?: Foreseeing (estimating prognosis)
Foretelling (discussing prognosis)
13. What parts of performance status did karnofsky look at?: ECOG poor predictors,
multiple symptoms, biological markers
14. What type of patients did the pivotal study for palliative care involve?: Patients
with metastatic non small cell lung cancer
15. In the pivotal study for palliative care involving Patients with metastatic non
small cell lung cancer what was found in those who received early palliative
care received what benefits?: Increased quality of life and mood
Less aggressive care
Longer survival``
16. Does Palliative Care Improve Care, Decrease Hospitalizations & Save Money-
: Yes, improved home care leads to increased satisfaction, fewer admissions, shorter stays, and savings of more than
700 per patient per month
17. What is the role of the nurse in palliative care?: Some things cannot be fixed
Use of therapeutic presence
Maintaining a realistic perspective
18. T/F patients who recieve an earlier palliative care consult save the hospital
money?: True:
19. What should be assessed when utilizing palliative care?: Physical symptoms
Emotional symptoms
Spirituality
Quality of life
Caregivers outcomes
20. What is the FICA tool used for?: Taking a spiritual history
2/8
Study online at https://quizlet.com/_i0o1e5
1. What role do nurses play in caring for seriously ill patients and their families?-
: Elicit goals of care
Assess, manage, coordinate care
Listen
Bear witness
Communicate with team
Knowledgeable in evidence based practice
2. What are the top five leading causes of death in america?: Heart disease
Cancer
Chronic lower respiratory disease
Unintentional injury
Cerebrovascular diseases
3. What is the impact of serious illness in America on care?: Exploding healthcare costs
Poor understanding of prognosis
Failure to treat pain and other symptoms
Increased use of technology
4. What constitutes quality of life care at end of life for the health care team?: -
Providing symptom management and discussing the emotional aspects of the disease
5. What constitutes quality care at the end of life for patients: achieving a sense of
control, attaining spiritual peace, succeeding in having finance in order, strengthening relationships with loved ones,
and believing that their life has meaning `
6. T/F most adults prefer to die at home?: True
7. Nearly 40% of enrolled veterans live in _____________ communities: Rural
8. T/F the majority of veterans die in VA facilities: False
9. What is palliative care?: Patient and family centered care that optimizes quality of life by anticipating,
preventing, and treating suffering
10. What are the characteristics of palliative care philosophy and delivery?: Inter-
disciplinary care
Excellent communication between patients, families, and health care providers
Services provided concurrently with or independent of curative/life prolonging care
11. What are the barriers to quality care at the end of life?: Failure to acknowledge the limits
of medicine
1/8
, NURS 445 Final Exam Questions Correct Answers New Update (A Grade
Study online at https://quizlet.com/_i0o1e5
Workforce too small to meet demands
Lack of training
Hospice/palliative care poorly understood
Lack of payment models linked to quality measures
Rules and regulations
Denial of death
12. What are the two parts of prognostication?: Foreseeing (estimating prognosis)
Foretelling (discussing prognosis)
13. What parts of performance status did karnofsky look at?: ECOG poor predictors,
multiple symptoms, biological markers
14. What type of patients did the pivotal study for palliative care involve?: Patients
with metastatic non small cell lung cancer
15. In the pivotal study for palliative care involving Patients with metastatic non
small cell lung cancer what was found in those who received early palliative
care received what benefits?: Increased quality of life and mood
Less aggressive care
Longer survival``
16. Does Palliative Care Improve Care, Decrease Hospitalizations & Save Money-
: Yes, improved home care leads to increased satisfaction, fewer admissions, shorter stays, and savings of more than
700 per patient per month
17. What is the role of the nurse in palliative care?: Some things cannot be fixed
Use of therapeutic presence
Maintaining a realistic perspective
18. T/F patients who recieve an earlier palliative care consult save the hospital
money?: True:
19. What should be assessed when utilizing palliative care?: Physical symptoms
Emotional symptoms
Spirituality
Quality of life
Caregivers outcomes
20. What is the FICA tool used for?: Taking a spiritual history
2/8
