Quiz 5: Holistic assessment and palliative care planning

Choose the one, most correct answer to each question or statement.

1. Holistic assessment means gathering:
   • The family history
   • Information of the physical and emotional aspects of a person only
   • All the laboratory results
   • Information about a patients physical, social, emotional and spiritual needs
2. Holistic assessment is important because it:
   • Identifies the interventions that are required to plan the delivery of care to the child and family
   • Is a legal requirement
   • Forms part of the nursing care plan for home visits
   • Only needs to be performed when a child is admitted to hospital
3. What is the aim of holistic assessment?
   • To develop a problem list of all of the child’s needs and develop a care plan specifically for that child and family
   • To decide whether the family are capable of looking after the child
   • To make a decision as to what information needs to be shared with the family about the child’s schooling needs while in hospital
   • To help the doctor plan what medication the child requires to make a full recovery
4. What does a good assessment require?
   • A home visit
   • Time, good communication skills, empathy and a non-judgemental attitude
   • A checklist to be completed
   • The doctor to make the final decisions about the interventions to be implemented
5. A common barrier to a good assessment is:
   • Lack of financial resources
   • No transport available to take child to the assessment
   • Too many family members being present at the assessment
   • A lack of time and lack of privacy
6. Holistic assessment is:
   • Only done once as it is expensive
   • Only done by a social worker to get the input of the family plan
   • An ongoing process that uses a team approach
   • Only involves the child and not the family
7. What is important to establish first when assessing a child?
   • What is normal in the child’s daily life
   • What is abnormal in the child’s life today
   • How much the child weighs
   • The child’s past medical history
8. The steps in the assessment process are to:
   • Gather data and start the interventions needed
   • Plan the interventions according to the child’s immediate history
   • Gather the data, process the information using a team approach and come up with a plan of care
   • Gather data and decide whether to share the findings with the parents
9. What are assessment tools?
   • Instruments or questionnaires that are used to gather data for an individual patient
   • Questionnaires that have yes or no answers only
   • Only used to assess pain levels
   • Are only used in emergency situations
10. All the information and data that is gathered by the various team members should be documented:
    • Separately according to the area of assessment
    • In a single document for all healthcare providers to see
    • In the doctor’s confidential notes
    • In the social workers file
11. Care planning is:
    • A verbal agreement between healthcare providers
    • Performed only when the child is nearing end-of-life or has an emergency situation
    • A once off event that happens when the child is admitted to hospital for the first time
    • The working together of all team members to develop agreed plans of care that are patient and family centered
12. What are goals of care are based on?
    • End-of-life decisions only
    • What the hospital administration recommends
    • What is most convenient for the doctors and nurses
    • The child’s and family’s values and preferences
13. A palliative care plan:
    • Provides a written framework of care to be provided
    • Is a verbal plan of care
    • Is a problem checklist
    • Is a once off plan of action
14. The types of care plans used in palliative care are:
    • A palliative care plan and a nursing care plan
    • A palliative care plan, an advance care plan and a terminal plan
    • An advance care plan and nursing care plan
    • All the documents within the patient’s notes
15. Who develops the palliative care plan?
    • The doctor in charge
    • The palliative care nurse
    • The team of healthcare providers who are actively involved in the care including the child and family
    • The doctor, nurse and social worker but not the family
16. When should a palliative care plan be developed?
    • When the patient’s condition starts deteriorating
    • As soon as possible after the diagnosis is made
    • On the day the patient is admitted to hospital
    • When the patient reaches the terminal stage
17. The palliative care plan identifies;
    • The problems, the action planned, the person responsible and the review timeframe
    • The family’s involvement in the plan
    • A checklist of problems and actions only
    • The expected outcomes of treatment
18. What is advance care planning?
    • Planning ahead for unexpected events
    • Paying for care before admission to hospital
    • Choosing whether to go to a public or private clinic for treatment
    • A cheap way of getting health insurance
19. When is the advance care plan drawn up?
    • At the time of diagnosis
    • When the child and family have given up hope
    • When there are indications that the disease is getting worse despite treatments or that the end-of-life phase has been entered
    • By the doctor once he has told the family that there is nothing more that can be done for the child
20. What is a terminal care plan?
    • A terminal care plan will help guide the care and interventions to be provided in the last few hours and immediately after the death of the child
    • It is another name for an advance care plan
    • A terminal care plan is a legal medical document that needs to be completed when the child has died
    • A terminal care plan lists the medication that needs to be prescribed at the end-of-life only