2017 Palliative Care Webinar
Please answer the following questions to receive CME credit. Thank you!
Question 1: A patient’s perception of suffering from metastatic breast cancer may be worsened by which of the following?
a. The meaning she has attached to the pain.
b. Loss of her dreams for the future.
c. Financial concerns.
d. Regrets for not getting regular mammograms.
e. Inability to work at a job she loved.
f. Evidence of disease progression in spite of all the chemotherapy she struggled to get through.
g. Concerns about her son in prison.
h. All of the above.
Question 2: All of the following are true about Palliative Care EXCEPT:
a. Focuses on improving quality of life.
b. Reduces costs associated with hospitalization.
c. Increases length of life for patients with Stage IV lung cancer.
d. Cannot be provided if the patient is on chemotherapy or dialysis.
e. Is appropriate at any stage in a disease.
Question 3: All of the following are true about delirium EXCEPT:
a. It is very common and often undiagnosed.
b. It is seldom caused by medications.
c. The symptoms may be mistaken for pain.
d. Haldol is the drug of choice for managing agitation associated with delirium.
e. Patient’s with delirium have a poorer prognosis.
f. Delirium can be a source of significant suffering.
Question 4: Your patient with advanced CHF complains of lack of energy, poor sleeping, and financial concerns. His wife reports that he is spending more time in bed and has become more irritable. He is eating poorly and wants to be left alone. Which one of the following would you do next?
a. Prescribe sleeping medication.
b. Prescribe an appetite stimulant.
c. Talk with the patient about his feelings and concerns.
d. Prescribe methylphenidate.
e. Prescribe an antidepressant.
f. Refer to a psychiatrist.
Question 5: Imaging studies reveal steady progression of cancer in spite of aggressive treatment. Which one of the following would you NOT tell the patient?
a. “There is nothing more we can do. It is time to get your affairs in order.”
b. “I’m afraid the treatment isn’t controlling the cancer anymore.”
c. “We will refocus our care on comfort and quality of life.”
d. “It is important for your family to know about your wishes for care if there was ever a time when you aren’t able to decide for yourself.”
e. “Let’s talk about your goals and some of the choices for your care.”
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