College of Nursing

Foundation University
ELECTIVE 2 Section C

Name:_____________________________
Part I. Instructions: Choose your answers as if you’re picking a lifelong partner—
carefully weigh the impact of your choice. Take risks but be mindful of the
consequences. Circle the option that best reflects effective end-of-life care.

1.Nurse Scout is caring for a terminally ill patient in a rural area where telemedicine is used for
hospice visits. The patient’s family expresses concern about the lack of in-person care. How
would Nurse Scout explain the benefits of telemedicine in this situation to reassure the family?

A. “Telemedicine is not as effective as in-person visits, but it’s the only option.”
B. “Telemedicine allows for real-time consultations and ensures that specialists can be involved
in the patient’s care without the delay of travel.”
C. “Telemedicine means that the patient will have to handle more self-care, but it’s better than
nothing.”
D. “Telemedicine is used because there aren’t enough doctors available in rural areas.”

2. Ann Marie Aki is a patient in a rural area who is unable to access regular in-home clinician
visits, and telemedicine has been suggested for palliative care management. What steps would
you as a nurse take to ensure the patient and their family are comfortable using telemedicine for
end-of-life care?

A. Show them how to use the telemedicine platform, ensure reliable internet access, and offer
ongoing support to address any concerns.
B. Encourage the family to contact the physician directly if they have any questions, but don’t
involve them in the telemedicine process.
C. Provide only written instructions on how to use the technology, assuming the patient will
figure it out.
D. Let the family know that telemedicine is complicated, but they will get used to it over time.

3. Nurse Jas is working with an elderly patient named Fyang, who has decided to age in place
using Ambient Assisted Living (AAL) technology. The patient is unfamiliar with smart devices
and expresses anxiety about using them. How would nurse Jas help Fyang become
comfortable with AAL technology?

A. Nurse Jas would provide detailed technical manuals for the patient to read on their own.
B. She should offer a brief explanation and expect the patient Fyang to adjust over time without
much intervention.
C. Nurse Jas should Introduce the patient to one or two key devices at a time, demonstrating
their use and explaining how they enhance safety and independence.
D. Reassure the patient that AAL technology is not necessary and they can live without it.

4. Nurse Richard is working with a patient who has expressed concerns about their approaching
death. Richard, feeling uneasy about the topic, responds with, “Don’t worry, you’re going to live
for many more years.” What is the most likely impact of James’s response on the patient?

A. The patient feels reassured and comfortable discussing their end-of-life wishes.
B. The patient feels dismissed and may be less likely to discuss their true feelings.
C. The patient feels motivated to make detailed end-of-life plans.
D. The patient’s anxiety about dying is reduced.

5. Nurse Niño is known for being open and supportive when patients discuss their end-of-life
concerns. During a shift, she listens actively to a patient’s worries and provides empathetic
responses. What is likely to be the effect of Niño’s approach on the patient?
A. The patient feels neglected and unsupported.
B. The patient feels heard, valued, and more willing to share their concerns.
C. The patient becomes more anxious and withdrawn.
D. The patient avoids discussing their end-of-life wishes.

6. Nurse Gilbert is uncomfortable with discussions about death and often avoids these
conversations by redirecting patients to other topics. A patient expresses frustration with this
behavior. What should Nurse Gilbert do to address the situation and improve his end-of-life
care?
A. Continue redirecting the conversation to avoid discomfort.
B. Seek training or counseling to address his discomfort and learn effective communication
strategies.
C. Provide superficial reassurances to the patient to maintain a positive atmosphere.
D. Limit interactions with patients who discuss end-of-life issues.

7. During a team meeting, Nurse Phil shares his experience of feeling overwhelmed by his own
discomfort with death and how it affects his care for terminally ill patients. What is the most
constructive step Phil can take to improve her approach?
A. Avoid discussing her discomfort with colleagues.
B. Engage in self-reflection and seek support or training to better handle his emotions and
improve patient care.
C. Continue to avoid discussing death with patients and focus on other aspects of care.
D. Provide generic responses to patients to avoid deep emotional involvement.

