Palliative and End of Life Care Chapter 24 Graded A+

Hospice care includes services that are reasonable and necessary for the comfort and management of a terminal illness. Which services might be included? (Select all that apply.) A) Physician services B) Nursing care C) Long-term inclient pain control D) Hospice aide services E) Social worker services - ANSWER-A, B, D, E Hospice care services may include physician services, nursing care, hospice aide services, social worker services, and short-term, not long-term, inclient care (for pain and symptom management). The leading cause of death in 2010 was: A) Cerebrovascular disease B) Chronic lower respiratory disease C) Diabetes mellitus D) Heart disease - ANSWER-D In 2010, the 10 leading causes of death accounting for 80% of all deaths in the United States include, in descending order, heart disease, malignant neoplasms, cerebrovascular disease, chronic lower respiratory disease, accidents, diabetes mellitus, influenza and pneumonia, Alzheimer disease, renal disease, and septicemia. The chart of a client with brain cancer notes "CMO." Which intervention should the nurse most expect this client to receive? A) Chemotherapy for killing the cancer cells B) Radiotherapy for reducing the size of the tumor C) Morphine for pain management D) Antibiotic to fight off an infection - ANSWER-C Comfort measures only (CMO) indicates a plan of care that specifies nursing interventions designed not to treat disease but to improve pain, function, or quality of life. Morphine for pain management best fits this description. Chemotherapy and radiotherapy are treatments for cancer and an antibiotic is a treatment for infection. A living will is a document that: A) Describes the client's wishes regarding treatment intended to sustain life B) Designates someone to make medical decisions for the client if he or she is unable to do so C) Permits someone access to the client's finances