Module 7

Question 1

“Palliative” is defined as

Answer 1

relieving pain without dealing with the cause of the condition.

Question 2

Palliative care focuses primarily on

Answer 2

anticipating, preventing, diagnosing, and treating symptoms experienced by patients with a serious or life-threatening illness and helping patients and their families make medically important decisions.

Question 3

8 domains of palliative care

Answer 3

structure/ process of care
physical aspects of care
psychological aspects of care
spiritual aspects of care
cultural aspects of care
care of imminently dying pts
ethical/legal aspects of care

Question 4

Hospice care provides care to

Answer 4

patients at the end of life.

Question 5

A patient receiving hospice care must be considered

Answer 5

terminally ill or within 6 months of death

Question 6

Palliative care is ideally delivered by

Answer 6

an interdisciplinary team that focuses on the needs of both the patient and family.

Question 7

most important aspect of communication when initiating palliative care

Answer 7

is letting patients know that they are being heard, their perspective is important

Question 8

Total pain, is defined as

Answer 8

the sum of the patient’s physical, psychological, social, and spiritual pain, is a central concept to palliative care

Question 9

In addition to management of physical symptoms such as pain, palliative care also includes

Answer 9

reducing prolongation of the dying process, giving the patient a sense of self-control, and relieving the care burden on families and loved ones while helping to strengthen these relationships.

Question 10

Several studies have demonstrated that the most difficult end-of-life symptoms to manage are

Answer 10

pain, respiratory distress, and confusional state

Question 11

most common treatment for dyspnea

Answer 11

oxygen, opioids, benzos

Question 12

The best practice is to ask the patient if the oxygen makes them feel

Answer 12

better and if not, to remove the oxygen

Question 13

s the most effective medication for treating the agitation from delirium

Answer 13

Haloperidol i; however, removal of the cause of the dementia is the best overall treatment.

Question 14

can decrease these secretions and stop the rattling breath

Answer 14

Placing a scopolamine patch behind the patient’s ear

Question 15

nociceptive pain

Answer 15

represents a normal response to injury of tissue

Question 16

2 categories nociceptive pain

Answer 16

(1) somatic pain, which is pain arising from muscles joints, and cutaneous tissue; and (2) visceral pain, which is pain arising from organs and smooth muscle

Question 17

Aspirin should never be given to children younger than 8 years because it can cause

Answer 17

Reye’s syndrome, which can be fatal.

Question 18

an antiepileptic medication that is effective for nerve pain

Answer 18

Gabapentin is

Question 19

a tricyclic antidepressant that is effective for neuropathic pain as well

Answer 19

Amitriptyline is

Question 20

considered the most effective medication for pain in terminally ill patients

Answer 20

Morphine, because it has fewer side effects, can be given orally or intravenously, and has a simple route of metabolism

Question 21

Acute pain

Answer 21

is a normal, predictable, physiological response to pain that lasts a short time.

not as difficult to manage as chronic pain because it is short term, and once the injury heals, the pain goes away.

Question 22

Chronic pain

Answer 22

lasts longer than 12 weeks and often persists long after the cause of the pain is healed.

Question 23

Efforts to control the pace of the opioid epidemic are focused on three areas:

Answer 23

(1) monitoring patient need, (2) shortening the amount of time medication is prescribed, and (3) reducing the overall number of opioid prescriptions in medical practice.

Question 24

When initiating opioid use for patients with chronic pain

Answer 24

, immediate-release preparations should be used instead of long-acting opioids

Question 25

To reduce acute pain with opioids,

Answer 25

treatment for 3 days or fewer may be sufficient

Question 26

Clinicians should document a reassessment of chronic pain every

Answer 26

4 weeks for patients on chronic opioids