Grief and Palliative Care Quiz

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Questions and Answers

What is the correct order for donning personal protective equipment in isolation?

Eyewear, cover gown, surgical mask, clean gloves

Clean gloves, eyewear, surgical mask, cover gown

Surgical mask, eyewear, clean gloves, cover gown

Cover gown, surgical mask, eyewear, clean gloves (correct)

Which type of grief occurs before an actual loss?

Anticipatory grief (correct)

Disenfranchised grief

Complicated grief

Normal grief

What factors can influence a person's perception and response to grief?

Living environment and job security

Divorce and financial situation only

Age and gender exclusively

Coping strategies, cultural beliefs, and nature of loss (correct)

Which statement about the grief experience is correct?

It is a journey that no two people experience the same way. Signup and view all the answers

What should be included when developing a plan of care for someone facing death?

The patient's and family's wishes for end-of-life care Signup and view all the answers

What is a key component of providing palliative care?

Establishing a caring presence and using effective communication Signup and view all the answers

What is normal grief characterized by?

Complex emotional, cognitive, social, physical, behavioral, and spiritual responses Signup and view all the answers

Why is it important to educate patients and caregivers on infection prevention in the home setting?

It helps adapt interventions to unique home environments. Signup and view all the answers

What is crucial for providing patient-centered hygiene care?

Understanding the patient's hygiene preferences and needs Signup and view all the answers

How does administering therapies before hygiene care benefit patients?

It can help relieve symptoms and prepare them for care Signup and view all the answers

What factor is essential in providing care to unconscious patients during oral hygiene?

Positioning the patients correctly and ensuring suction is available Signup and view all the answers

What contributes to the evaluation of hygiene procedures?

Outcomes related to patient comfort and understanding of hygiene Signup and view all the answers

Which processes are necessary for adequate oxygenation in the body?

Ventilation, diffusion, respiration, and perfusion Signup and view all the answers

What can decrease cardiac output in patients?

Myocardial ischemia and abnormal conduction Signup and view all the answers

What might indicate a patient's hypoxemia?

Altered level of consciousness and dyspnea Signup and view all the answers

What is a role of systemic circulation in oxygen delivery?

To perfuse tissues and deliver oxygen while removing waste Signup and view all the answers

Which factor is NOT associated with changes in self-concept and self-esteem?

Career success Signup and view all the answers

How should health care providers approach a patient's self-concept?

By conducting culturally sensitive assessments Signup and view all the answers

What is a key method to assess a patient's self-concept?

Gathering perceptions from family and significant others Signup and view all the answers

What type of care should nursing interventions for self-concept disturbances be based on?

Evidence-based care Signup and view all the answers

Which of the following influences a health care provider's self-concept?

The practice environment Signup and view all the answers

What are the consequences of sensory alterations?

Difficulty in receiving or perceiving stimuli Signup and view all the answers

Which statement is true regarding responses to stimuli?

Significant stimuli often evoke stronger reactions. Signup and view all the answers

What should be considered when planning care for self-concept alterations?

Collaboration with the patient for outcomes Signup and view all the answers

Which factor is least likely to affect urinary function?

Recent changes in diet Signup and view all the answers

What is a common symptom of a urinary tract infection?

Polyuria Signup and view all the answers

Which intervention is critical for preventing catheter-associated urinary tract infections (CAUTIs)?

Maintaining a closed urinary drainage system Signup and view all the answers

Which of the following is not a sign of urinary retention?

Incontinence Signup and view all the answers

What is a recommended practice to promote urinary health?

Encouraging patients to void at regular intervals Signup and view all the answers

Which physiological factor increases peristalsis in the GI tract?

Stress Signup and view all the answers

What is a primary purpose of evaluating a patient's typical voiding habits?

To foster normal urinary elimination Signup and view all the answers

Which of the following is an essential component of care for patients experiencing bowel elimination issues?

Complete a thorough physical assessment Signup and view all the answers

What is the consequence of severe scarring from secondary intention?

Permanent loss of tissue function Signup and view all the answers

Which factors are essential for promoting wound healing?

Adequate protein and nutritional intake Signup and view all the answers

Which condition can impede wound healing due to poor tissue perfusion?

Hypovolemic shock Signup and view all the answers

What is a valid reason for performing a wound assessment?

To identify nursing diagnoses and select wound therapies Signup and view all the answers

What can result from an elastic bandage being applied too tightly?

Circulatory impairment Signup and view all the answers

Which of the following conditions increases the risk for foot and nail problems?

Diabetes mellitus Signup and view all the answers

Why is clinical judgment important in wound care?

To anticipate risks and analyze assessment data Signup and view all the answers

What should be assessed to obtain a complete picture of a patient's hygiene needs?

Skin, feet, nails, oral mucosa, hair, eyes, and ears Signup and view all the answers

When should an assessment be conducted for a patient regarding safety?

