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Based on Real Life Scenarios to Prepare You for Exams and Enhance Your Knowledge
Activity 10: Management of Non-Pain Conditions and Grief
Management of Non-Pain Conditions and Grief
54-year-old white female with ES-MS (End Stage Multiple Sclerosis) with severe bladder spasms which are painful. Patient unable to take P.O. meds. UA is WNL. Which is the best treatment option?
A. Ceftriaxone IM daily for 7 days
B. Oxybutynin extended release P.O. daily
C. Sulfamethoxazole/trimethoprim double strength BID for 3 days
D. Hyoscyamine sublingually every 4 hours, around the clock, for spasms
Which of the following is the leading cause of death in the United States?
A. Cardiovascular disease
D. Opioid overdoses
The leading cause of death in the United States for those less than 14 years of age is?
B. Motor vehicle accidents
C. Cardiovascular disease
D. Congenital anomalies
Which of the following side effects is associated with stimulant use in the palliative setting?
Which of the following interventions can be a part of home hospice care?
A. IV norepinephrine
B. IV milrinone
C. IV vasopressin
D. IV dexmedetomidine
Which of the following is the highest risk factor for complicated bereavement?
A. Death of a spouse
B. Death of a sibling
C. Death of child
D. Death of a cousin
What is the average time frame for a typical grief response?
A. 3 months
B. 6 months
C. 1 year
D. 2 years
What percent of patients that initiate hemodialysis after age 75 die within one year after hemodialysis initiation?
Side effects of anticholinergic drugs include all the following except?
D. Dry mouth
Which of the following generally does not benefit patients with neuropathy?
All patients with dementia should be referred to hospice.
2017 ASCO/NCCN guidelines recommend offering palliative care to all newly diagnosed stage 4 cancer patients.
Palliative care referrals require that patients have a terminal diagnosis.
Patients do not benefit prognostically from early hospice referral.
Current supply/demand of certified hospice and palliative providers will make it difficult to deliver these services in the United States given current demographic trends.
Anhedonia is a normal part of the grieving process.
A patient who is full code cannot be admitted to hospice services.
Hospice quality data should include the frequency of revocations.
In countries such as Australia, recent trends have seen palliative care “cannibalize” hospice services.
Care at end of life for patients in the United States is often driven by specialty physicians.
Time is Up!