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Palliative and End-of-Life Care: Principles, Symptom Management, and Psychosocial Support., Exams of Nursing

Columbia International University (CIU)Nursing

Palliative and End-of-Life Care: Principles, Symptom Management, and Psychosocial Support.

Typology: Exams

2024/2025

Available from 07/15/2025

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Palliative and End-of-Life Care: Principles,
Symptom Management, and Psychosocial
Support.
1. What is the primary goal of palliative care?
oCure the disease
o[✓] Provide relief from pain and improve quality of life
oExtend life at all costs
oFocus only on psychological support
2. Which symptom is most commonly managed in end-of-life care?
o[✓] Pain
oFever
oCough
oNausea
3. Which healthcare professionals are essential members of a
palliative care team?
oSurgeons and radiologists only
o[✓] Physicians, nurses, social workers, and chaplains
oDietitians only
oPharmacists only
4. What is hospice care?
oCare focused on curing chronic illness
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Palliative and End-of-Life Care: Principles,

Symptom Management, and Psychosocial

Support.

  1. What is the primary goal of palliative care? o Cure the disease o [✓] Provide relief from pain and improve quality of life o Extend life at all costs o Focus only on psychological support
  2. Which symptom is most commonly managed in end-of-life care? o [✓] Pain o Fever o Cough o Nausea
  3. Which healthcare professionals are essential members of a palliative care team? o Surgeons and radiologists only o [✓] Physicians, nurses, social workers, and chaplains o Dietitians only o Pharmacists only
  4. What is hospice care? o Care focused on curing chronic illness

o [✓] Care focused on comfort for terminally ill patients, usually at home or hospice facility o Acute care for emergency patients o Rehabilitation care after surgery

  1. Which medication is commonly used to manage pain and dyspnea in palliative care? o [✓] Morphine o Acetaminophen o Antibiotics o NSAIDs
  2. When should palliative care be initiated for a patient with a serious illness? o Only after curative treatment fails o [✓] At diagnosis of a life-limiting illness, alongside curative treatment o Only during the last week of life o When the patient requests it only
  3. Which approach best addresses the psychosocial needs of patients in palliative care? o Focus on physical symptoms only o [✓] Provide emotional support and counseling to patients and families o Avoid discussing the illness openly

o [✓] Low-dose opioids and anxiolytics o Diuretics only o Avoiding medications

  1. What is the purpose of bereavement care? o To prevent death o [✓] To provide support to families after patient’s death o To provide only physical care o To hasten patient recovery
  2. Which of the following is true about sedation at end-of- life? o It should be used to hasten death o [✓] It may be used to relieve intractable suffering o It is rarely needed o It is the first line of treatment
  3. How can nurses address spiritual needs in palliative care? o Ignore spiritual concerns o [✓] Facilitate access to spiritual care providers and listen empathetically o Force religious beliefs o Only provide medication
  4. Which of the following symptoms is least common in terminally ill patients?

o Pain o Dyspnea o Delirium o [✓] Fever

  1. What is the most important principle when managing pain in palliative care? o Avoid opioids due to addiction risk o [✓] Individualize treatment based on patient’s pain and tolerance o Use only non-pharmacologic methods o Avoid regular pain assessment
  2. Which is an ethical principle central to palliative care? o Beneficence (doing good) o [✓] Autonomy (respecting patient choices) o Non-maleficence only o Justice only
  3. Delirium in end-of-life patients is characterized by all EXCEPT: o Inattention o Disorganized thinking o [✓] Constant alertness o Altered level of consciousness

o Encourage vigorous exercise

  1. Why is communication important in palliative care? o To convince patients to accept all treatments o [✓] To ensure informed decision-making and provide emotional support o To reduce time spent with patients o To focus only on physical symptoms
  2. Which symptom is often undertreated in palliative patients? o Fever o [✓] Dyspnea o Hypertension o Skin rashes
  3. Which of the following is true regarding nutrition in end-of- life care? o Forced feeding improves outcomes o [✓] Respect patient’s wishes regarding eating and drinking o Nutrition should always be stopped o Only intravenous feeding is used
  4. What is the best way to assess pain in a non-verbal end-of- life patient? o Guess based on diagnosis

o [✓] Use behavioral pain scales and family input o Ignore pain o Measure vital signs only

  1. Which of the following is NOT a typical component of a palliative care plan? o Symptom control o Psychosocial support o Spiritual care o [✓] Aggressive curative therapy
  2. Spiritual distress in palliative care patients may manifest as: o Pain only o [✓] Feelings of hopelessness, anger, or isolation o Physical fatigue only o Fever only
  3. Which is an important consideration when withdrawing life-sustaining treatments? o Do it without informing family o [✓] Communicate clearly and provide comfort care o Discontinue all medications immediately o Ignore patient wishes
  4. What role do advance care planning discussions play?
  1. Which symptom often requires opioid rotation in palliative care? o Vomiting o [✓] Inadequate pain control or side effects o Diarrhea o Insomnia
  2. How should breakthrough pain be managed in palliative patients? o Ignore it o [✓] Use fast-acting opioids as needed o Increase background opioid dose only o Use only non-pharmacological methods
  3. Which legal document expresses a patient’s wishes about resuscitation? o [✓] Do Not Resuscitate (DNR) order o Power of attorney o Living will for finances o Consent for surgery
  4. What is an important self-care practice for palliative care nurses? o Work extra hours without breaks o [✓] Seek support to prevent burnout

o Avoid discussing feelings o Ignore emotional stress

  1. Which is true about communication with families during end-of-life care? o Information should be withheld to protect families o [✓] Honesty and compassion improve coping o Use medical jargon to avoid questions o Avoid discussing prognosis
  2. Which is a key symptom of terminal dehydration? o Persistent hunger o Increased urine output o [✓] Dry mouth and restlessness o Weight gain
  3. Which of the following should be avoided in palliative care? o Symptom control o Family involvement o [✓] Unnecessary invasive investigations o Emotional support
  4. Which medication class is useful in managing terminal delirium? o Antibiotics

o Provide medication only o [✓] Facilitate spiritual care and listen compassionately o Discourage discussion of beliefs o Ignore it

  1. When managing bowel obstruction in palliative care, important considerations include: o Forced feeding o [✓] Symptom relief and comfort o Aggressive surgery for all patients o Ignoring symptoms
  2. Which of the following indicates effective palliative care communication? o Avoid difficult topics o [✓] Open, honest discussion respecting patient’s readiness o Use medical jargon only o Talk only to family, not patient
  3. Bereavement support should ideally begin: o After the patient’s death o [✓] Before and after the patient’s death o Only months after death o Only if family requests it
  1. Which non-pharmacological intervention may improve sleep in palliative patients? o Excessive daytime napping o [✓] Relaxation techniques and comfortable environment o Loud noises o Bright lights before bedtime
  2. The role of cultural competence in end-of-life care is to: o Deliver a standard care regardless of beliefs o [✓] Respect and incorporate patient cultural preferences into care o Avoid cultural discussions o Force certain rituals on patients