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End-of-Life Care Test Questions

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End-of-Life Care Test Q

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End-of-Life Care Test Questions

,End-of-Life Care Test Questions
1.

In the past three to four decades, nursing has moved into the forefront in providing care for the dying.
Which phenomenon has most contributed to this increased focus of care of the dying?

A)

Increased incidence of infections and acute illnesses

B)

Increased focus of health care providers on disease prevention

C)

Larger numbers of people dying in hospital settings

D)

Demographic changes in the population

Ans:

D

Feedback:

The focus on care of the dying has been motivated by the aging of the population, the prevalence of,
and publicity surrounding, life-threatening illnesses (e.g., cancer and AIDS), and the increasing likelihood
of a prolonged period of chronic illness prior to death. The salience of acute infections, prevention
measures, and death in hospital settings are not noted to have had a major influence on this
phenomenon.

2.

A nurse who works in the specialty of palliative care frequently encounters issues and situations that
constitute ethical dilemmas. What issue has most often presented challenging ethical issues, especially
in the context of palliative care?

A)

The increase in cultural diversity in the United States

B)

Staffing shortages in health care and questions concerning quality of care

C)

, End-of-Life Care Test Questions
Increased costs of health care coupled with inequalities in access

D)

Ability of technology to prolong life beyond meaningful quality of life

Ans:

D

Feedback:

The application of technology to prolong life has raised several ethical issues. The major question is,
Because we can prolong life through increasingly sophisticated technology, does it necessarily follow
that we must do so? The increase in cultural diversity has not raised ethical issues in health care.
Similarly, costs and staffing issues are relevant, but not central to the most common ethical issues
surrounding palliative care.

3.

The nurse is caring for a patient who has been recently diagnosed with late stage pancreatic cancer. The
patient refuses to accept the diagnosis and refuses to adhere to treatment. What is the most likely
psychosocial purpose of this patients strategy?

A)

The patient may be trying to protect loved ones from the emotional effects of the illness.

B)

The patient is being noncompliant in order to assert power over caregivers.

C)

The patient may be skeptical of the benefits of the Western biomedical model of health.

D)

The patient thinks that treatment does not provide him comfort.

Ans:

A

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