Reference no: EM133923326
Questions
1. The following are the sign of approaching death except
a) Weakness
b) Drowsiness
c) Diminished intake
d) Worsening of pain
2. Issues related to death of a patient
a) Should not be discussed with the patient at
b) Should be discussed only in the last 24 hours
c) Discussed only with distant relatives
d) Should be discussed with patient as early as possible
3. Care of a dying patient should be
a) By a team approach
b) Always in the hospital
c) By a family and friends alone
d) A doctor alone
4. Causes of increased anxiety in a terminally ill patient include except
a) Feeling that people are lying about the diagnosis
b) Poor symptom control
c) Absence of religious faith
d) Unfinished business
5. The preferred routes for administration of drugs in a dying patient include all except
a) Buccal
b) Intramuscular
c) Intravenous
d) Subcutaneous 6. Indications for switching from oral to subcutaneous route include all except
a) Intractable vomiting
b) Decreased Cancerous level
c) Severe dysphagia
d) Demand from relatives
7. Following are the absolute contradictions for tissue donation except
a) Cancer
b) HIV
c) Hepatitis B
d) Motor Neuron Diseases
8. What are the ways of helping a bereaved Person?
a) Non judgmental listening
b) Providing information
c) Becoming familiar with your own feelings
d) All
9. The following are the common emotional manifestations of grief except
a) Sadness
b) Anger
c) Depression
d) Anxiety
10. Common reactions in a bereaved child include
a) Denial
b) Guilt
c) Anxiety
d) All
11. The following drugs should be continued in a dying patients except
a) Analgesics
b) Anticonvulsants
c)Antiemetics
d)Oral hypoglycemic agents
12. Management option for death rattle include all except
a) Pharyngeal Suction
b) Glyeopyrrolate
c) Repositioning the patient
d) Reassurance of patient and family members
13. Common Physical manifestations of grief include all except
a) Hollowness in the stomach
b) Shortness of breath
c) Lack of energy
d) None
14. Helping children cope with their grief include all except
a) Withholding information
b) Allowing expression of feeling
c) Giving reassurance
d) Getting them involved in the ritual.....
True or Falls Statements
1. It is always good to predict prognosis when the patient is in terminal phase.
2. Profound weakness in a patient with advanced disease can be symptom of death.
3. Sudden development of symptoms is always a sign of impending death
4. Views of the family and friends on the care of the patient are important in the case of terminal illness
5. Patient should always be encouraged to die in the hospital
6. A single person in the caring team should take responsibility for terminal care when the patient is dying.
7. Dying patients are always less anxious if they are not aware of the diagnosis.
8. Buccal route is ideal for administration of medicines in a patient with dry mouth.
9. All the long term medications need to be continued in the terminal phase.
10. Regular suction is the best way to manage death rattle
11. Patients in terminal phase should not be catheterized
12. It is always necessary to use explicit language while informing the family about the patient's death
13. If the patient dies at home, it is the family's responsibility to inform the registration office.
14. Grief is an abnormal reaction to death.
15. Children should be excluded from rituals related to death.