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Psych 29

front 1

Which description best defines a “good death”?

A) Rapid death without planning

B) Death occurring inside hospital

C) Free from avoidable distress

D) Death after aggressive treatment

back 1

C. Free from avoidable distress

front 2

Which description best defines a “bad death” in palliative care

A) Needless suffering; dishonored wishes

B) Sudden death after trauma

C) Death after chronic illness

D) Death with family present

back 2

A. Needless suffering; dishonored wishes

front 3

A patient is declared dead after irreversible loss of circulation and breathing. Which definition is being applied?

A) Loss of cortical awareness

B) Persistent vegetative state

C) Terminal sedation response

D) Cessation of circulatory-respiratory function

back 3

D. Cessation of circulatory-respiratory function

front 4

Death can also be defined by irreversible cessation of which entire system?

A) Peripheral nervous system

B) Entire brain including brainstem

C) Cerebral cortex excluding brainstem

back 4

B. Entire brain, including brainstem

front 5

For brain death determination in an infant aged 1 week to 2 months, two assessments must be separated by at least how long?

A) 6 hours

B) 12 hours

C) 48 hours

D) 72 hours

back 5

C. 48 hours

front 6

For brain death determination in an infant aged 2 months to 1 year, two assessments must be separated by at least how long

A) 24 hours

B) 48 hours

C) 72 hours

D) 1 week

back 6

A. 24 hours

front 7

For brain death determination in an older child, two assessments must be separated by at least how long?

A) 1 hour

B) 6 hours

C) 24 hours

D) 12 hours

back 7

D. 12 hours

front 8

After a patient dies, who is required to sign the death certificate?

A) Primary nurse

B) Physician

C) Social worker

D) Funeral director

back 8

B. Physician

front 9

Which Kubler-Ross sequence is correctly ordered?

A) Anger; denial; acceptance; depression

B) Depression; bargaining; anger; denial

C) Denial; depression; anger; bargaining

D) Denial; anger; bargaining; depression

back 9

D. Denial; anger; bargaining; depression

front 10

A dying patient says, “Why me?” and becomes resentful toward family and staff. Which Kubler-Ross stage best fits?

A) Bargaining

B) Acceptance

C) Anger

D) Depression

back 10

C. Anger

front 11

A terminally ill patient promises major life changes if given more time. Which Kubler-Ross stage best fits?

A) Anger

B) Bargaining

C) Acceptance

D) Shock

back 11

B. Bargaining

front 12

A dying patient becomes withdrawn, slowed, sleepless, hopeless, and suicidal. Which Kubler-Ross stage best fits?

A) Acceptance

B) Bargaining

C) Denial

D) Depression

back 12

D. Depression

front 13

Which symptom cluster most strongly matches the depression stage of dying?

A) Withdrawal; hopelessness; sleep disturbance

B) Euphoria; grandiosity; pressured speech

C) Flashbacks; hypervigilance; avoidance

D) Rituals; compulsions; intrusive thoughts

back 13

A. Withdrawal; hopelessness; sleep disturbance

front 14

A patient reports floating above their body and hearing conversations during resuscitation. This best matches what phenomenon?

A) Near-death experience

B) Dissociative fugue

C) Panic attack

D) Somatic delusion

back 14

A. Near-death experience

front 15

Which set best matches common near-death experience features?

A) Fever; seizures; hallucinations

B) Amnesia; confusion; agitation

C) Tremor; sweating; tachycardia

D) Peace; tunnel; deceased loved ones

back 15

D. Peace; tunnel; deceased loved ones

front 16

“Unio mystica” refers to which experience?

A) Fear of permanent separation

B) Oceanic unity with infinite power

C) Denial of personal mortality

D) Bargaining with a deity

back 16

B. Oceanic unity with infinite power

front 17

Compared with children, adults most commonly die from which broad cause?