8. Nurse Jho Pasinabo is working with a terminally ill patient who is expressing a wish to
discuss their end-of-life care preferences. Jho feels uncomfortable and tries to avoid the
conversation by saying, “Let’s focus on the positive aspects of your treatment.” What is a
potential consequence of jho’s response?
A. The patient feels encouraged to share more about their end-of-life preferences.
B. The patient becomes more engaged in the discussion about their treatment options.
C. The patient feels their concerns are being minimized, leading to frustration and reluctance to
discuss their wishes further.
D. The patient is relieved and less anxious about their end-of-life situation.

9. You are visiting with the wife of a patient who is having difficulty making the transition to
palliative care for her dying husband. What is the most desirable outcome for the couple?
A. They express hope for a cure.
B. They comply with treatment options.
C. They set additional goals for the future.
D. They acknowledge the symptoms and prognosis.

10. What is the primary purpose of hospice?

A. Allow patients to die at home.
B. Provide better quality of care than the family can.
C. Coordinate care for dying patients and their families.
D. Provide comfort and support for dying patients and their families.

11. The nurse is caring for a patient who has been admitted to the hospital while receiving home
hospice care. The nurse interprets that the patient has a general prognosis of which of the
following?
A. 3 months or less to live
B. 6 months or less to live
C. 12 months or less to live
D. 18 months or less to live

12. When going to the hospital, which forms should patients be encouraged to bring with them
in case end-of-life care becomes an ethical or legal issue?
A. Euthanasia
B. Organ donor card
C. Advance directives
D. Do not resuscitate (DNR)

13.The nurse cares for a patient in the terminal stage of leukemia who has opted for hospice
care. When is the patient considered to be eligible for hospice care?
A. When two primary health care providers certify that the patient has less than 6 months to live.
B. When a primary health care provider certifies that the patient has less than 6 months to live.
C. When it is certain that the patient is going to die within 9 months.
D. When one primary health care provider guarantees that the patient cannot recover further.

14. A nurse who does not believe in God is caring for a terminally ill patient. The patient asked
the nurse to arrange for a pastoral visit. What action should the nurse take?
A. Arrange for a chaplain.
B. Refuse to arrange for a chaplain.
C. Share views about God with the patient.
D. Educate the patient about atheism.

15. This is a procedure that inhibits the nurse from participating in this ______?
a. Killing the mercy c. asa ang mercy
b. b. Assisted suicide d. death penalty.

16. What does the abbreviation PAS mean?

a. Philippine assisted suicide c. Philippine association of sectors
b Physical assisted suicide (PAS) d. physician assisted suicide

17. Which of the following states in America passed the PAS LAW IN 2009?
a. Golden State c. Washington state
b. Colorado state d. luke wright street

18. What is the Greek word meaning the “ good death”?

a. Abakazar c. Dikapasar
B eleos D. Euthanasia

19. What health organization implement that nurses should not participate in assisted suicide?
a. WHO c. DOH
b. PHS d. ANA

20. When the patient wants a good death or a peaceful death. What Patient’s right should be
respected?
a. Right to refuse c. right to patient education
b. Right to die d. right to do right

Part II: Instructions:Read each statement carefully. If you believe the statement is true, write
REYAAAL next to it. If you believe the statement is false, write FAHKEHH next to it.

1.The patient must make a request orally and writing, and have the agreement for PAS
approved by 1 different physician.

2. The nurses role in patients in end of life care is to abandon to provide comfort and safety
measures to the patient.

3. . In caring for patient in hospice care or end of life care, nurses should tell the patient that “
MAGKITA NAMOS IMONG CREATOR PUHON MAAM/SIR “
Instructions: PART III: Complete the crossword puzzle using the word bank provided.
Each word from the word bank will fit into the crossword grid based on the clues. Supply
the boxes with the answers. Choose carefully to ensure that each word correctly
matches its clue.

Part IV: Situational Essay Question for 5 points. (At least 6 sentences) please write @ the
back!
A nurse, Maria, is caring for a terminally ill patient who has started discussing their
fears about dying. Maria, uncomfortable with the topic, tries to change the subject and avoid the
discussion. How might Maria’s behavior impact the patient and their family? What steps can
Maria take to address her own discomfort and improve her approach to end-of-life
conversations to provide better support?