Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Adult Gero > Palliative care Hospice/Advanced Directives > Flashcards

Palliative care Hospice/Advanced Directives Flashcards

1
Q

What is the primary difference between palliative care and hospice care?
- A) Palliative care is only for patients with cancer, while hospice is for all terminal illnesses
- B) Hospice care is limited to patients with a life expectancy of six months or less, while palliative care can be provided at any stage of illness
- C) Palliative care focuses solely on pain management, while hospice focuses on curative treatments
- D) Hospice care includes advanced treatments, while palliative care does not

A
  • B) Hospice care is limited to patients with a life expectancy of six months or less, while palliative care can be provided at any stage of illness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Hospice care is intended for patients who:
- A) Have chosen to continue curative treatments
- B) Have a life expectancy of less than six months and elect to forego curative treatment
- C) Are recovering from a serious illness
- D) Have a prognosis of more than one year

A
  • B) Have a life expectancy of less than six months and elect to forego curative treatment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Palliative care is:
- A) Provided only in a hospital setting
- B) Focused on relieving suffering and improving quality of life, regardless of the stage of illness
- C) Limited to cancer patients only
- D) Available only through Medicare

A
  • B) Focused on relieving suffering and improving quality of life, regardless of the stage of illness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which of the following services is NOT typically covered by Medicare hospice benefits?
- A) Nursing care
- B) Bereavement services for family members
- C) Emergency surgery for curative purposes
- D) Physical therapy

A
  • C) Emergency surgery for curative purposes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Under Medicare guidelines, what is required for a patient to enroll in hospice care?
- A) One doctor’s signature confirming a life expectancy of six months or less
- B) The patient must agree to continue curative treatment
- C) Two physicians must certify that the patient has a life expectancy of six months or less and the patient elects to forgo curative treatment
- D) The patient must be older than 65 years of age

A

C) Two physicians must certify that the patient has a life expectancy of six months or less and the patient elects to forgo curative treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does Medicare require after a patient has been enrolled in hospice for six months?
- A) A mandatory discharge from hospice care
- B) A re-certification by a physician every 30 days
- C) A face-to-face re-evaluation every 60 days to assess the patient’s prognosis
- D) A mandatory shift to palliative care

A
  • C) A face-to-face re-evaluation every 60 days to assess the patient’s prognosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  1. What is the primary function of a Living Will?
    • A) It designates a person to make healthcare decisions on the patient’s behalf
    • B) It outlines the patient’s wishes for medical care if they are unable to communicate
    • C) It transfers the patient’s property after death
    • D) It appoints a lawyer to manage financial affairs
A
  • B) It outlines the patient’s wishes for medical care if they are unable to communicate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A Health Care Proxy (HCP):
- A) Is a legal document that specifies funeral arrangements
- B) Appoints someone to make healthcare decisions for the patient if they become unable to do so
- C) Requires a physician’s approval to be valid
- D) Can only be used in cases of terminal illness

A

B) Appoints someone to make healthcare decisions for the patient if they become unable to do so

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What rights does a person designated as a Health Care Proxy (HCP) have?
- A) They can make decisions about financial matters for the patient
- B) They can make decisions about the patient’s medical care if the patient becomes incapacitated
- C) They can only make decisions about life support, not other medical treatments
- D) They must make decisions based on the hospital’s recommendations

A
  • B) They can make decisions about the patient’s medical care if the patient becomes incapacitated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A **Non-Hospital DNR (Do Not Resuscitate) ** order is:
- A) Only valid inside a hospital setting
- B) A legal order that prevents healthcare providers from performing CPR in non-hospital settings
- C) A requirement for all hospice patients
- D) Optional and decided upon by the hospital administrator

A

B) A legal order that prevents healthcare providers from performing CPR in non-hospital settings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the purpose of a MOLST (Medical Orders for Life-Sustaining Treatment) form?
- A) It allows for the automatic withdrawal of care in nursing homes
- B) It specifies a patient’s preferences for life-sustaining treatments, such as CPR and intubation, across different healthcare settings
- C) It replaces a Living Will and HCP
- D) It is required for all patients in hospice care