A) Accidents

B) Homicides

C) Chronic illness

D) Suicides

back 17

C. Chronic illness

front 18

Compared with adults, children usually die from which broad cause pattern?

A) Sudden unexpected causes

B) Slowly progressive dementia

C) Chronic cardiopulmonary illness

D) Long-term malignancy

back 18

A. Sudden unexpected causes

front 19

Among children aged 1–14, almost half of deaths are due to which cause group?

A) Chronic illness only

B) Accidents, homicides, suicides

C) Congenital cardiac defects

D) Progressive neurologic disease

back 19

B. Accidents, homicides, suicides

front 20

In late adolescence and early adulthood, nearly 75% of deaths are due to which cause group?

A) Cancer and infections

B) Chronic organ failure

C) Neurodegenerative disease

D) Accidents, homicides, suicides

back 20

D. Accidents, homicides, suicides

front 21

A preschool child views death as temporary, incomplete, and reversible. Which cognitive stage best explains this?

A) Formal operational

B) Sensorimotor

C) Preoperational

D) Concrete operational

back 21

C. Preoperational

front 22

What is the main fear for preschool children facing death or serious illness?

A) Separation from primary caretaker

B) Loss of occupational identity

C) Moral guilt after bargaining

D) Permanent social reputation loss

back 22

B. Separation from primary caretaker

front 23

A seriously ill child develops more nightmares and aggressive play. This reaction best fits which developmental group?

A) Adolescents

B) School-age children

C) Young adults

D) Preschool children

back 23

D. Preschool children

front 24

School-age children with concrete-operational thinking usually understand death as what?

A) Final reality

B) Temporary absence

C) Reversible sleep

D) Magical punishment

back 24

A. Final reality

front 25

Which developmental stage is most associated with recognizing death as final through concrete-operational thinking?

A) Preschool children

B) Adolescents

C) School-age children

D) Infants

back 25

C. School-age children

front 26

How do adolescents typically understand death?

A) Temporary and incomplete

B) Inevitable and final

C) Reversible after separation

D) Impossible and unreal

back 26

B. Inevitable and final

front 27

Which statement best captures adolescent thinking about personal death?

A) Death is always reversible

B) Death only affects adults

C) Death lacks finality

D) Own death may feel impossible

back 27

D. Own death may feel impossible

front 28

Erikson’s eighth and final life-cycle stage centers on which psychosocial outcome?

A) Initiative versus guilt

B) Identity versus role confusion

C) Integrity versus despair

D) Generativity versus stagnation

back 28

C. Integrity versus despair

front 29

After a loved one dies, a patient describes the private emotional pain of the loss. Which term best applies?

A) Grief

B) Mourning

C) Bereavement

D) Melancholia

back 29

A. Grief

front 30

Which term describes the process by which grief is gradually resolved?

A) Bereavement

B) Anniversary reaction

C) Anticipatory grief

D) Mourning

back 30

D. Mourning

front 31

A widow is described as being deprived of someone by death and currently in mourning. Which term best applies?

A) Grief

B) Bereavement

C) Protest

D) Detachment

back 31

B. Bereavement

front 32

Which pairing correctly distinguishes grief and mourning?

A) Feeling; resolution process

B) Ritual; depressive syndrome

C) Denial; social isolation

D) Trauma; anniversary trigger

back 32

A. Feeling; resolution process

front 33

Which pairing correctly defines mourning and bereavement?

A) Shock; anger response

B) Loneliness; chronic grief

C) Grief resolution; deprivation state

D) Acute grief; delayed denial

back 33

C. Grief resolution; deprivation state

front 34

In normal bereavement, what is typically the first response to loss?

A) Detachment

B) Reorganization

C) Idealization

D) Protest

back 34

D. Protest

front 35

After the initial protest response in normal bereavement, which behavior commonly follows?

A) Permanent withdrawal

B) Searching behavior

C) Immediate acceptance

D) Prolonged denial

back 35

B. Searching behavior

front 36

Which sequence best matches normal bereavement progression?

