Palliative and End-of-Life Care

This continuing education series consists of two articles. Read the articles, then complete the posttest below:

> Print this Posttest for Mail/Fax Submission (Acrobat)

Contact Hours: 1.3 Expiration Date: April 30, 2011
CNE Fee: PN Subscriber: Free - Online Only
PN Subscriber: $10 - Mailed
Nonsubscriber: $15
Postest Code: J0902

OBJECTIVES

  1. Discuss the importance of appropriate nursing care for children with life-threatening conditions.
  2. Describe the benefits of wish fulfillment for children in palliative care.
  3. List three possible interventions the advanced practice nurse might implement to influence more positive patient care and increase nursing staff job satisfaction.
  4. Identify opportunities for pediatric nurses to keep current on palliative and end-of-life issues.

POSTTEST INSTRUCTIONS

  1. Select the best answer and check the corresponding box on the answer form. Print the test questions as your record.
  2. Complete the answer form and required information requested below.
  3. Submit the online answer form.
  4. Test must be summbitted by April 30, 2011. If you pass the test (70% or better), a certificate for 1.3 contact hours will be awarded by Anthony J. Jannetti, Inc. Please allow 6-8 weeks for processing. For recertification purposes, the date that contact hours are awarded will reflect the date of processing.

Answer Form

*denotes required fields

*1. Wish Fulfillment for children with a life-threatening illness is
a. intervention that is reserved for selective children who are healthy enough to have a wish fulfilled.
b. alternate therapy that can be offered to children as an end of life intervention that focuses on preparing for anticipated death.
c. experience that holds a promise of fun for the child.
d. intervention that requires the child to consider the wishes of the family.

*2. The fulfillment of a child’s wish has an ontological meaning of balance that
a. is a means to attain a sense of peacefulness in mind/body and spirit.
b. offers a way for the child escape from illness.
c. brings about a cure physically, psychologically, and spiritually.
d. helps the child to suppress difficult and complex emotions.

*3. Siblings need to be encouraged to be involved in the experience of wish fulfillment because
a. siblings are entitled to the same experience as the child who has a special wish granted.
b. the child whose wish is granted will feel guilty without the sibling.
c. parents need to have the family together as a whole.
d. siblings who are involved in the care of the dying child are able to accept the death of the child more peacefully.

*4. Talking about the wish experience with the child and family
a. provides a way for the family to come together to discuss the joy and pleasure of the wish.
b. creates an opportunity for communication about the child’s interests, fears, and anxieties.
c. should be avoided since the emotions are painful.
d. should be carried out only with a psychologist present.

*5. Drawings of the child’s fulfilled wish
a. are a way to gain insight into the child’s reality.
b. are limited in information about the child’s experience.
c. do not provide a way to understand the child’s emotions.
d. need to be explained by the child to gain knowledge about the experience.

*6. According to Romesburg (2007), what percentage of hospice programs in the United States provide end-of-life services to dying children and neonates?
a. 40%
b. 15%
c. 50%
d. 10%
e. 25%

*7. What has been determined to be the leading disease-related cause of death of children and adolescents in the United States?
a. Trauma
b. Cancer
c. Heart Disease
d. Chromosomal Abnormalities
e. Acquired Immunodeficiency Syndrome

*8. A unique characteristic of pediatric palliative care is the need to tailor all care around the developmental level of the child.
a. True
b. False

*9. A survey by Contro (2004) reported that staff were
a. Too busy with other tasks to be emotionally capable of dealing with the dying process.
b. Inexperienced in communicating with patients and families about end-of-life issues and in transition children to palliative care.
c. Lacked education in pain management techniques.
d. a and c
e. b and c

*10. Which of the following is NOT a function of the Advanced Practice Nurse in a pediatric palliative care program?
a. Providing evidence-based research and education to staff members.
b. Coordinating patient care conferences with all disciplines of care and the families.
c. Providing strict protocols to be implemented for all patients and families.
d. Mentoring novice nurses.

Evaluation

 
Strongly disagree
Strongly agree
1. The objectives relate to the overall purpose/goals of the education activity.
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2. The activity met the stated objectives.
 
 
 
 
 
  a. Discuss the importance of appropriate nursing care for children with life-threatening conditions.
1
2
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  b. Describe the benefits of wish fulfillment for children in palliative care.
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  c. List three possible interventions the advanced practice nurse might implement to influence more positive patient care and increase nursing staff job satisfaction.
1
2
3
4
5
  d. Identify opportunities for pediatric nurses to keep current on palliative and end-of-life issues.
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2
3
4
5
3. Home study format was appropriate.
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5
4. The content was relevant to my practice.
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5. The content met my needs.
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5
6. How much time was used to complete reading assignment and posttest:
a. Less than 1 hour
b. 1-2 hours
c. 2-3 hours
d. 3 hours or more
Comments

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