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| 1 | |
What is most commonly held fear people express about dying? |
| | A) | not having money to pay for a funeral |
| | B) | dying in pain |
| | C) | not living to see children grow up |
| | D) | the inefficiency of hospitals |
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| 2 | |
What is the primary focus of hospital care? |
| | A) | mental rehabilitation |
| | B) | long-term residential care |
| | C) | acute intensive care |
| | D) | care of dying patients and their families |
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| 3 | |
In 2000, what percentage of the gross domestic product was spent on health care? |
| | A) | 9 percent |
| | B) | 12 percent |
| | C) | 13 percent |
| | D) | 25 percent |
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| 4 | |
According to Daniel Callahan, in rationing scarce health care resources, what principle should be applied? |
| | A) | principle of symmetry |
| | B) | principle of rationing |
| | C) | Principle of longevity |
| | D) | principle of functionalism |
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| 5 | |
The idea behind the "measuring stick" of QALYs (quality adjusted life years) is that people may be willing to accept |
| | A) | Longer life with better health. |
| | B) | Shorter life with better health. |
| | C) | Longer life with worse health. |
| | D) | Shorter life with worse health. |
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| 6 | |
All of the following are principles of a good death except |
| | A) | To have adequate control over pain and other symptoms. |
| | B) | To know that death is coming and understand what to expect |
| | C) | To have a say about who is present and who shares the end. |
| | D) | To have lived a long and happy life. |
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| 7 | |
What is the primary aim of hospice and palliative care? |
| | A) | To help people live as fully as possible until the end of their lives. |
| | B) | To take measures to sustain life. |
| | C) | To focus on curing disease. |
| | D) | To help patients realize that nothing can be done. |
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| 8 | |
Where is St. Christopher's Hospice located? |
| | A) | New Haven, Connecticut |
| | B) | Sydenham, England |
| | C) | Rome, Italy |
| | D) | San Francisco, California |
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| 9 | |
Which of the following is a feature of St. Christopher's Hospice? |
| | A) | Wards are filled with flowers and photographs. |
| | B) | Pets are forbidden. |
| | C) | Children are discouraged to visit. |
| | D) | Relatives are not allowed to stay with the dead body. |
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| 10 | |
Which of the following is a crucial challenge for contemporary hospices? |
| | A) | access and availability of care |
| | B) | finances and budgetary controls |
| | C) | innovation and creation of new services |
| | D) | All of the above. |
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| 11 | |
Under the Medicare Hospice Benefit, what must be a patient's life expectancy to qualify for hospice care? |
| | A) | six months or less |
| | B) | eight months if the illness runs its course |
| | C) | ten months if the illness runs its course |
| | D) | twelve months or more if the illness runs its course |
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| 12 | |
Which of the following best describes the advantages of home care as a setting for terminal care? |
| | A) | The dying person is in a familiar setting. |
| | B) | Home care lessens the need to "live to a timetable." |
| | C) | Home care allows for a mutuality of care and concern. |
| | D) | All of the above |
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| 13 | |
Which type of institutional care is most appropriate for an aged person who needs minimal assistance? |
| | A) | skilled nursing facility |
| | B) | personal home care |
| | C) | home health care |
| | D) | congregate housing |
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| 14 | |
What do experts in trauma and emergency care call the first hour after serious injury? |
| | A) | The Painful Hour |
| | B) | The Crucial Hour |
| | C) | The Golden Hour |
| | D) | The Happy Hour |
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| 15 | |
What is the survival rate among people who receive appropriate care during the first hour after a traumatic injury? |
| | A) | 60 percent |
| | B) | 70 percent |
| | C) | 80 percent |
| | D) | 90 percent |
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| 16 | |
During the U.S. Civil War, Army Major John Letterman developed a system for evacuating casualties aimed at reducing the time between injury and care. What is the term for this system? |
| | A) | Angulatory Care |
| | B) | Triage |
| | C) | Medevac Care |
| | D) | Systematic Trauma Care |
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| 17 | |
What significant innovation in comprehensive trauma and emergency care was instituted in 1969? |
| | A) | the first civilian helicopter medevac program. |
| | B) | the triage system |
| | C) | burn treatment |
| | D) | Nothing of significance occurred in 1969 relative to trauma care. |
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| 18 | |
What is a specific challenge facing emergency room or trauma staff? |
| | A) | To provide short-term acute care. |
| | B) | To take life-sustaining action with little or no established relationship with the patient. |
| | C) | To encourage the use of support groups. |
| | D) | To meet the needs of terminally ill patients. |
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| 19 | |
Feelings of inadequacy, nonreciprocal giving, and too many demands are among the main sources of |
| | A) | trauma guilt |
| | B) | caregiver stress |
| | C) | "burnout" |
| | D) | devaluing nurses |
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| 20 | |
When in the presence of someone who is dying, it is best to |
| | A) | leave your own agenda at the door. |
| | B) | sit still and listen. |
| | C) | be present to whatever the person needs. |
| | D) | All of the above. |
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