Ethics and Symptom Management

1. Which of the following may serve as a hospice medical director?
2. Acting in a patient’s best interest demonstrates which of the following principles?
3. Supporting a patient’s right to self-determination reflects which of the following principles?
4. Which of the following is not appropriate for hospice?
5. Which of the following are unable to complete a face-to-face certification for hospice services?
6. General inpatient hospice care is appropriate for?
7. Hospice respite care is appropriate for?
8. Palliative care should be offered to:
9. Which of the following would be most appropriate for general inpatient hospice?
10. 52-year-old African American male with a history of esophageal cancer diagnosed 6 months ago has completed chemotherapy and presents to your clinic with worsening dysphagia. He is only able to swallow small amount of liquids. His PPS is 80%. Which is next best step in management of patient?
11. The United States has one of the best health systems in the world.
12. The United States has good return on investment from its health system regarding total expenditures and life expectancy.
13. The United States spends an inordinate amount of GDP on healthcare.
14. The recent decline in life expectancy in the United States can be partially accounted for by the opioid epidemic.
15. Any provider can prescribe buprenorphine for opioid dependence.
16. Methadone can be prescribed for chronic cancer pain.
17. Every patient receiving methadone should have an EKG completed prior to methadone initiation.
18. Work of breathing can be used to help determine dyspnea for a patient who is unable to verbalize.
19. Patients taking opiates and benzodiazepines concomitantly are at higher risk of sudden death.
20. Methylnaltrexone should be used for any patient with constipation.