NURS 5354 FINAL EXAM
What is cognitive dysfunction? - ANSWERS-A syndrome distinct
from delirium, characterized by abnormalities in learning and
memory.
When is cognitive dysfunction most common? - ANSWERS-After
cardiac surgery. There is no link to hypotension, hypoxemia or type of
anesthesia. Treatment is supportive.
Who is at the highest risk for under treated pain? - ANSWERS-
Oldest-old and cognitively impaired patients.
How can clinicians minimize delirium in the geriatric post-operative
patient? - ANSWERS-Avoid potentially inappropriate meds/Beers
Criteria.
What are the four basic health care ethical principles? - ANSWERS-
Autonomy, justice, beneficence and non-maleficence.
What is autonomy? - ANSWERS-The patient's right to make
decisions about medical care free of coercion or coaxing by the
medical provider.
,What is justice? - ANSWERS-Fairness in all medical decisions,
distribution of resources and new treatments, and the provider
upholds the law and legislation when making choices.
What is beneficence? - ANSWERS-The provider will do all that they
can for the benefit of the patient in any situation.
What is non-maleficence? - ANSWERS-"To do no harm."
What care alleviates distressing symptoms and improves quality of
life? - ANSWERS-Palliative care
What care alleviates symptoms in in imminent death? - ANSWERS-
Comfort care
Can a 6 month prognosis qualify for Hospice? - ANSWERS-Yes
What are the benefits of advanced care planning? - ANSWERS-Elicits
values of the patient, prevents unnecessary suffering, and preserves
the patient's dignity at end of life.
What is an example of advanced care planning? - ANSWERS-
Advance Directive
What type of decision making model is practiced in the United States?
- ANSWERS-Shared decision making model. Physicians and patients
, share information with one another and participate jointly in decision
making.
For palliative care in the ICU, what should be administered before a
ventilator is withdrawn? - ANSWERS-Prophylactic IV opioid and
benzo (morphine & lorazepam)
What is a common s/s minutes to hours before death? - ANSWERS-
Abnormal terminal patterned breathing
What is a common s/s hours to days before death? - ANSWERS-
irregular breathing, death rattle, mottling, lno urine output.
What is a common s/s days to weeks before death? - ANSWERS-
Drowsy, decreased urine output, dysphagia, transient improvement,
confusion
What is a common s/s weeks to months before death? - ANSWERS-
Weakness/debility and anorexia.
What is medical futility? - ANSWERS-The proposed therapy will not
improve the patient's medical condition.
What is qualitative futility? - ANSWERS-A situation in which the
quality of benefit an intervention will produce is poor.
What is cognitive dysfunction? - ANSWERS-A syndrome distinct
from delirium, characterized by abnormalities in learning and
memory.
When is cognitive dysfunction most common? - ANSWERS-After
cardiac surgery. There is no link to hypotension, hypoxemia or type of
anesthesia. Treatment is supportive.
Who is at the highest risk for under treated pain? - ANSWERS-
Oldest-old and cognitively impaired patients.
How can clinicians minimize delirium in the geriatric post-operative
patient? - ANSWERS-Avoid potentially inappropriate meds/Beers
Criteria.
What are the four basic health care ethical principles? - ANSWERS-
Autonomy, justice, beneficence and non-maleficence.
What is autonomy? - ANSWERS-The patient's right to make
decisions about medical care free of coercion or coaxing by the
medical provider.
,What is justice? - ANSWERS-Fairness in all medical decisions,
distribution of resources and new treatments, and the provider
upholds the law and legislation when making choices.
What is beneficence? - ANSWERS-The provider will do all that they
can for the benefit of the patient in any situation.
What is non-maleficence? - ANSWERS-"To do no harm."
What care alleviates distressing symptoms and improves quality of
life? - ANSWERS-Palliative care
What care alleviates symptoms in in imminent death? - ANSWERS-
Comfort care
Can a 6 month prognosis qualify for Hospice? - ANSWERS-Yes
What are the benefits of advanced care planning? - ANSWERS-Elicits
values of the patient, prevents unnecessary suffering, and preserves
the patient's dignity at end of life.
What is an example of advanced care planning? - ANSWERS-
Advance Directive
What type of decision making model is practiced in the United States?
- ANSWERS-Shared decision making model. Physicians and patients
, share information with one another and participate jointly in decision
making.
For palliative care in the ICU, what should be administered before a
ventilator is withdrawn? - ANSWERS-Prophylactic IV opioid and
benzo (morphine & lorazepam)
What is a common s/s minutes to hours before death? - ANSWERS-
Abnormal terminal patterned breathing
What is a common s/s hours to days before death? - ANSWERS-
irregular breathing, death rattle, mottling, lno urine output.
What is a common s/s days to weeks before death? - ANSWERS-
Drowsy, decreased urine output, dysphagia, transient improvement,
confusion
What is a common s/s weeks to months before death? - ANSWERS-
Weakness/debility and anorexia.
What is medical futility? - ANSWERS-The proposed therapy will not
improve the patient's medical condition.
What is qualitative futility? - ANSWERS-A situation in which the
quality of benefit an intervention will produce is poor.
