Contemporary Nursing Issues-Trends 7th Edition
Contemporary Nursing Issues-Trends 7th Edition
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Chapter 12: Palliative Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | 40 year old diagnosed with AIDS whose condition makes it impossible to hold a job. |
| b. | 70 year old diagnosed with end stage renal failure who spends most of the day in bed. |
| c. | 50 year old diagnosed with emphysema whose disease has begun to impact normal ambulate. |
| d. | 30 year old diagnosed with muscular dystrophy who is bed bound. |
ANS: A
70% function implies that the patient has a reduction in ambulation and the disease process affect ability to hold a job.
DIF: Application REF: p. 225, Table 12-3
| a. | Respiratory diseases |
| b. | Cancers |
| c. | Cardiac diseases |
| d. | AIDS |
ANS: B
The Karnofsky scale is more appropriate for the patient with a cancer diagnosis.
DIF: Comprehension REF: p. 225
| a. | One who is surrounded by family |
| b. | One who uses meditation to help manage pain |
| c. | One who has advanced directives in place |
| d. | One who has drifted from lethargy to coma |
ANS: D
A peaceful death is generally described as being peaceful and comfortable with the patient drifting though the various stages of alertness to finally being comatose.
DIF: Application REF: pp. 224-225
| a. | The one who asks, “Why do I need palliative care?” |
| b. | The patient with a diagnosis of moderate Alzheimer’s disease |
| c. | The one whose family is used to being consult about decisions affecting the patient |
| d. | The patient who has expressed concerns about “all the decisions I have to make.” |
ANS: B
Decision-making capacity focuses on one’s ability to make decisions about their health care. They must be able to understand the facts, appreciate the alternatives that may exist, and to communicate these decisions to the health care team. Moderate Alzheimer’s disease is likely to have an affect the patient’s cognitive abilities.
DIF: Analysis REF: p. 220
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