A) Protest; searching; despair; reorganization

B) Detachment; bargaining; protest; searching

C) Depression; denial; anger; acceptance

D) Searching; reorganization; protest; despair

back 36

A. Protest; searching; despair; reorganization

front 37

Which symptom is considered a more lasting manifestation of grief?

A) Anger

B) Loneliness

C) Euphoria

D) Panic

back 37

B. Loneliness

front 38

A patient grieves before a loved one dies from progressive terminal illness. Which term best applies?

A) Anticipatory grief

B) Delayed grief

C) Anniversary reaction

D) Hypertrophic grief

back 38

A. Anticipatory grief

front 39

Anticipatory grief is most associated with which situation?

A) Sudden unexpected death

B) Special occasion trigger

C) Slow dying process

D) Incomplete hematopoietic development

back 39

C. Slow dying process

front 40

Anticipatory grief may cause which maladaptive interpersonal response before death occurs?

A) Searching behavior and attachment

B) Normal reorganization and attachment

C) Acute anniversary sadness and withdrawal

D) Premature separation and withdrawal

back 40

D. Premature separation and withdrawal

front 41

A spouse withdraws emotionally while their partner slowly dies from illness. Which grief process best explains this?

A) Chronic grief

B) Anticipatory grief

C) Delayed grief

D) Anniversary reaction

back 41

B. Anticipatory grief

front 42

A patient develops acute grief every year on the spouse’s birthday. Which term best applies?

A) Hypertrophic grief

B) Prolonged denial

C) Normal protest

D) Anniversary reaction

back 42

D. Anniversary reaction

front 43

An acute grief reaction triggered by a special occasion is best called what?

A) Anniversary reaction

B) Chronic grief

C) Anticipatory grief

D) Bereavement

back 43

A. Anniversary reaction

front 44

Bereavement commonly evokes symptoms from which psychiatric domain?

A) Psychotic symptoms

B) Manic symptoms

C) Depressive symptoms

D) Somatic delusions

back 44

C. Depressive symptoms

front 45

Which term can describe complicated bereavement?

A) Normal

B) Morbid

C) Organized

D) Expected

back 45

B. Morbid

front 46

Which set contains terms used for complicated bereavement

A) Abnormal; atypical; unresolved

B) Normal; organized; adaptive

C) Preoperational; reversible; temporary

D) Protest; searching; reorganization

back 46

A. Abnormal; atypical; unresolved

front 47

Which term is NOT typically used for complicated bereavement?

A) Traumatic

B) Distorted

C) Unresolved

D) Reorganized

back 47

D. Reorganized

front 48

Which pattern is the most common complicated grief syndrome?

A) Hypertrophic

B) Delayed

C) Traumatic

D) Chronic

back 48

D. Chronic

front 49

Chronic dysfunctional grief is especially characterized by which features?

A) Brief sadness; rapid reorganization

B) Bitterness; idealization

C) Amnesia; manic symptoms

D) Peace; tunnel experience

back 49

B. Bitterness; idealization

front 50

Chronic grief is most likely when the relationship was extremely close or when what is lacking?

A) Funeral rituals

B) Medical documentation

C) Social supports

D) Religious beliefs

back 50

C. Social supports

front 51

Hypertrophic grief is most often seen after which type of death?

A) Chronic terminal illness

B) Expected peaceful death

C) Remote childhood loss

D) Sudden unexpected death

back 51

D. Sudden unexpected death

front 52

Which description best matches hypertrophic dysfunctional grief?

A) Mild and short-term

B) Extreme denial and long-term

C) Extraordinarily intense and long-term

D) Quiet loneliness only and short-term

back 52

C. Extraordinarily intense and long-term

front 53

A patient has prolonged denial after losing a loved one. Which complicated grief pattern fits best?