A
  • B) It specifies a patient’s preferences for life-sustaining treatments, such as CPR and intubation, across different healthcare settings
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which of the following is true about a MOLST form?
- A) It is only valid in a hospital setting
- B) It is used to specify a patient’s treatment preferences across all healthcare settings, including home and long-term care facilities
- C) It is only signed by the patient
- D) It must be updated every year

A
  • B) It is used to specify a patient’s treatment preferences across all healthcare settings, including home and long-term care facilities
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

In palliative care, what is the primary goal when considering life-support interventions?
- A) To prolong life at all costs
- B) To balance extending life with maintaining the patient’s quality of life and respecting their wishes
- C) To use every available intervention regardless of the patient’s prognosis
- D) To always recommend invasive procedures to prolong life

A
  • B) To balance extending life with maintaining the patient’s quality of life and respecting their wishes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

. What is a common barrier to effective end-of-life care in the U.S.?
- A) Lack of access to palliative care services
- B) Fragmented care and poor communication between clinicians, patients, and families
- C) High cost of care
- D) Overuse of hospice services

A

B) Fragmented care and poor communication between clinicians, patients, and families

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Why is it important to understand a patient’s ethnic and cultural background in palliative care?
- A) It helps to predict the patient’s medical prognosis
- B) It influences their preferences for treatment, response to illness, and decision-making at the end of life
- C) It determines which medications are most effective
- D) It ensures all patients receive the same level of care regardless of background

A

B) It influences their preferences for treatment, response to illness, and decision-making at the end of life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

In some cultures, how may families approach decision-making at the end of life?
- A) By always deferring to the patient’s physician
- B) By involving religious or spiritual leaders in discussions of care goals
- C) By avoiding discussions about the patient’s condition
- D) By prioritizing aggressive curative treatments

A
  • B) By involving religious or spiritual leaders in discussions of care goals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which of the following is required for a Health Care Proxy (HCP) to make decisions on behalf of a patient?
- A) The patient must be declared mentally incompetent by a court
- B) The patient must be unable to communicate their wishes
- C) The patient must be admitted to hospice care
- D) The physician must approve the decisions of the HCP

A
  • B) The patient must be unable to communicate their wishes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How can advanced directives, such as a Living Will or HCP, improve end-of-life care?
- A) By ensuring healthcare providers follow only the hospital’s policies
- B) By giving clear instructions about the patient’s preferences for medical care and ensuring those preferences are respected
- C) By eliminating the need for healthcare providers to communicate with the patient’s family
- D) By removing the patient’s family from the decision-making process

A
  • B) By giving clear instructions about the patient’s preferences for medical care and ensuring those preferences are respected
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is a key quality indicator for palliative care?
- A) Focusing only on physical symptoms and treatments
- B) Addressing the psychological, social, and spiritual needs of both patients and their families
- C) Ensuring all patients are placed on life support
- D) Preventing families from making decisions about care

A
  • B) Addressing the psychological, social, and spiritual needs of both patients and their families
20
Q

Which of the following is a core principle of palliative care?
- A) Only provided to terminally ill patients
- B) Focuses on curing the disease rather than managing symptoms
- C) Provides relief from the symptoms and stress of serious illness, regardless of prognosis
- D) Requires the patient to forgo all other treatments

A

C) Provides relief from the symptoms and stress of serious illness, regardless of prognosis

21
Q

Hospice care primarily focuses on:
- A) Curing the patient’s illness
- B) Providing symptom management and emotional support to patients with a life expectancy of six months or less
- C) Extending life through aggressive medical treatment
- D) Only providing care in hospital settings

A

B) Providing symptom management and emotional support to patients with a life expectancy of six months or less

22
Q

. How often must hospice patients be re-certified by a physician after the initial six-month period?
- A) Every month
- B) Every 90 days
- C) Every 60 days
- D) Annually

A
  • C) Every 60 days
23
Q

What is the purpose of an advance directive like a Living Will?
- A) It specifies a patient’s preferences for financial decisions
- B) It outlines a patient’s wishes for medical care if they become unable to communicate their decisions
- C) It appoints someone to make legal decisions for the patient
- D) It ensures the patient receives all life-sustaining treatments

A
  • B) It outlines a patient’s wishes for medical care if they become unable to communicate their decisions
24
Q

A Non-Hospital DNR is primarily used:
- A) To prevent CPR and other life-sustaining measures in hospital settings
- B) To prevent resuscitation outside of hospital settings, such as at home or in long-term care facilities
- C) To stop all forms of medical treatment
- D) Only in emergency room settings

A
  • B) To prevent resuscitation outside of hospital settings, such as at home or in long-term care facilities
25
Q

Which of the following is a Health Care Proxy (HCP) responsible for?
- A) Making financial decisions on behalf of the patient
- B) Overriding the patient’s wishes for medical care
- C) Making healthcare decisions based on the patient’s preferences when the patient is unable to communicate
- D) Handling the patient’s estate and assets

A
  • C) Making healthcare decisions based on the patient’s preferences when the patient is unable to communicate
26
Q

How do MOLST (Medical Orders for Life-Sustaining Treatment) forms differ from advance directives?
- A) MOLST forms apply across healthcare settings and provide actionable medical orders based on patient preferences
- B) MOLST forms are only applicable in hospital settings
- C) MOLST forms cannot be altered once completed
- D) MOLST forms are used to manage financial decisions

A
  • A) MOLST forms apply across healthcare settings and provide actionable medical orders based on patient preferences
27
Q

. In hospice care, what type of treatment can still be provided under Medicare guidelines?
- A) Only curative treatments
- B) Comfort care treatments such as antibiotics for infections and pain management
- C) Major surgeries and life-prolonging treatments
- D) Experimental treatments

A
  • B) Comfort care treatments such as antibiotics for infections and pain management
28
Q

Why is communication a key component of effective palliative and hospice care?
- A) To ensure patients receive aggressive treatments regardless of their preferences
- B) To make decisions on behalf of the patient without consulting them
- C) To ensure that patient preferences, cultural considerations, and family dynamics are respected in care planning
- D) To expedite end-of-life procedures without patient or family input

A
  • C) To ensure that patient preferences, cultural considerations, and family dynamics are respected in care planning
29
Q

Which of the following is a goal of palliative care in addressing the spiritual needs of patients?
- A) To extend life at all costs
- B) To address the patient’s spiritual and religious concerns and support their emotional well-being
- C) To replace medical treatments with spiritual practices
- D) To defer all decision-making to the patient’s family

A
  • B) To address the patient’s spiritual and religious concerns and support their emotional well-being
30
Q

What is the main goal of palliative care?
- A) To cure the patient’s illness
- B) To relieve suffering and improve quality of life for patients with serious illness
- C) To provide emergency interventions
- D) To prolong life through aggressive treatments

A
  • B) To relieve suffering and improve quality of life for patients with serious illness
31
Q

Hospice care is primarily for patients who:
- A) Have a terminal illness and have chosen to forgo curative treatment
- B) Are receiving aggressive curative treatments
- C) Have a stable chronic illness
- D) Are seeking a second medical opinion

A
  • A) Have a terminal illness and have chosen to forgo curative treatment
32
Q

What is the primary difference between hospice care and palliative care?
- A) Hospice care is only for cancer patients
- B) Palliative care can be given at any stage of illness, while hospice care is for patients with a prognosis of six months or less
- C) Palliative care focuses on emotional support only, while hospice provides full medical care
- D) Hospice care is available for children only, while palliative care is for adults

A
  • B) Palliative care can be given at any stage of illness, while hospice care is for patients with a prognosis of six months or less
33
Q

Under Medicare guidelines, which condition must be met for a patient to be eligible for hospice care?
- A) The patient must be over the age of 65
- B) The patient must have a prognosis of six months or less and choose to forgo curative treatments
- C) The patient must have a chronic illness but no life-threatening condition
- D) The patient must be undergoing surgery

A
  • B) The patient must have a prognosis of six months or less and choose to forgo curative treatments
34
Q

