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Based on Real Life Scenarios to Prepare You for Exams and Enhance Your Knowledge
Activity 12: Non-Pain Conditions and Teamwork
Non-Pain Conditions and Teamwork
Which of the following can assess a patient for capacity?
D. All of the above
Which of the following diagnoses carries the highest risk for rehospitalization within 30 days after discharge?
D. Acute MI
Which of the following opiates in its natural state is long-acting (i.e. does not require a controlled release matrix)?
Which of the following drugs is not available as a sublingual preparation (concentrated oral liquid)?
AM is a 82 yo M with acute on chronic COPD that required initial intubation & ICU admission for hypoxia who is clinically improving with subsequent extubation 2 days ago; now stable on oxygen via NC @ 2LPM(baseline). Despite overall clinical improvement he has had persistent agitation. Which of the following is a reasonable intervention for this patient experiencing ICU delirium that has failed multiple nonpharmacologic interventions?
A. Haloperidol 5 mg sublingual Q4H around the clock
B. Haloperidol 5 mg IV Q4H around the clock
C. Haloperidol 1 mg sublingual Q4H PRN agitation
D. Haloperidol 1 mg IV Q4H PRN agitation
Which of the following medications should not be given subcutaneously due to toxicity?
D. A and C
Which of the following are at greatest risk for complicated grief?
A. 85-year-old male who is primary caregiver for his wife (she has terminal lung cancer) of 65 years
B. 85-year-old female who is primary caregiver for her husband (he has terminal lung cancer) of 65 years
C. 35-year-old single father who is primary caregiver for his son with terminal recurrent medulloblastoma
D. 45-year-old male who is primary caregiver for his wife (she has terminal breast cancer) of 20 years
Which of the following factors should be considered with respect to hospice staffing?
B. ALOS (Average Length of Stay)
C. Staff turnover rate
D. Percent of patients receiving routine level of care
E. All of the above
A patient at a hospital is being evaluated for general inpatient hospice care at a local hospice inpatient care center, however it is unclear if the patient meets eligibilty criteria, which is the best next step to clarify this situation?
A. Hospital nurse to hospice nurse conversation
B. Hospital social worker to hospice social worker conversation
C. Hospital attending (or pertinent specialist physician) to hospice medical director conversation
D. If the patient wants general inpatient hospice, it is okay to admit them
Hospice volunteers can do all of the following for patients except:
A. Drive patients to/from appointments
B. Attend the Hospice IDT (Interdisciplinary Team Meeting)
C. Provide support for the patient
D. Administer medications to the patient
A patient may receive both hospice and home care services simultaneously.
A social worker must see a patient every 15 days for a patient to remain eligible for hospice care.
A patient receiving hemodialysis may be enrolled in hospice care.
A patient who is actively dying and ventilator dependent is automatically eligible for general inpatient hospice care.
Patients referred to hospice care acutely after a hospitalization generally have shorter hospice lengths of stay versus other community-referred patients.
The chaplain is the only one on the hospice team that should be addressing patient religious/spiritual needs.
FICA stands for Faith, Importance, Community and Acceptance.
The ESAS-R (Edmonton Symptom Assessment System Revised) questionnaire is a validated tool for symptom assessment.
The majority of hospice patients have non-cancer diagnoses.
The majority of hospice care should occur where the patient calls “home,”
Time is Up!