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N205 questions with correct answers
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N205 questions with correct answers
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N205 questions with correct answersWhat is palliative care? Correct Answer-manages symptoms, provide
psychosial support, coordinate care to relieve suffering and improve
quality of life for cts with serious illnesses
Role of nurse in palliative care Correct Answer-Advocate for dignity
and self-esteem of client. Improve quality of life of client and family
with end-of-life issues. Humanity, resources and support, symptom
control, comfort by presence
Words/phrases to avoid when someone is palliative? Correct Answer-
He's palliative → he nas palliative care needs, are they palliative now?
→ are we using a palliativecare approachner? There is nothing more we
can do → goals are symptom directed
What is often the most important "treatment" for a palliative pt? Correct
Answer-Therapeutic communication → listen, be yourself, avoid giving
advice, acknowledge feelings, avoid judgement, be empathetic
( understand their feelings)
What assessments are used in palliative care? Correct Answer-
Edmonton symptom assessment system, palliative performance scale
What do goals of care always start with? Correct Answer-The patient to
see what they can tell you and how well they can engage in this
conversation
,What is the palliative performance scale? Correct Answer-was created to
standardize functional performance using five observer-rated domains:
ambulation, activity level and evidence of disease, self-care, oral intake,
and level of consciousness.
What does PPS level less than 30% indicate? Correct Answer-Dying
What does pps 40 - 50 % indicate? For care needs Correct Answer-More
help
What does PPS of 70 - 60% indicate for care needs Correct Answer-
Reduced
What are the components of a good death? Correct Answer-Acceptance
of death, planned circumstance, wishes and values are in align, setting
and site are appropriate, symptoms controlled, support and resources are
available
How is the SDM determined? Correct Answer-Guardian, attorney for
personal care, consent and capacity board representative, spouse or
partner, child / parents / children's aide society, parent who only has a
right of access, brother
What are aspects of dying? Correct Answer-Social- distancing
/withdrawal, emotional - fluctuations in emotions flat effect, spiritual -
sufferinglexistinential concerns, cultural - rituals, ceremonies,
information starry.
,Signs of approaching death Correct Answer-Decreased
awareness/insight, heart rate - increased irregular, thready, sleeping
increases, decreased socialization, stopped / decreased eating + drinking,
shallow breaths, apnea, terminal secretions, changes in skin temperature
and colour (mottled extreme tres), restlessness, agitation, incontinence of
urine or stool, urine output decreases and may become tea coloured.
Symptoms prevalence in final days Correct Answer-Dyspnea, secretions,
delirium
Interventions for congestion - gurgling sound Correct Answer-
Anticholinergics
total pain Correct Answer-Physical, psychological, social, and spiritual
components of a person's experience of pain. "Pain iceburg"
Nociceptive visceral pain Correct Answer-Nerve fibres of the visceral
organs activated by physical tissue destruction
Manifestations of visceral noiceptive pain Correct Answer-Vague-
poorly localized, cramping, sore, bloating, aching, throbbing etc.
Noiceptive somantic pain Correct Answer-Injury to skin, muscle, soft
tissue, bone
, Manifestations of noiciceptive somatic pain Correct Answer-Well
localized " sharp, sore, aching, stabbing".
neuropathic pain Correct Answer-pain from damage to neurons of either
the peripheral or central nervous system
Manifestations of neuropathic pain Correct Answer-burning, tingling,
numbness, shooting electrical pain
Treatment of noiceptive pain Correct Answer-NSAIDs and opioids
Treatment of neuropathic pain Correct Answer-Opioids, anticonvulsants,
methadone
lacinating Correct Answer-Sharp/stabbing pain
Allodynia Correct Answer-Pain due to a stimulus that does not normally
provoke pain
Hyperalgesia Correct Answer-increased sensitivity to pain
dysesthesia Correct Answer-Numbness and tingling
What should you use before an event to avoid incident pain? Correct
Answer-Short acting opioid → fentanyl
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