A) Chronic grief

B) Delayed grief

C) Hypertrophic grief

D) Anniversary reaction

back 53

B. Delayed grief

front 54

A patient has grief that remains persistently chronic and extraordinarily intense after a violent loss. Which term best fits

A) Normal bereavement

B) Traumatic bereavement

C) Anniversary reaction

D) Anticipatory grief

back 54

B. Traumatic bereavement

front 55

Which pattern combination defines traumatic bereavement?

A) Chronic and hypertrophic

B) Delayed and anticipatory

C) Protest and searching

D) Restitution and reorganization

back 55

A. Chronic and hypertrophic

front 56

A patient with traumatic bereavement is being evaluated for risk factors. Which history is frequently present?

A) Autoimmune disease

B) Psychiatric illness

C) Childhood asthma

D) Substance allergy

back 56

B. Psychiatric illness

front 57

Bereavement-related medical complications most often include which pattern?

A) Only psychiatric symptoms

B) Only acute infections

C) Existing disease exacerbations

D) Permanent immune recovery

back 57

C. Existing disease exacerbations

front 58

Which mortality pattern is associated with bereavement overall?

A) Increased mortality, especially women

B) Increased mortality, especially men

C) No mortality effect

D) Increased mortality, especially children

back 58

B. Increased mortality, especially men

front 59

A recently bereaved man dies shortly after his spouse’s death. When is mortality risk highest after bereavement?

A) Immediately after bereavement

B) Five years after loss

C) During anniversaries

D) After full reorganization

back 59

A. Immediately after bereavement

front 60

Immediately after bereavement, which cause of death is particularly increased?

A) Colon cancer

B) Ischemic heart disease

C) Chronic renal failure

D) Pulmonary fibrosis

back 60

B. Ischemic heart disease

front 61

The greatest mortality effect after bereavement is seen in which group?

A) Women younger than 40

B) Men older than 80

C) Men younger than 65

D) Children younger than 15

back 61

C. Men younger than 65

front 62

After bereavement, widows may have increased relative risk of death from which causes?

A) Cirrhosis and suicide

B) Asthma and seizures

C) Diabetes and pneumonia

D) Stroke and anemia

back 62

A. Cirrhosis and suicide

front 63

Which type of death is more likely to precipitate PTSD in survivors?

A) Natural expected death

B) Chronic illness death

C) Peaceful hospice death

D) Unnatural violent death

back 63

D. Unnatural violent death

front 64

During acute grief, which biologic disruption may occur?

A) Increased hemoglobin synthesis

B) Disrupted biologic rhythms

C) Enhanced neutrophil maturation

D) Improved sleep architecture

back 64

B. Disrupted biologic rhythms

front 65

Acute grief may impair immune function through which changes?

A) Increased platelets and ferritin

B) Higher transferrin and ferritin

C) Reduced lymphocyte proliferation and NK function

D) Increased thymic T-cell maturation and NK function

back 65

C. Reduced lymphocyte proliferation and NK function

front 66

Which phase begins many models of the grieving process?

A) Restitution and reorganization

B) Acute discomfort withdrawal

C) Shock and disbelief

D) Premature separation withdrawal

back 66

C) Shock and disbelief

front 67

In grief models, the intermediate phase is best characterized by what?

A) Acute discomfort and withdrawal

B) Full restitution and reorganization

C) Immediate acceptance and peace

D) Hypertrophic denial only

back 67

A. Acute discomfort and withdrawal

front 68

Which phase usually culminates the grieving process?

A) Initial denial

B) Social withdrawal

C) Restitution and reorganization

D) Acute biologic disruption

back 68

C. Restitution and reorganization

front 69

Approximately what percentage of US children lose one or both parents by age 15?

A) 1%

B) 4%

C) 15%

D) 25%

back 69

B. 4%

front 70

What is the most common cause of bereavement in children?

A) Parent death

B) Sibling death

C) Peer death

D) Grandparent death

back 70

A. Parent death

front 71

In childhood bereavement, sibling death is ranked as which cause?

