NUR 6540 QUIZ 11(100%CORRECT)

NUR 6540 QUIZ 11(100%CORRECT)A useful scale for staging individuals with dementia and determining the possible need for palliative care is a. The Geriatric Depression Scale (GDS) b. The Mini Mental State Exam (MMSE) c. The Reisberg Functional Assessment Staging (FAST) scale d. The Mini-Cog™ Screen for dementia Significant depression and a desire to hasten death in a terminally ill older adult are a. A normal consequence of aging and illness b. A result of the focus on advance directives c. A normal response to suffering d. Seriously under recognized and undertreated problems The use of feeding tubes, either nasogastric or percutaneous, at the end of life a. Improves quality of life b. Has no clinical benefit in patients with dementia c. Prolongs life d. Demonstrates to families that everything is being done for their loved one The principles of palliative care include all of the following EXCEPT a. A focus on curing underlying illness b. A focus on physical, psychologic, social, and spiritual needs c. Coordination of care among various providers d. Provision of bereavement support In patients using chronic opioid analgesia for significant pain, the need to increase dosage over time to achieve adequate analgesic effect indicates a. Withdrawal b. Addiction c. Tolerance d. Psychological dependence Successful outcomes of cardiopulmonary resuscitation (CPR) in hospitalized older adults are determined by a. The underlying health of the patient (comorbid conditions) b. The cause of cardiac or respiratory arrest c. The technique used by the person performing CPR d. All of the above The first step in managing dyspnea in older adults is a. Provide oxygen at 2–5 L per minute b. Teach the patient pulmonary rehabilitation techniques c. Add steroids to the medication regimen d. Determine the underlying cause of the dyspnea in order to provide appropriate treatment A Do-Not-Resuscitate order (DNR) indicates a. No further treatments should be performed on the patient b. The patient and family have made a decision to forgo CPR and artificial ventilation in favor of a natural death c. The patient should be moved to a private room d. The patient is on Hospice Which factor has the greatest influence on the location of death (home or hospital) in older adults? a. Presence of advance directives b. Difficulty in predicting the dying trajectory c. Availability of community supports for the elderly and their caregivers d. Whether or not the person has Medicare or other health insurance In what way do advance directives influence care among older adults? a. There is very little influence on care at the end of life related to advanced directives b. Care is more likely to be consistent with stated preferences when advance directives are in place c. The presence of advance directives hastens dying in terminally ill patients d. All of the above