In hospice care, which treatment is typically NOT provided?
- A) Symptom management
- B) Curative treatments
- C) Pain relief
- D) Emotional support for families

A
  • B) Curative treatments
35
Q

What services does Medicare typically cover for patients in hospice care?
- A) Experimental treatments
- B) Bereavement services for the family, nursing care, and medications related to symptom control
- C) Any curative treatments the patient chooses
- D) Long-term hospitalizations

A

B) Bereavement services for the family, nursing care, and medications related to symptom control

36
Q

. A health care proxy becomes active when:
- A) The patient turns 65 years old
- B) The patient is no longer able to make decisions on their own
- C) The patient enters the hospital for surgery
- D) The patient is diagnosed with a chronic illness

A
  • B) The patient is no longer able to make decisions on their own
37
Q

A Living Will differs from a Health Care Proxy (HCP) in that:
- A) It specifies a patient’s medical wishes, while an HCP appoints someone to make decisions on their behalf
- B) It must be renewed annually
- C) It only applies to financial matters
- D) It is valid only if the patient is terminally ill

A
  • A) It specifies a patient’s medical wishes, while an HCP appoints someone to make decisions on their behalf
38
Q

MOLST (Medical Orders for Life-Sustaining Treatment) forms are primarily used to:
- A) Outline a patient’s wishes for life-sustaining treatments like CPR and ventilation
- B) Provide instructions for financial and legal decisions
- C) Replace all advance directives
- D) Authorize the use of antibiotics for minor infections

A
  • A) Outline a patient’s wishes for life-sustaining treatments like CPR and ventilation
39
Q

What is required for a MOLST form to be valid?
- A) The patient’s lawyer must sign the form
- B) A healthcare professional must complete and sign the form with the patient or representative’s input
- C) It must be completed by a family member
- D) It must be signed by a judge

A
  • B) A healthcare professional must complete and sign the form with the patient or representative’s input
40
Q

What is the role of life support in palliative care?
- A) It is used solely to prolong life indefinitely
- B) It is used to support failing body functions and can be temporary or permanent based on the patient’s condition and wishes
- C) It is required for all patients receiving palliative care
- D) It is only used in hospice settings

A
  • B) It is used to support failing body functions and can be temporary or permanent based on the patient’s condition and wishes
41
Q

Who is responsible for completing the medical portion of a death certificate?
- A) The funeral director
- B) The patient’s lawyer
- C) The physician or nurse practitioner who was caring for the patient
- D) The patient’s family

A
  • C) The physician or nurse practitioner who was caring for the patient
42
Q

What information is typically included on a death certificate under “cause of death”?
- A) The time of day the death occurred
- B) The immediate cause of death and any underlying conditions that contributed
- C) The name of the patient’s physician
- D) The type of treatment the patient received

A
  • B) The immediate cause of death and any underlying conditions that contributed
43
Q

What should be done if an error is found on a paper death certificate?
- A) Use white-out to correct it
- B) Erase the error and rewrite it
- C) Complete a new death certificate or correct it electronically if possible
- D) Leave the error and submit the certificate

A

C) Complete a new death certificate or correct it electronically if possible

44
Q

Which of the following is a key question when considering life-sustaining treatments?
- A) Will the treatment improve the patient’s financial status?
- B) Does the treatment align with the patient’s values and goals for care?
- C) Is the treatment required for all patients over 65?
- D) Will the treatment result in a permanent cure?

A

B) Does the treatment align with the patient’s values and goals for care?

45
Q

. Why is it important to discuss advance directives early, even when a patient is not terminally ill?
- A) It avoids difficult decisions being made during a crisis and ensures the patient’s wishes are known
- B) It prevents doctors from providing any treatment
- C) It allows for all medical decisions to be made by the family
- D) It ensures that the patient will not receive life support

A
  • A) It avoids difficult decisions being made during a crisis and ensures the patient’s wishes are known
46
Q

. How often must a MOLST form be reviewed and updated in a healthcare setting?
- A) Every 6 months
- B) Every 60 to 90 days
- C) Every year
- D) It does not need to be updated once completed

A
  • B) Every 60 to 90 days

Adult Gero (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions