CDN Patient Education and Psychosocial Care 2

Question 1

Which statement by a dialysis patient indicates a correct understanding of phosphorus binder therapy?

Accepted Answer

'I take my binder with every meal and snack that contains phosphorus.'

Answer

'I take my binder at bedtime so I remember it each day.'

Answer

'I only take my binder when I eat dairy products.'

Answer

'I take two binders in the morning to cover all my meals.'

Question 2

A dialysis patient asks why they need to take erythropoiesis-stimulating agents (ESAs). What is the best response?

Accepted Answer

'Your damaged kidneys produce less erythropoietin, so ESAs stimulate your bone marrow to produce red blood cells.'

Answer

'Your kidneys cannot remove toxins, so ESAs help with that.'

Answer

'ESAs help remove excess potassium from your blood.'

Answer

'ESAs protect your blood vessels from calcium buildup.'

Question 3

Which sign indicates that a patient is not adhering to fluid restrictions between dialysis sessions?

Accepted Answer

Consistent interdialytic weight gain of 4–5 kg

Answer

Pre-dialysis blood pressure of 130/80 mmHg

Answer

Pre-dialysis potassium of 4.8 mEq/L

Answer

Hemoglobin of 11 g/dL

Question 4

What is the most appropriate response when a patient newly diagnosed with ESRD expresses grief and anger about starting dialysis?

Accepted Answer

Acknowledge their feelings, validate their grief, and provide emotional support

Answer

Explain that anger is inappropriate and focus on positive outcomes

Answer

Immediately refer to psychiatry for evaluation

Answer

Distract the patient by focusing on procedural education

Question 5

Which government program provides primary health insurance coverage for most ESRD patients in the United States regardless of age?

Accepted Answer

Medicare ESRD benefit

Answer

Medicaid

Answer

CHIP

Answer

Veterans Affairs coverage

Question 6

What is the recommended approach to discussing modality options (hemodialysis, peritoneal dialysis, transplant, conservative care) with a new ESRD patient?

Accepted Answer

Provide shared decision-making with thorough education on all options including conservative management

Answer

Assign modality based on clinical assessment alone

Answer

Recommend home dialysis for all suitable patients without discussion

Answer

Begin hemodialysis immediately and discuss options after stabilization