Communication in the Workplace
Cancer Staging and Metastasis
Pain Management
Symptom Management
Ethical Issues
100

This personality test, highlighted in Thomas Erickson's book "Surrounded by Idiots" is a helpful tool in learning about the personality traits of others. It uses a 4 color system of categories people based on personality traits.

What is the DISC personality test?

100

The most common cancer staging system TNM uses these 3 pieces of information to determine the stage of the cancer.

What is Tumor, Node Involvement, Metastasis?

100

This step of the nursing process is often missed, causing clients to be in pain after the nurse assumes the interventions she initiated worked.

What is Evaluation?

100

These two medications are commonly used for treating anxiety and restlessness in hospice.

What are lorazepam and haloperidol?

100

The process by which a third party (healthcare worker) taking care of the client intentionally uses medications to terminate a patient's life to end their pain and suffering.

What is euthanasia?

200

Cautious, Careful, Contentious, and at times Calculating and Condescending are words that might describe this color/title category of the DISC test.

What is Blue/ Compliant?

200

For 37 seasons, Alex Trebek served as host to the Jeopardy. Sadly, he passed away in 2020 after a struggle with this type of cancer, known for having the lowest 5 year survival rate of any type of cancer.

What is Pancreatic Cancer?

200

This Pain Assessment Tool is helpful for use in clients with dementia and memory loss.

What is the PAINAD scale?
200

This normal and expected symptom for clients with a terminal illness is often misdiagnosed as depression.

What is anticipatory grieving?

200

A written medical order from a physician, nurse practitioner or physician assistant that helps give people with serious illnesses more control over their own care by specifying the types of medical treatment they want to receive during serious illness.

What is POLST (Physician Order for Life Sustaining Treatment)?

300

When communicating with this DISC personality color, Provide direct answers – act quickly, Don't ramble or waffle - limit socializing, and focus on the bottom line.

What is Red/ Dominant?

300

A 70% or less on this scale used in hospice eligibility is an indicator that the client with a cancer diagnosis is likely eligible for hospice services.

What is the PPS (Palliative Performance Scale)?

300

Weak Opioids, used with or without adjuvant therapies represents this level of the WHO Analgesic Ladder.

What is Step 2?

300

It is important to consider triggers to restlessness, anxiety, and agitation. Especially in clients who are veterans, as they are at higher risk of having this disorder.

What is PTSD (Post Traumatic Stress Disorder)?
300

This Doctrine introduced by Thomas Aquinas in the 13th Century states: “An action in the pursuit of a good outcome is acceptable, even if it achieved through means with an unintended but foreseeable negative outcome if that negative outcome is outweighed by the good outcome.”

What is the Doctrine of "Double Effect"?

400

It’s not always what we say, but how we say it. It can be formal when speaking to client’s families and facilities. It can be more casual with coworkers or friends.

What is Tone?

400

This scale, often used by oncologists and found on CTIs for clients with cancer diagnosis, is used to score a level of function.

What is the ECOG scale?

400

Venlafaxine and Duloxetine are medications from this drug class which can be helpful adjuvants for analgesia.

What are SNRIs (Serotonin and Norepinephrine Reuptake Inhibitors)?

400

Although it is quite common for clients at end of life to "feel hot", a technical fever is a temperature greater than 38.5 degrees Celsius or this temperature in Farenheit.

What is 100.4 degrees Fahrenheit

400

When differentiating Palliative Sedation from Euthanasia or Physician Assisted Suicide, it is important to clarify these two factors.

What are intention and desired outcome?

500

Good Posture, Facial Expressions to match the tone of the discussion, Eye Contact, Facing the speaker directly, and Minimize distractions are positive examples of this imperative form of communication.

What is nonverbal communication?

500

This 2nd most frequent complication of cancer occurs in 5-30% of cancer patients. Symptoms: back pain most common presenting symptom followed by lower motor neuron deficits (hypotonicity, hyperreflexia, paralysis), urinary dysfunction, and constipation. Treatment: Dexamethasone, Radiation, Surgery

What is Spinal Cord Compression (SCC)?

500
As a hospice nurse, you know that Mixed Agonist- Antagonist drugs such as this once commonly used medication should be avoided due to the risk of causing increased pain. Its generic name is Nalbuphine, but its Brand name is this.

What is Nubain?

500

Laxatives of this category should be avoided with opioid induced constipation because they can often make the problem worse.

What are bulk/ Fiber laxatives?

500

The process by which a physician acts as a facilitator for a patient to hasten death by providing lethal doses of prescription medication. It differs from euthanasia in that the health care work assumes a passive role of supervision and the actual administration of medication that leads to death has to be done by the patients on their own.

What is Physician Assisted Suicide (PAS)?