Day 1 – Pediatric Intensive Care Test Questions for the Community Hospice and Palliative Care Symposium
November 14, 2018

Question Title

* 1. Participant Name

Question Title

* 2. Introduction – Pediatric Hospice and Palliative Care – DaSilva

The focus of palliative care is to improve the quality of life of patients and families facing a life-threatening or life-limiting illness. Which of the following is NOT correct about palliative care?

a. The patient and family are the center of the unit of care.

b. Palliative care provides relief from pain and other distressing symptoms.

c. Palliative care provides support to help patient’s lives as actively as possible until death and to help families cope during the child’s illness.

d. Once hospice is chosen, palliative care cannot be continued.

e. Did not attend this segment of the symposium.

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* 3. Pediatric Pain Management – Dees

Children are especially amenable to non-pharmacological interventions due to their imaginative and playful nature. Please select the most accurate statement:

a. Cognitive-behavioral therapies are not effective until after the immediate-release has taken effect.

b. Non-pharmacological interventions cannot change situational factors to improve the child’s control and activate endogenous pain-inhibitory systems.

c. Parents should NEVER participate in restraining their child.

d. Children naturally struggle to utilize distraction techniques to cope with both physical and emotional discomfort.

e. Did not attend this segment of the symposium.

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* 4. Pediatric Symptom Management – Rice

In partnering with the child and family, establishment of clear goals of care is essential. Which of the following will help to focus goals on improved quality of life and decreased suffering?

a. Identify the symptoms which are of greatest concern to the patient and family.

b. The benefit vs. burden of invasive procedures should not be an issue, only the medical team’s recommendation.

c. Goals will remain the same throughout the trajectory of the illness.

d. Interventions that will prolong life artificially, such as blood transfusions, antibiotics, and tube feedings are strictly prohibited in hospice.

e. Did not attend this segment of the symposium.

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* 5. Pediatric Care at the time of Death – DaSilva

Children often know they may not recover from their illness, even if they are not directly given this information. Some children do not want to talk about the disease or dying, but want to know that someone is available to listen if they choose to talk. What is correct about communicating with a dying child and her family?

a. Respect the parents’ choices and decision-making while assessing opportunities to facilitate open communication between the parents and child.

b. Talk to the child at her level of understanding.

c. A child may let the nurse know she is finished talking by walking away, moving away to play, changing the subject, acting out, changing body posture and/or other non-verbal cues that signify withdrawal.

d. Children should not be forced to confront their mortality or imminent death.

e. All of the above.

f. Did not attend this segment of the symposium.

Question Title

* 1. Participant Name

Question Title

* 2. Introduction – Pediatric Hospice and Palliative Care – DaSilvaThe focus of palliative care is to improve the quality of life of patients and families facing a life-threatening or life-limiting illness. Which of the following is NOT correct about palliative care?

Question Title

* 3. Pediatric Pain Management – DeesChildren are especially amenable to non-pharmacological interventions due to their imaginative and playful nature. Please select the most accurate statement:

Question Title

* 4. Pediatric Symptom Management – Rice In partnering with the child and family, establishment of clear goals of care is essential. Which of the following will help to focus goals on improved quality of life and decreased suffering?

Question Title

* 2. Introduction – Pediatric Hospice and Palliative Care – DaSilva

The focus of palliative care is to improve the quality of life of patients and families facing a life-threatening or life-limiting illness. Which of the following is NOT correct about palliative care?

* 3. Pediatric Pain Management – Dees

Children are especially amenable to non-pharmacological interventions due to their imaginative and playful nature. Please select the most accurate statement:

* 4. Pediatric Symptom Management – Rice

In partnering with the child and family, establishment of clear goals of care is essential. Which of the following will help to focus goals on improved quality of life and decreased suffering?