| Active Listening | Grief and Bereavement | Pain Control and Comfort Measures | Emotiona and Social Care (Psychosocial) | Spiritual Care |
|---|---|---|---|---|
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a. the person I'm listening to is NOT ME
What assumption do we need to begin with if we wish to be active listeners?
a. The person I'm listening to is not me b. The person I'm listening to needs help c. The person I'm listening to is shy d. All of the above |
Lots of things including loss of income, loss of role, loss of emotional support; loss of companionship; loss of someone to do certain things with, etc.
A secondary loss is something we lose in addition to the loss of the person him or herself through death. Give an example of a secondary loss.
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b. chronic pain is treated with round-the-clock meds, while acute pain is PRN (as needed)
Choose the statement below which accurately describes the difference between chronic and acute pain.
a. chronic pain is short term and acute pain is long term (more than six months) b. chronic pain is treated with round-the-clock meds, while acute pain is treated PRN c. it is obvious when someone is struggling with chronic pain, but perhaps not so obvious with acute pain d. all of the above |
c. The INABILITY to accept the reality of a situation
How would you define DENIAL?
a. the refusal to accept reality b. the unwillingness to accept reality c. the inability to accept reality d. pure stubbornness |
a, b, are both true.
Which of the following are true of religion?
a. it unites like-minded people b. it excludes "other-minded" people c. it unites all people around the world d. it's not as good as spirituality |
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It means we set aside our personal concerns and needs for the time we are spending with the patient or family member.
What does it mean to "bracket" our own concerns in order that we may listen with our full attention?
a. Emphasize our own concerns b. Set our own concerns aside c. Share our own concerns first so the other person will feel safe sharing their concerns d. Highlight our own concerns |
Lots of possibilities. See Section 4 page 11 for a list.
BONUS POINTS After someone dies there are many normal grief reactions. These may be physical, emotional, mental/cognitive, behavioral, spiritual. Name one normal grief reaction and explain which category it falls under. EXTRA POINTS WILL BE AWARDED FOR EXAMPLES OF ADDITIONAL REACTIONS AND THE CATEGORY THEY BELONG TO.
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d) all of the above
Name some causes of pain in cancer patients.
a. tumor impinging on nerves b. involvement of organs through metastasis c. headaches and arthritis pain d) all of the above |
All, or any, of the above
Which of the following is a fear often expressed by a person facing a terminal illness?
a) fear of a loss of dignity b) fear of being a burden c) fear of being abandoned d) fear of the unknown |
any or all of the above
Which of the following are spiritual issues a terminally ill person might raise with a trusted companion?
a) what comes after death? b) what has my life meant? c) I feel guilty about... d) I'm afraid of... |
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d. All of the above
As active listeners, we strive to "listen to the feelings as well as the words." How do we get to the feelings?
a. pay attention to body language b. pick up on the feeling words c. allow people to express even "dark" feeings. d. all of the above |
It takes as long as it takes
BONUS POINTS What is an acceptable length of time for an individual to continue to grieve the death of a beloved family member? EXTRA POINTS WILL BE AWARDED IF YOU USE THE EXACT WORDING
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Constipation
What side effect of narcotics must we ALWAYS pay attention to? This must be an exact answer.
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b. open communication, flexible roles and a willingness to accept outside help
A family which is described as an open family has three attributes that may help them during the time of a terminal illness. Which answer below correctly lists those attributes:
a. open door policy, clearly delineated roles, lots of family insider jokes b. open communication, flexible roles, and willingness to accept outside help c. a "circle the wagons" philosophy and a designated person who is the "clearinghouse" for all patient information d. All of the above. |
c) offer them genuine affirmation of the strengths you observe in them
Our patients have often lost much of what gave them a sense of worth throughout their lives such as their professional status, their physical beauty, their role in the family. What can we do to support them through these losses?
a. Try to distract them from thinking about these things b. Flatter them about their good looks and their wonderful families c. Offer them genuine affirmation of the strengths you observe in them d. None of the above. |
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b. We will never share anything they say outside of the Team, and we will only share what is necessary for safety inside the Team.
In Hospice, what do we promise our patients about confidentiality?
a. we will only share information with our spouse or closest friend b. we will only share information with our hospice team members c. we will never, under any circumstances, share any thing about a patient d. we will tell everyone we know everything our patient says because they are so wise |
Difference in relationship before death; personality of the griever; role of the griever in the care of the deceased; the existence of strong denial prior to the death of the mother for one of her children, etc.
Name two reasons why two children of the same mother might grieve her death differently.
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a, b, and c, are all correct... but we can NEVER administer meds.
How may a volunteer help in getting a patient's medications to him or her?
a) remind them that it's time for their medicine b) help them sit up in bed c) hand them medicine that was pre-measured by the caregiver d) administer medication to the patient |
If one has been trained NOT to admit to pain or weakness it may be difficult for that individual to communicate clearly what is needed to caregivers.
How may the military cultural norm of STOICISM impact end of life care?
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False - Touch conveys the the message, "I accept you, I am here with you, you are not alone in this journey."
True or False Touch is a physical act, therefore it has no role to play in spiritual care.
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d. All of the above
Which of the following are roadblocks to good listening?
a. recounting our own experience b. giving advice too freely c. reassuring too soon d. All of the above. |
A history of mental illness or substance abuse; the presence of children in the home; the support group of the one facing loss; physical illness; strong denial; emotional or financial dependency; multiple losses, strong denial prior to the death, etc. Look in Section 4, page 31 for the full list.
Name two important bereavement risk indicators that the hospice team needs to pay attention to when we admit a new patient and family.
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a,c,and d, are all correct - b is not. What else should you do if your patient is short of breath?.
What simple measures can we try to relieve the discomfort of someone who is short of breath?
a) fan the face b) turn up the heat in the room c) raise the head of the bed d) help them get their oxygen on |
Triangulation is getting caught up in a conflict between two other people and it can be avoided by not taking sides and by directing the conflicted individuals back toward one another.
What is "triangulation" and how can a volunteer avoid it?
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all of the above... never judge OR minimize
What should we AVOID saying when a patient shares feelings of guilt from their past?
a. "then you are going to hell" b) "that was so long ago it doesn't matter" c) "I'm sure you have nothing to feel guilty about" d) All of the above |
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