On admission, after a fall, and when transferred Signup and view all the answers

Which factors should be reviewed when assessing psychosocial influences on patient safety?

Health literacy, cultural background, and perception of health and safety Signup and view all the answers

What is an evidence-based alternative to the use of physical restraints?

Offering diversion activities and promoting relaxation Signup and view all the answers

What should be assessed before applying physical restraints on a patient?

Underlying causes of agitation and cognitive impairment Signup and view all the answers

Which complication is directly related to prolonged immobility?

Development of deep vein thrombosis (DVT) Signup and view all the answers

How can a patient's willingness to change their environment impact safety interventions?

It is important for decisions on environmental changes Signup and view all the answers

What could be a physiological consequence of immobility during hospitalization?

Development of boredom and social isolation Signup and view all the answers

What should be monitored when a patient is in physical restraints?

Skin integrity, pulses, and sensation of the restrained body part Signup and view all the answers

Study Notes

Module 1 & 2-Medication Administration

Administering medications safely requires understanding legal aspects of healthcare.
Apply pharmacokinetic processes (absorption, distribution, metabolism, excretion) to time medication administration, select route, and evaluate patient response.
Medication administration aims for constant blood levels within a safe therapeutic range.
Promptly recognize and report adverse medication events to prevent patient injury.
Patient allergies are clearly documented.
Medication route depends on properties, desired effect, and patient condition.
Metric units are easily converted (factors of 10).
Health care providers prescribe, pharmacists prepare/distribute medications.
Nurses, physicians, and other providers evaluate medication therapies.
Distractions may cause medication errors.
Ten rights of medication administration (medication, dose, patient, route, time, documentation, indication, evaluation, right to refuse, health education) are crucial.
Time-critical medications must be administered within a specific timeframe.
Physical assessment before administering medications identifies indications/contraindications.
Responsibilities include knowing medication therapeutics, assessing patients, calculating doses, administering medications (seven rights), monitoring effects, and assessing self-administration ability.
MAR (Medication Administration Record) is used for medication preparation and administration at the patient's bedside.
Collaboration with patients and caregivers is essential, especially for complex regimens.
Medication administration evaluation requires assessment and knowledge of medications, physiology, and pathophysiology.

Module 3-Infection Prevention

Infection transmission occurs when the six elements of the infection chain are present and uninterrupted.
Normal body flora and defenses reduce pathogenic organisms.
Acute inflammation involves vasodilation, increased blood flow causing redness/warmth, increased permeability leading to swelling, and cellular response with increased white blood cells.
Systemic/widespread inflammation increases white blood cells in the bloodstream.
Healthcare-associated infections lead to significant patient events and high healthcare costs.
Multiple factors contribute to patient susceptibility to infection.

Module 4-Safety and Mobility

Clinical judgment requires understanding patient safety perception and physical conditions.
Vulnerable populations (infants, children, elderly, chronic disease) have increased safety risks.
Common environmental safety hazards include vehicle accidents, poisonings, falls, and fires.
Patient education is crucial for safety in home and work environments.
Developmental stages create safety concerns due to lifestyle choices, cognition, mobility, and sensory limitations.
All patients should undergo a fall risk assessment on admission, following changes, after falls, and after transfers to ensure patient safety.
Procedure-related accidents are less likely when policies and procedures are followed and distractions are minimized.
Psychosocial factors (health literacy, culture, health perception) influence patient safety.
Interventions to minimize safety risks require clinical judgment and patient participation.
Evidence-based alternatives to physical restraints include activities, de-escalation techniques, and relaxation techniques.

Module 5-Skin Integrity and Wound Care

Skin breakdown risk increases with immobility and prolonged bed rest.
Deep vein thrombosis (DVT) and pulmonary embolus (PE) are complications of immobility.
Immobility leads to boredom and social isolation.
Assessing for and planning interventions for impaired skin integrity and wound care requires clinical judgment.
Wound assessment includes systemic and local complications affecting healing.
Risk assessment tools evaluate pressure injury risk regularly.
Essential wound healing factors include adequate nutrition, hydration, circulation, and normal hemoglobin.
Impeding wound healing factors include shock/poor circulation, infection, and incontinence.
Evaluating wound healing data informs nursing diagnoses and identifies appropriate therapies.
Correct positioning is crucial for patients with impaired alignment/mobility.
Interventions to prevent DVT include early ambulation, exercises, and fluid intake.
Wound healing varies-acute is usually traumatic/surgical, while chronic wounds have factors like vascular compromise, chronic inflammation, or reinjury.