A) First

B) Second

C) Third

D) Fourth

back 71

B. Second

front 72

Which life event is often ranked as the most stressful?

A) Starting college

B) Losing employment

C) Death of a spouse

D) Moving homes

back 72

C. Death of a spouse

front 73

Grief after late perinatal loss is usually most intense for whom

A) Father

B) Sibling

C) Grandparent

D) Mother

back 73

D. Mother

front 74

When professional help is sought for grief, what request is commonly made to the PCP?

A) Sleeping medications

B) Antipsychotic injections

C) Stimulant medications

D) Cognitive testing

back 74

A. Sleeping medications

front 75

Bereavement care and grief therapy have been most effective in which group?

A) Children and adolescents

B) Widows and widowers

C) Unmarried young adults

D) Hospitalized trauma survivors

back 75

B. Widows and widowers

front 76

Which set best lists common psychological states in end-of-life care?

A) Mania; psychosis; euphoria

B) Obsessions; compulsions; tics

C) Anxiety; depression; confusion

D) Somatization; fugue; amnesia

back 76

C. Anxiety; depression; confusion

front 77

What happens to psychiatric conditions near the end of life?

A) Markedly increase

B) Completely resolve

C) Remain unchanged

D) Become diagnostically irrelevant

back 77

A. Markedly increase

front 78

In end-of-life care, approximately what proportion have major depression?

A) 4%

B) 10%

C) 15%

D) 50%

back 78

C. 15%

front 79

Negative affect refers to which paired emotional states?

A) Anger and bargaining

B) Anxiety and depression

C) Denial and shock

D) Confusion and delirium

back 79

B. Anxiety and depression

front 80

In advanced disease, anxiety usually presents with which symptom pattern?

A) Primarily somatic symptoms

B) Purely delusional symptoms

C) Mostly suicidal thoughts

D) No physical symptoms

back 80

A. Primarily somatic symptoms

front 81

Which symptom cluster best matches anxiety in advanced disease?

A) Bradycardia; hypersomnia; euphoria

B) Aphasia; paralysis; seizures

C) Restlessness; tachycardia; insomnia

D) Jaundice; pruritus; ascites

back 81

C. Restlessness; tachycardia; insomnia

front 82

In advanced disease, delirium prevalence can rise to approximately what level?

A) 15%

B) 35%

C) 65%

D) 85%

back 82

D. 85%

front 83

Which description best defines family-centered grief therapy

A) Treats family only after death

B) Includes patient, continues after death

C) Avoids discussing the patient

D) Focuses only on medications

back 83

B. Includes patient, continues after death

front 84

A physician caring for a dying patient must first decide when which treatment goal has ended?

A) Pain control

B) Family communication

C) Curative care

D) Spiritual support

back 84

C. Curative care

front 85

Which skill set is essential for palliative care physicians?

A) Pain management and opioids

B) Surgical airway management

C) Chemotherapy protocol design

D) Forensic death certification

back 85

A. Pain management and opioids

front 86

When estimating survival in terminal illness, what is the best physician approach?

A) Give precise dates confidently

B) Avoid all prognosis discussion

C) Acknowledge estimates are inaccurate

D) Promise maximal survival time

back 86

C. Acknowledge estimates are inaccurate

front 87

Before disclosing details of a serious condition, doctors should first ask what?

A) Who should make decisions

B) How much patient wants known

C) Whether family wants disclosure

D) Which medication patient prefers

back 87

B. How much patient wants known

front 88

Valid informed consent should include risks, benefits, alternatives, and what else?

A) Physician’s personal opinion

B) Family’s religious beliefs

C) Results of refusing treatment

D) Hospital insurance policies

back 88

C. Results of refusing treatment

front 89

Which finding set best defines brain death?

A) No awareness but preserved brainstem

B) Lost cortex but preserved breathing

C) Higher brain and brainstem loss

D) Sleep-wake cycles without cognition

back 89

C. Higher brain and brainstem loss

front 90

Brain death includes loss of respiration plus which reflexes?

