Module test - CHSS eLearning

Please provide some personal information before proceeding with this Module Test. This information is required for creating your certificate and will also assist us in evaluating the website.

Each of the Managed Clinical Networks (MCNs) in Scotland will be given the names of those who have been awarded Module Test Certificates within their areas. We do not collect or share information on the number of times a person attempts the Test, or where a certificate is not awarded.
Name*
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Are you:*
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- A student
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Do you work in a:*
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Name of service (eg ESD, GP surgery):

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Ward no. / name:*
You work in:*
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Is this ward a Stroke Unit?*
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Hospital name*
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Town / City:*

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NHS Board*
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You are
- an AHP student
- a Medical student
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Carer*
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- Person who has had a stroke
Your profession*
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Profession (other)*
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This is the module test for 'End of Life Care'. It is strongly recommended that you work though the learning materials of the module prior to commencing this test. By going straight to the test you may miss out on valuable learning contained within the module. The answers to all the test questions are contained within the module. This information may have been provided in the 'Additional Information' boxes on some of the pages.

There are 16 questions and you must answer all of these correctly to obtain a certificate of completion.

You should allow approximately 15 minutes to complete this test.

End of Life Care: Module test – Part 1. Q. In Scotland, what percentage of patients die within 30 days of admission to hospital following any type of stroke?*
- A. 5%
- B. 15%
- C. 45%
- D. 80%

Part 1. Answer.

Unfortunately, you have answered part 1 incorrectly. Revise the learning materials for End of Life Care.
Part 1. Answer.

Well done, the correct answer is B.

End of Life Care: Module test – Part 2. Q. Palliative care is only used in the last few days.*
- True
- False

Part 2. Answer.

Unfortunately, you have answered part 2 incorrectly. Revise the learning materials for End of Life Care.
Part 2. Answer.

Well done, this statement is false.

End of Life Care: Module test – Part 3. Q. Which of the following statements about DNACPR (Do not attempt cardio-pulmonary resuscitation) are TRUE? (Select all that apply)*
- Select All
- A. All stroke patients should have a DNACPR decision documented as soon as possible after admission.
- B. Where a DNACPR decision has been made, the form should be filed in the front of the patient’s notes.
- C. Once completed, a DNACPR decision cannot be reversed.
- D. If there is no DNACPR form, then CPR must be carried out in the event of an arrest, unless it would clearly be unsuccessful.

Part 3. Answer.

Unfortunately, you have answered part 3 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for End of Life Care.
Part 3. Answer.

Well done, B and D are correct.

End of Life Care: Module test – Part 4. Q. Withdrawing tube feeding at end of life is ethically acceptable.*
- True
- False

Part 4. Answer.

Unfortunately, you have answered part 4 incorrectly. Revise the learning materials for End of Life Care.
Part 4. Answer.

Well done, this statement is true.

End of Life Care: Module test – Part 5. Q. Which of the following are common post-stroke symptoms at end of life? (Select all that apply)*
- Select All
- A. Dyspnoea
- B. Agitation
- C. Constipation
- D. Hunger

Part 5. Answer.

Unfortunately, you have answered part 5 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for End of Life Care.
Part 5. Answer.

Well done, A, B and C are correct.

End of Life Care: Module test – Part 6. Q. Which of the following statements are TRUE? (Select all that apply)*
- Select All
- A. Communication impairment will make pain assessment more challenging
- B. Agitation is always associated with pain in end of life care
- C. The presence of hemiplegia should be taken into account for positioning in end of life care

Part 7. Answer.

Unfortunately, you have answered part 6 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for End of Life Care.
Part 6. Answer.

Well done, A and C are correct.

End of Life Care: Module test – Part 7. Q. Which of the following should be considered to facilitate smooth discharge home in end of life care? (Select all that apply)*
- Select All
- A. Provision of equipment
- B. Carer assessment
- C. Anticipatory medication
- D. Arranging suitable transport

Part 8. Answer.

Unfortunately, you have answered part 7 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for End of Life Care.
Part 7. Answer.

Well done, all of the above are correct.

End of Life Care: Module test – Part 8. Q. An advance care plan typically includes a patient’s wishes for …. (Select all that apply)*
- Select All
- A. Preferred place of death
- B. Financial arrangements
- C. Anticipatory drugs
- D. Ceiling of any treatment

Part 8. Answer.

Unfortunately, you have answered part 8 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for End of Life Care.
Part 8. Answer.

Well done, A, C and D are correct.

