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Talking About the Unspoken: Death & Dying

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1.  The rate of persistent pain in US nursing homes data shows that _______ of patients reported their pain at end of life was worsening or remained at a severe level? 26.3% 33% 41.4% 65.1%

2.  Which of the following does NOT predict site of death? Patient preferences Hospice spending Number of hospital beds Diagnostic category

3.  An advanced healthcare directive: Is for anyone age 18 and older General instructions for future treatment Appoints a decisionmaker All of the above

4.  How is POLST different from a DNR? Physician order required Intended for very ill persons Honored across all healthcare settings Addresses resuscitation

5.  Which of the following is NOT one of the Five Questions? What would a good day look like? What is it about your past that led you here? What outcomes are unacceptable to you? What are your fears or worries for the future?

6.  When is technologically intense end of life care MORE likely? In younger patients In North America and Northern Europe When physician works routinely in ICU When physician has more clinical experiences

7.  Which of the following interventions may be appropriate in palliative care situations but not active cancer treatment situations? Gentle massage Positioning Range of motion exercises TENS for pain relief

8.  'Practices related to cultural observances or rituals at the time of loss' are commonly referred to as which of the following? Bereavement Mourning Funerals Grief

9.  Asking a patient to explain their cultures practices at end of life is part of which of the following aspects of end of life care? The Five Questions Rehab in Reverse Cultural Humility Hospice

10.  Which of the following is TRUE regarding rehabilitation services as part of a palliative care plan for patients? It is not covered by Medicare. It only happens in hospices. It is not appropriate as patients will not be progressing with functional abilities. Goals may focus on caregiver abilities to care for the patient.