A) Pupillary and patellar

B) Gag and corneal

C) Babinski and biceps

D) Vestibular and plantar

back 90

B. Gag and corneal

front 91

Persistent vegetative state is best defined by which pattern?

A) No self or environmental awareness

B) Preserved awareness, absent speech

C) Intact cognition, motor paralysis

D) Fluctuating confusion and agitation

back 91

A. No self or environmental awareness

front 92

Persistent vegetative state is associated with which underlying condition?

A) Mild psychiatric illness

B) Acute grief reaction

C) Severe neurologic damage

D) Normal brainstem function

back 92

C. Severe neurologic damage

front 93

For patients in persistent vegetative state, medical treatment generally provides what?

A) Curative neurologic recovery

B) No patient benefit

C) Improved environmental awareness

D) Restored cortical function

back 93

B. No patient benefit

front 94

Advance directives primarily document patient wishes about care under what condition?

A) Temporary febrile illness

B) Minor outpatient procedure

C) Terminal condition

D) Normal aging

back 94

C. Terminal condition

front 95

Which set contains the major advance directive types?

A) Living will; proxy; DNR

B) Consent; certificate; discharge plan

C) Autopsy; biopsy; guardianship

D) Hospice; chemotherapy; insurance

back 95

A. Living will; proxy; DNR

front 96

A living will may specifically reject which life-prolonging measure?

A) Physical therapy

B) Feeding tubes

C) Family meetings

D) Bereavement counseling

back 96

B. Feeding tubes

front 97

A patient names someone to make medical decisions if incapacitated. Which directive is this?

A) Living will

B) DNR order

C) Health care proxy

D) Informed consent

back 97

C. Health care proxy

front 98

A health care proxy is also known as what?

A) Durable power of attorney

B) Patient self-determination

C) Physician death certification

D) Do-not-intubate order

back 98

A. Durable power of attorney

front 99

Which order prevents attempted cardiopulmonary resuscitation?

A) DNI

B) DNR

C) Proxy

D) Living will

back 99

B. DNR

front 100

Which order prevents placement of an artificial airway?

A) DNR

B) Proxy

C) DNI

D) Living will

back 100

C. DNI

front 101

The Federal Patient Self-Determination Act was enacted in which year?

A) 1973

B) 1985

C) 1991

D) 2001

back 101

C. 1991

front 102

Under the Patient Self-Determination Act, hospitals must provide information about which right?

A) Right to refuse treatment

B) Right to demand antibiotics

C) Right to choose physician

D) Right to avoid diagnosis

back 102

A. Right to refuse treatment

front 103

The Patient Self-Determination Act specifically requires facilities to ask about what?

A) Organ donation

B) Advance directives

C) Psychiatric history

D) Family bereavement patterns

back 103

B. Advance directives

front 104

Hospitals must keep written records of whether patients have an advance directive or what else?

A) Opioid allergy history

B) Hospice insurance status

C) Health care proxy

D) Funeral home preference

back 104

C. Health care proxy

front 105

Palliative care primarily refers to relieving suffering from what

A) Elective procedures

B) Terminal disease symptoms

C) Normal developmental stress

D) Chronic family conflict

back 105

B. Terminal disease symptoms

front 106

Which room arrangement supports palliative care for a dying patient?

A) Busy shared hallway bed

B) Bright procedure suite

C) Quiet private room

D) Locked isolation room

back 106

C. Quiet private room

front 107

Allowing family members to be present is an important part of what care approach?

A) Palliative care

B) Forensic evaluation

C) Experimental consent

D) Brain death testing

back 107

A. Palliative care

front 108

Which pain types usually respond well to opiates?

A) Neuropathic and sympathetically maintained

B) Somatic and visceral

C) Psychogenic and existential

D) Phantom and deafferentation

back 108

B. Somatic and visceral

front 109

Neuropathic or sympathetically maintained pain often requires what in addition to opiates?