End of Life Care: Module test – Part 9. Q. Which of the following abilities are required to demonstrate capacity according to the Adults with Incapacity (Scotland) Act 2000? (Select all that apply)*
- A. Able to make and communicate a decision
- B. Able to understand and retain information of a decision
- C. Able to sign a consent form
- D. All of the above

Part 9. Answer.

Unfortunately, you have answered part 9 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for End of Life Care.
Part 9. Answer.

Well done, A and B are correct.

End of Life Care: Module test – Part 10. Q. Which of the following common post stroke deficits should be taken into account when assessing capacity? (Select all that apply)*
- Select All
- A. Hemiparesis/ hemiplegia
- B. Post stroke depression
- C. Memory, insight and cognition
- D. Language processing

Part 11. Answer.

Unfortunately, you have answered part 10 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for End of Life Care.
Part 10. Answer.

Well done, B, C and D are correct.

End of Life Care: Module test – Part 11. Q. Ethical decisions in end of life care often raise differing opinions within teams and families. Which of the following statements are TRUE? (Select all that apply)*
- Select All
- A. Families should be encouraged to nominate a spokesperson and resolve their differences out with the ward environment
- B. In a family dispute, the next of kin’s opinion should be accepted
- C. Patients with capacity have a right to decide even if making what others consider an unwise decision
- D. No consultant can make a decision to move to supportive care without a second opinion

Part 12. Answer.

Unfortunately, you have answered part 11 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for End of Life Care.
Part 11. Answer.

Well done, C is correct.

End of Life Care: Module test – Part 12. Q. An advance care plan details the management for likely events or illness progression but can only be used with the person’s full consent*
- True
- False

Part 13. Answer.

Unfortunately, you have answered part 12 incorrectly. Revise the learning materials for End of Life Care.
Part 12. Answer.

Well done, this statement is false.

End of Life Care: Module test – Part 13. Q. What percentage of stroke patients die within 30 days of admission to hospital following an intracerebral haemorrhage?*
- A. 12%
- B. 22%
- C. 45%
- D. 65%

Part 13. Answer.

Unfortunately, you have answered part 13 incorrectly. Revise the learning materials for End of Life Care.
Part 13. Answer.

Well done, the correct answer is C.

End of Life Care: Module test – Part 14. Q. End of life stroke patients with complex symptom management issues will always need referred on to specialist palliative care*
- True
- False

Part 14. Answer.

Unfortunately, you have answered part 18 incorrectly. Revise the learning materials for End of Life Care.
Part 14. Answer.

Well done, this statement is false.

End of Life Care: Module test – Part 15. Q. When approached during visiting by a patient’s wife who has some questions about end of life care, you should … (Select all that apply)*
- Select All
- A. Review the medical and nursing notes for previously documented discussions and outcomes
- B. Clarify her understanding of the current situation
- C. Sit at the bed side during visiting and give the patient and his wife an update
- D. Encourage questions and respond to them promptly, sensitively and honestly

Part 15. Answer.

Unfortunately, you have answered part 15 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for End of Life Care.
Part 15. Answer.

Well done, A, B and D are correct.

End of Life Care: Module test – Part 16. Q. In spiritual care, which of the following statements are TRUE? (Select all that apply)*
- Select All
- A. Staff should be aware of different approaches and beliefs
- B. Each patient should be assessed individually
- C. Spiritual care is always delivered by the hospital chaplain
- D. Spiritual care is defined by the patient’s religion

Part 16. Answer.

Unfortunately, you have answered part 16 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for End of Life Care.
Part 16. Answer.

Well done, A and B are correct.

Stroke Training and Awareness Resources (STARs)

Part 1. Answer.

Part 1. Answer.

Part 2. Answer.

Part 2. Answer.

Part 3. Answer.

Part 3. Answer.

Part 4. Answer.

Part 4. Answer.

Part 5. Answer.

Part 5. Answer.

Part 7. Answer.

Part 6. Answer.

Part 8. Answer.

Part 7. Answer.

Part 8. Answer.

Part 8. Answer.

Part 9. Answer.

Part 9. Answer.

Part 11. Answer.

Part 10. Answer.

Part 12. Answer.

Part 11. Answer.

Part 13. Answer.

Part 12. Answer.

Part 13. Answer.

Part 13. Answer.

Part 14. Answer.

Part 14. Answer.

Part 15. Answer.

Part 15. Answer.

Part 16. Answer.

Part 16. Answer.