Day 2 – ELNEC Part 1 Test Questions for the Community Hospice and Palliative Care Symposium
November 15, 2018

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* 1. Participant Name

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* 2. Introduction to Palliative Nursing Care – Landrum

The palliative care philosophy and delivery cannot be characterized as:

a. Care provided and services coordinated by only a physician.

b. Patients, families, palliative and non-palliative health care providers collaborate and communicate about care needs.

c. Services are available concurrently with or independent of curative or life-prolonging care.

d. Patient and family hopes for peace and dignity are supported throughout the course of illness, during the dying process, and after death.

e. Did not attend this segment of the symposium

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* 3. Pain Management – Landrum

What is a common challenge in addressing and/or managing pain in oncology care? Choose the best answer:

a. Oncologists prefer not to mask pain that may help them evaluate progress of therapy.

b. Patients with cancer may become addicted to narcotics, or overdose themselves.

c. Patients fear that their pain means their cancer is progressing/recurring.

d. Patients over-rate their pain in order to obtain more medication than is needed.

e. Did not attend this segment of the symposium.

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* 4. Ethical Issues at EOL – Bradley

There are four ethical principles that guide nurses in providing excellent palliative care (Coyle & Kirk, 2016): Autonomy, Beneficence, non-maleficence & Justice. Which of the following is incorrect regarding the meaning behind each principle?

a. Respect for Autonomy is the moral attitude that disposes one to refrain from interference with the autonomous beliefs and actions of others in the pursuit of their goals. Allowing, encouraging, and supporting patients and their families to make their own decisions.

b. Beneficence is the intent to do good and offer support consistent with the health care team’s goals. Nurses need to know the team’s values, and treatments should align with those values.

c. Non-maleficence is the duty to refrain from causing harm. This can be challenging at times, as the treatment may cause some harm. However, the future benefit will hopefully outweigh the harm.

d. Justice concerns the fair and equitable distribution of burdens and benefits to the participants in social institutions. Scarce resources must be distributed both fairly and equitably.

e. Did not attend this segment of the symposium.

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* 5. Cultural Considerations in EOL Care – Sutolovich

FICA is an example of a spiritual assessment. F=Faith, I=Importance or Influence, C=Community, A=Address. These are ways to incorporate your spiritual assessment in conversation with patients and caregivers. Which of the following questions would be incorrect regarding a FICA spiritual assessment:

a. F=Faith: Does the patient have a faith belief? What gives his/her life meaning?

b. I=Importance or Influence: How important is your faith to you? How does your faith influence your life?

c. C=Community: Do you belong to a social media network? If yes, in what ways does this provide support to you?

d. A=Address: How would you like for the team to integrate issues of spirituality into your care?

e. Did not attend this segment of the symposium.

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* 6. Leadership in Hospice and Palliative Care – Hoyt

Characteristics of a Transformational Palliative Care Nurse Leader include all of the below except:

a. Believes in and supports the team.

b. Able to motivate those in their “sphere of Influence”.

c. Egotistic and selfish

d. Recognizes and celebrates success of the work.

e. Did not attend this segment of the symposium.

Question Title

* 1. Participant Name

Question Title

* 2. Introduction to Palliative Nursing Care – Landrum The palliative care philosophy and delivery cannot be characterized as:

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* 3. Pain Management – LandrumWhat is a common challenge in addressing and/or managing pain in oncology care? Choose the best answer:

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* 4. Ethical Issues at EOL – Bradley There are four ethical principles that guide nurses in providing excellent palliative care (Coyle & Kirk, 2016): Autonomy, Beneficence, non-maleficence & Justice. Which of the following is incorrect regarding the meaning behind each principle?

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* 6. Leadership in Hospice and Palliative Care – Hoyt Characteristics of a Transformational Palliative Care Nurse Leader include all of the below except:

* 2. Introduction to Palliative Nursing Care – Landrum

The palliative care philosophy and delivery cannot be characterized as:

* 3. Pain Management – Landrum

What is a common challenge in addressing and/or managing pain in oncology care? Choose the best answer:

* 4. Ethical Issues at EOL – Bradley

There are four ethical principles that guide nurses in providing excellent palliative care (Coyle & Kirk, 2016): Autonomy, Beneficence, non-maleficence & Justice. Which of the following is incorrect regarding the meaning behind each principle?

* 6. Leadership in Hospice and Palliative Care – Hoyt

Characteristics of a Transformational Palliative Care Nurse Leader include all of the below except: