Week 6
Which of the following are reasons why there is a growing population of children with special needs?
a) Progression of medical and technological treatment
b) Much misunderstanding around healthy pregnancy behaviours
c) Parents are better equipped to articulate and advocate for their child
d) Low birth weight children are surviving more often
a) Progression of medical and technological treatment
b) Much misunderstanding around healthy pregnancy behaviours
d) Low birth weight children are surviving more often
A nurse can do which one of the following
a) Bring up MAiD as a suggestion during a palliative care discussion
b) Determine whether a client is eligible for MAiD
c) Can draw up the medication to cause death
d) May act as a witness to a client’s signature on a MAiD request
d) May act as a witness to a client’s signature on a MAiD request
Management of airway secretions at the end of life may involve all but which of the following?
a) Optimal positioning
b) Anticholinergic medication
c) Educating the family
d) Deep suctioning
d) Deep suctioning
What is the definition of Anticipatory grief?
A)When multiple losses are experienced in a short period of time
B)Happens before the loss of the person. It is a loss of what was and a loss of the future.
C)Normal grief that is severe in longevity and significantly impairs function
D)Reactions and emotions are postponed. Something later on may trigger the wave of grief
B)Happens before the loss of the person. It is a loss of what was and a loss of the future.
Patients must monitor for signs and symptoms of infection and they have received a kidney transplant. Which s&s should the nurse educate the patient to look out for? Select all that apply.
a) Polyuria
b) Edema
c) Fever
d) Increasing BP
e) Swelling or tenderness over the new kidney
b) Edema
c) Fever
d) Increasing BP
e) Swelling or tenderness over the new kidney
The nurse should encourage all of the following supportive interventions for school aged children with a chronic condition but one
a) Encourage the child to avoid activities such as school and extracurricular activities if they don’t want to participate
b) support the parents to encourage independence
c) Encourage the child to build connections with their peers
d) Educate the child about their illness/condition that is appropriate for their age
a) Encourage the child to avoid activities such as school and extracurricular activities if they don’t want to participate
True or False: A request for MAiD may be made either written or verbally
False (Through writing, signed and dated)
True or False: The RN may complete the death certificate
False: (done by physician who knew the patient best, sometimes can be done by an NP)
True or False - The Canadian Virtual Hospice is a website to provide individuals and their family information about Advanced Care Planning
False: (It is where individuals can ask anonymous end-of-life related questions to palliative care experts or talk to others in discussion boards)
Which of the following are complications of anti-rejection medications? Select all that apply.
a) Infection
b) Malignancy
c) Hypotension
d) Depression
e) Liver disease
a) Infection
b) Malignancy
d) Depression
e) Liver disease
The nurse’s role to support the parents of a child with a chronic condition include which of the following? Select all that apply.
a) Respecting cultural, spiritual, and religious beliefs
b) Assisting them to self-identify signs of stress and compassion fatigue
c) To remind them that they are the leader of their child’s healthcare team
d) To help them identify supports (both internal and external)
a) Respecting cultural, spiritual, and religious beliefs
b) Assisting them to self-identify signs of stress and compassion fatigue
d) To help them identify supports (both internal and external)
True or False - A nurse may choose not to be involved in MAiD
T (Through declaring a conscious objection, but reminder you cannot abandon a patient you have a duty to provide care until someone else takes over)
True: (Through declaring a conscious objection, but reminder you cannot abandon a patient you have a duty to provide care until someone else takes over)
Which one of the following refers to the dignity question?
a) What can you tell me about your family member that will help me get to know them better?
b) What do I need to know about you to provide the best care possible?
c) How much help would you like me to give you with your ADL?
d) None of the above
b) What do I need to know about you to provide the best care possible?
When explaining death and loss to a child it is important to do which of the following? Select all that apply.
a) Be sure to use terms such as “passed away” or “has left us” when referring to death
b) Invite questions
c) Be honest about what is happening
d) Invite them to attend funeral and ceremonies with appropriate explanation and support
b) Invite questions
c) Be honest about what is happening
d) Invite them to attend funeral and ceremonies with appropriate explanation and support
What is the definition of Acute rejection?
A)Appears within the first 6 months after transplantation (15%of cases). Mediated by the recipient’s T cytotoxic lymphocytes
b)Occurs more than 1 year after transplantation and is a major cause of allograft loss
c) Rejection of the renal allograft occurs within hours of the transplant; nephrectomy is indicated; there is a presence of preformed anti-donor antibodies.
A)Appears within the first 6 months after transplantation (15%of cases). Mediated by the recipient’s T cytotoxic lymphocytes
Nurses are in a prime position to address transition issues from the pediatric to adult care setting. Transfer plans should entail which one of the following?
a) Introducing the concept later rather than too early to reduce stress
b) Accepting the adolescent’s ability to provide self-care (assess)
c) Understanding the family will probably want to search for a new provider on their own terms
d) Having discussions around the parent’s potential new role as a more supportive and collaborative decision maker
d) Having discussions around the parent’s potential new role as a more supportive and collaborative decision maker
Select all of the true statements regarding palliative sedation.
a) The patient must be suffering from refractory symptoms to qualify
b) Can be used to speed up the dying process in patients who are suffering
c) Only used in patients whose death is imminent (hours to days)
d) Is required for approximately 20% of end-of-life cases
a) The patient must be suffering from refractory symptoms to qualify
c) Only used in patients whose death is imminent (hours to days)
Select all of the true statements regarding The Palliative Performance Scale:
a) Identity’s the patient’s need for support as their illness progresses
b) Is on a scale from 1-10
c) Has 5 functional dimensions
d) Is primarily used by family members to identify care needs of their family member
a) Identity’s the patient’s need for support as their illness progresses
c) Has 5 functional dimensions
All of the following are contradictions to organ donation except one:
a) HIV, CJD, Rabies
b) Age > 80 years
c) Weight > 136 Kg
d) Untreated/uncontrolled sepsis
b) Age > 80 years
True or False - The option of donation should be presented to the family before the patient is referred for screening.
- False
Which of the following is true regarding Digoxin? Select all that apply.
a) Digoxin doing is milligrams to micrograms
b) The nurse should count the apical heart rate for 1 min before administration to ensure it’s low enough for administration
c) The most appropriate way to measure the I & O of an infant with a heart defect is to count soiled diapers/voids
d) Nurses should encourage a side lying position during feedings
e) Nurses should watch for signs of dig toxicity such as N & V, anorexia, low BP, and bradycardia
e) Nurses should watch for signs of dig toxicity such as N & V, anorexia, low BP, and bradycardia
True or False: A lawyer is required to make an advanced directive.
False
When explaining death and loss to a child it is important to do which of the following? Select all that apply.
a) Be sure to use terms such as “passed away” or “has left us” when referring to death
b) Invite questions
c) Be honest about what is happening
d) Invite them to attend funeral and ceremonies with appropriate explanation and support
b) Invite questions
c) Be honest about what is happening
d) Invite them to attend funeral and ceremonies with appropriate explanation and support
True or False – A single organ donor can save up to 8 lives, and a single tissue donor can help up to 75 people.
True
Which of the following is a condition where the pulmonary artery and the aorta are one vessel?
a) Tetralogy of Fallot
b) Truncus arteriosus
c) Pulmonary atresia
d) Tricuspid atresia
b) Truncus arteriosus