A) Adjuvant medications

B) Feeding tubes

C) Death certification

D) Advance directives

back 109

A. Adjuvant medications

front 110

A terminal cancer patient describes constant, aching, gnawing pain that is easy to point to. Which pain type best fits?

A) Neuropathic pain

B) Visceral pain

C) Somatic pain

D) Sympathetic pain

back 110

C. Somatic pain

front 111

A patient with bowel obstruction reports deep squeezing pain that is difficult to localize. Which pain type best fits?

A) Visceral pain

B) Somatic pain

C) Neuropathic pain

D) Psychogenic pain

back 111

A. Visceral pain

front 112

A hospice patient describes pain as burning and electric-like. Which pain type is most likely?

A) Somatic pain

B) Visceral pain

C) Referred pain

D) Neuropathic pain

back 112

D. Neuropathic pain

front 113

Which opioid adverse effects can occur frequently?

A) Bradycardia and hypothermia

B) Delirium and hallucinations

C) Seizures and aphasia

D) Mania and euphoria

back 113

B. Delirium and hallucinations

front 114

In palliative care, which medication class can serve as an adjuvant for neuropathic pain?

A) Antidepressants

B) Antibiotics

C) Anticoagulants

D) Antacids

back 114

A. Antidepressants

front 115

Which set contains commonly used pain adjuvants in palliative care?

A) Diuretics; statins; fibrates

B) Antidepressants; steroids; antihistamines

C) Antivirals; antifungals; antibiotics

D) Laxatives; antacids; bronchodilators

back 115

B. Antidepressants; steroids; antihistamines

front 116

Adjuvant medications are especially crucial for which pain categories?

A) Somatic and visceral pain

B) Acute and nociceptive pain

C) Neuropathic and sympathetically maintained

D) Localized and gnawing pain

back 116

C. Neuropathic and sympathetically maintained

front 117

Which medication group is listed as a common adjuvant in palliative pain control?

A) Mood stabilizers

B) Beta blockers

C) Iron chelators

D) Antiplatelets

back 117

A. Mood stabilizers

front 118

Which medication group is also listed as a common adjuvant for palliative pain management?

A) Antiemetics

B) Amphetamines

C) Opioid antagonists

D) Antifungals

back 118

B. Amphetamines

front 119

In palliative care, what clinical goal is considered a high priority?

A) Symptom management

B) Cure of disease

C) Diagnostic certainty

D) Surgical correction

back 119

A. Symptom management

front 120

A palliative patient has severe nausea and vomiting despite standard measures. Which therapy is noted as effective?

A) SSRI

B) THC

C) Lithium

D) Digoxin

back 120

B. THC

front 121

Under Medicare hospice criteria, a physician must certify what prognosis?

A) One month or less

B) Three months or less

C) Six months or less

D) One year or less

back 121

C. Six months or less

front 122

A physician considers withholding intensive care for a severely disabled child. Which quality-of-life issue is relevant?

A) Parent income level

B) Hospital bed availability

C) Physician specialty preference

D) Extent of bodily damage

back 122

D. Extent of bodily damage

front 123

Which consideration is used by physicians supporting withholding intensive care in children?

A) Family social media support

B) Burden on the family

C) Child’s school performance

D) Insurance reimbursement level

back 123

B. Burden on the family

front 124

When considering withholding intensive care, which child-centered factor is relevant?

A) Ability to feel pleasure

B) Parents’ preferred physician

C) Hospital room size

D) Available research protocols

back 124

A. Ability to feel pleasure

front 125

What is the leading cause of death in children?

A) Cancer

B) Accidents

C) Infection

D) Suicide

back 125

B. Accidents

front 126

After accidents, which cause ranks second for death in children?

A) Homicide

B) Congenital disease

C) Cancer

D) Heart disease

back 126

C. Cancer