Item	Question	Options	Tick as many responses that are applicable
46	You Initiate palliative care discussion:	During diagnosis
		When the disease progress
		At the end of life
47	Do you inform terminally ill patient about their diagnosis?	Yes
		No
		Depending on family’s wish
		Not applicable
48	The most important factor that you consider when dealing with terminally ill patient:	Spiritual
		Medical situation
		Cultural
		Psychological
49	You address the spiritual issue by:	Connect with spiritual counsellor
		Listen with empathy
		Impose your own view
		Understand patient reaction
50	Which of the following do you include during Cultural assessment in patient care:	Truth telling and decision making
		Preference regarding disclosure of information
		Dietary preference
		Language, family communication
		Perspective on death, suffering and grieving
51	You address psychological aspect by:	Emotional support
		Counselling the patient
		Hiding the truth
52	Who do you involve as the most important person during palliative care decision making?	Patient
		Family
		Me the Nurse
		Other health professionals
53	How you communicate with the family of terminally ill patient depends on:	Family’s ability to assimilate
		Their involvement in decision making
		Your willingness to disclose information
54	You assess patient’s level of pain using?	Visual analogue scale (VAS)
		Numerical rating scale (NRS)
		Categorical Pain Scale
		No instrument