Module 6-Personal Hygiene & Bed Making

Factors (beliefs, culture, economics, development) influence hygiene preferences/practices.
Complete hygiene assessments (skin, feet, nails, mouth, hair, eyes) are essential.
Patients with special needs (vascular insufficiency/mobility, cognition, sensation) require tailored support to overcome challenges.
Assessment of physical/cognitive ability assists with determining hygiene support needs.
Patients with diabetes or vascular disease need special care for feet/nails
Patient-centered care considers patient's needs/preferences.
Intervention preparation (pain/nausea therapies) promotes successful hygiene care.

Module 7-Oxygen Therapy, Surgical Asepsis

Oxygen delivery through cardiopulmonary system (heart, lungs, airways, blood vessels) is vital.
Processes like ventilation, diffusion, respiration, and perfusion support oxygenation.
Cardiac output depends on heart rate, contractility, blood volume, and resistance to blood flow.
Myocardial blood flow is crucial for heart muscle oxygenation.
Systemic circulation delivers oxygen to tissues.
Signs of hypoxemia include altered consciousness, increased respiration/difficulty, dyspnea, and anxiety.
Factors influencing oxygenation include age, nutrition, lifestyle, humidity, environmental pollutants, and stress.
Nursing assessments evaluate respiratory rate, pattern, secretions, cough, and oxygen saturation.
Oxygen therapy (nasal cannula, mask, vent) enhances tissue oxygenation.
Breathing exercises and chest physiotherapy support secretion removal.

Module 8-Urinary Elimination and Specimen Collection

Micturition involves complex interactions between the central nervous system, bladder, and urinary sphincter.
Fluid intake, medications, and other factors affect urine production.
Urinary tract symptoms include urgency, frequency, hesitancy, polyuria, oliguria, nocturia, dribbling, and urinary retention.
A history of catheterization increases UTI risk.
Aseptic techniques are vital in maintaining closed drainage systems.
Interventions (fluid intake, hygiene, and regular voiding) promote normal urination.
Procedures like catheter insertion/removal and specimen collection require aseptic techniques to prevent infections.

Module 9-Bowel Elimination, Ostomy & Nutrition-Self-Concept

The gastrointestinal (GI) tract consists of the alimentary canal and accessory organs.
GI tract functions involve fluid/electrolyte balance.
Patient assessment includes bowel habits, elimination patterns, and factors affecting them (stress, activity, diet, meds).
Clinical judgment in bowel care planning involves identifying patient needs from the assessment.
Planning care for patients requiring ostomy or bowel prep involves educating patients to manage changes effectively.
Nutrition provision ensures essential nutrients are available to support bodily functions.
Digestion/absorption encompasses chemical and mechanical processes that break down food into nutrients.

Module 10-Sensory

Sensory experience encompasses reception, perception, and reaction to stimuli.
Sensory alterations involve deficits, deprivation, and overload.
Assessment considers factors (age, environmental factors) that impact sensory function.
Nursing assessments focus on factors, mental status exams, and environmental factors.

Module 11-Communication

Effective communication uses SACCIA for efficiency (Sufficiency, Accuracy, Clarity, Contextualization, and Interpersonal Adaptation)
Adapting communication strategies (e.g., storytelling, reminiscing) with patient populations improves communication effectiveness and promotes patient engagement.
Patient's viewpoints must be considered for effective communication.
Recognizing non-verbal cues is crucial for understanding patient responses.
Teaching involves both verbal and non-verbal communication and must consider patient background to accurately convey the correct information.

Module 12-Palliative and Hospice

Loss experiences impact self-concept, self-esteem, and relationships.
Losses (environment, relationship, self) affect grief responses.
Grief is a personalized and individual process, and normal responses are complex.
Grieving patients need support to understand their reactions.
Assessment includes history and cultural factors that influence personal experiences.
Patient wishes and expectations are considered.

Module 13-Rest/Sleep, Stress & Therapeutic Environment

Sleep is a 24-hour circadian rhythm.
Sleep needs and cycles vary across the lifespan.
Environmental factors influence sleep patterns/behavior.
Sleep problems (insomnia) are assessed with careful attention to factors that lead to the problem.
Nursing interventions focus on creating an environment to promote sleep.
Stress response involves alarm, resistance, and exhaustion stages.
Stressors can impact physiological function and increase the risk for injury/infection
A thorough assessment is essential when assessing stressors and responses.

Module 14-Complimentary & Alternative Therapies & Pain Management

Complementary and alternative medicine (CAM) approaches are patient-centered and varied.
Analgesic therapies have different underlying mechanisms to manage pain, which requires clinical judgment when selecting approaches to patients from different backgrounds.
Multimodal analgesia is a strategy that combines several drugs to reduce side effects and improve patient outcomes.
Individual/environmental factors have implications for pain management.
Pain management requires consideration of the patient's individual responses to these therapies.

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Description

Test your knowledge on grief, palliative care, and the importance of personal protective equipment in healthcare settings. This quiz covers essential concepts such as the order of donning PPE, types of grief, and factors influencing grief responses. Understand the key components necessary for developing care plans for individuals nearing the end of life.