Cheap Nursing CEUs

Palliative Care and Cancer Treatment

Introduction

1. Patients must either refuse any further cancer treatment or exhaust all available treatments to receive hospice services.

A. True B. False

2. Surveys show that which of the following are primary concerns among patients with life-limiting diseases such as cancer?

A. Pain relief B. Psychosocial issues C. Curing cancer D. All of the above

3. The National Cancer Institute awards the vaulted Comprehensive Cancer Center designation on the basis of quality of care.

A. True B. False

4. Concurrent curative treatment and palliative care may reduce health care costs and extend lives.

A. True B. False

Ireland Cancer Center's Project Safe Conduct

5. Good cancer care requires:

A. Attention to acute management of the cancer patient. B. Anticipating issues around the end of life. C. Incorporating end of life issues early on in patient management. D. All of the above.

6. _____________ is defined as "the dimension of care that guides a patient through a maze of uncertain, perplexing, and distressing events."

A. Safe conduct B. Hospice care C. Palliative care D. Psychosocial care

7. A multidisciplinary method approaches care planning as a creative, collaborative process that make the whole much more than the sum of its parts.

A. True B. False

8. Although not eating is a natural point in the dying process, nutrition is extremely important for patients undergoing chemotherapy.

A. True B. False

9. Which of the following was one of the most important contributions of Project Safe Conduct, educating doctors and nurses to be attentive to something they typically ignored, and providing a highly valued service to patients?

A. Spiritual care B. Attention to pain and physical discomfort C. Listening to caregiving issues D. All of the above

10. Less frequent use of the emergency room and fewer hospitalizations reflect better patient management.

A. True B. False

11. Palliative care is just good cancer care.

A. True B. False

University of California Davis' Simultaneous Care Project

12. If clinical trial patients and their families receive hospice care at all, it is often within just a few _______ of their death.

A. Days B. Weeks C. Months D. Years

13. If patients are in pain, they and their caregivers are more likely to focus on adhering to their therapeutic regime.

A. True B. False

14. You should never raise issues of mortality within the clinical trials population.

A. True B. False

15. The addition of palliative services affects compliance with experimental regimes.

A. True B. False

16. Patients receiving palliative services show an increase in the quality of life indicators as time goes on.

A. True B. False

University of Michigan's Comprehensive Cancer Center Palliative Care Program

17. Which of the following is shown by preliminary data of adding palliative services to cancer treatment?

A. Improvement in quality of care while reducing caregiver burden. B. Reduced cost of care. C. Patient may live longer. D. All of the above.

18. Many patients with incurable cancers hold out hope for a cure or improvement.

A. True B. False

19. Many patients want palliative services, but they want to be identified as hospice patients, not as palliative care patients.

A. True B. False

20. Caregivers of patients in palliative care report a lower degree of burden, especially:

A. At the end of the patient's life. B. In the first month of care. C. During the midpoint of care. D. Throughout the entire care process.

21. Preliminary data show striking cost savings for the patients receiving palliative care services.

A. True B. False

Dartmouth's Norris Cotton Cancer Center's Project ENABLE

22. Radiation and chemotherapy are often used to alleviate symptoms and are therefore a form of palliative care.

A. True B. False

23. The professional discipline of a palliative care coordinator must be matched to the particular circumstances and practice setting.

A. True B. False

24. Which of the following is true with regards to talking about end-of-life issues with patients in palliative care?

A. Patients do know what is going on and they can be realistic. B. Patients want treatment for their cancer. C. Patients want to plan ahead for themselves and their families. D. All of the above.

What Have We Learned?

25. Palliative care and oncology treatment are more effective together than either is alone.

A. True B. False

26. Which of the following is an essential ingredient for building a successful palliative care program?

A. A well-planned implementation strategy. B. Ongoing efforts to bridge the differences between palliative and acute care clinical cultures. C. An assurance that palliative care teams have authority to carry out their clinical recommendations and interventions for patient care and have safe havens to discuss problems and ideas. D. All of the above.


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