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ELNEC Palliative Care Nursing Exam Questions and Answers
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ELNEC Palliative Care Nursing Exam Questions and Answers
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ELNEC Palliative Care Nursing ExamQuestions and Answers
Which of the following describes palliative care's philosophy and delivery? - ✔✔It supports
the patient and family's hope for quality of life and dignity.
Mrs. Woodrow tells you that her mother has been staying with her and is having difficulty sleeping
due to poorly controlled pain. Which quality of life domain is Mrs. Woodrow's mother struggling with?
- ✔✔Physical
Which of the following demonstrates the impact serious illness has on the social domain of quality of
life? - ✔✔Financial burdens resulting from the high costs of medical care
Mrs. Smith is suffering with severe bone pain from metastatic cancer. Which domain of quality of life is
this affecting - ✔✔Physical
Mr. G has just been told he has a serious illness. Which of the following statements reflects respectful
communication with him about his treatment and illness? - ✔✔"It is important that we
understand what your hopes are for your treatment of this illness."
You are teaching your colleagues about myths and realities of communication in palliative care. Which is
a correct statement about communication? - ✔✔"The majority of messages we send are non-
verbal."
You are helping a new member of the palliative care team understand the ways the behavior of healthcare
professionals can produce a communication barrier. Which statement by the team member
, indicates the need for additional education on communication barriers? - ✔✔"I will keep
an emotional distance in order to maintain a professional relationship with patients."
Jane, a 72-year-old woman with end-stage renal disease, tells you she thinks she doesn't want to
continue dialysis anymore. Which of the following would be your best response to this statement? -
✔✔"That is a very important statement, can you tell me more about that?"
You are speaking with the family of a patient recently diagnosed with end-stage heart failure. How can
you best demonstrate attentive listening? - ✔✔Use non-verbal signals such as nodding one's head
and eye contact.
An 85-year-old patient with end-stage heart disease arrives unconscious at the emergency department
after sustaining her third myocardial infarction. The physician has told the daughter that without
resuscitation, her mother could die today. You find the daughter crying by the patient's bedside. Which
intervention is most appropriate in communicating with this family member? - ✔✔Remain present
with the daughter, using silence to impart comfort.
You are entering a room to administer a medication to your patient and as you come in you find that the
three family members and the patient are all crying. What should you do next? - ✔✔Remain silent to
give permission to talk with you, holding off on the medication initially.
You are working with Mr. T who has just been told his heart failure is getting worse. You go into his
room to see how he is doing after the team has shared this information with him. He is staring out the
window, looking sad. How do you start your conversation? - ✔✔"I saw that the team was just
here, can you tell me about their conversation with you?"
Mr. S. has stage IV lung cancer and was admitted to your unit yesterday because of shortness of breath.
His breathing has improved with treatment and you tell him you are hoping to get to know him better so
you can provide the best care possible. Which of the following statements reflects your interest in
getting to know him? - ✔✔"Can you tell me what has given your life meaning?"
Roland was just told that his therapy for advanced prostate cancer is not working. He asks you, "Why is
this happening to me?" What is the most appropriate response? - ✔✔"I don't know. I wish I had an
answer for you, but I don't."
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