Question 1

What are the goals of hospice service? (Select all that apply.)

Accepted Answer

A)  Alleviating symptoms of approaching death 
B)  Educating and supporting primary caregivers 
C)  Using family input for designing a plan of care 
D)  Encouraging patients and caregivers to enjoy life 
E)  Focusing on the desires of the family in the plan of care 
A)  Alleviating symptoms of approaching death 
B)  Educating and supporting primary caregivers 
C)  Using family input for designing a plan of care 
D)  Encouraging patients and caregivers to enjoy life 
E)  Focusing on the desires of the family in the plan of care A, B, C, D

Question 2

What is the most common problem of the terminally ill patient that is caused by narcotics?

Accepted Answer

A)  Malnutrition 
B)  Constipation 
C)  Fluid retention 
D)  Dehydration 
A)  Malnutrition 
B)  Constipation 
C)  Fluid retention 
D)  Dehydration B

Question 3

The hospice nurse instructs the family that they have access to a bereavement coordinator who follows the plan of care focused on the caregiver after the death of the patient. For how long of a period of time will the caregiver and family have access to the bereavement coordinator?

Accepted Answer

A)  One week 
B)  One month 
C)  One year 
D)  Two years 
A)  One week 
B)  One month 
C)  One year 
D)  Two years C

Question 4

The hospice nurse tells the family that the nurse coordinator, an RN, will visit them. What is the role of the nurse coordinator?

Accepted Answer

A)  Collect initial fees for the hospice service 
B)  Officially admit the patient to the hospice service 
C)  Assist with accessing community resources 
D)  Assist with funeral planning 
A)  Collect initial fees for the hospice service 
B)  Officially admit the patient to the hospice service 
C)  Assist with accessing community resources 
D)  Assist with funeral planning

Question 5

The nurse should educate the patient and caregiver that large doses of narcotics are required to control pain. What is the optimal dose for pain medications?

Accepted Answer

A)  The smallest amount possible to achieve some effects 
B)  The dose that provides pain relief 
C)  The dose that is not addictive 
D)  The dose that works for most people 
A)  The smallest amount possible to achieve some effects 
B)  The dose that provides pain relief 
C)  The dose that is not addictive 
D)  The dose that works for most people

Question 6

The hospice nurse explains that to qualify for admission to a hospice, the attending physician must certify that the patient has a life expectancy of fewer than how many months?

Accepted Answer

A)  2 months 
B)  3 months 
C)  4 months 
D)  6 months 
A)  2 months 
B)  3 months 
C)  4 months 
D)  6 months

Question 7

Which of the following is an expected part of the end-of-dying process?

Accepted Answer

A)  Denial 
B)  Despair 
C)  Anorexia 
D)  Depression 
A)  Denial 
B)  Despair 
C)  Anorexia 
D)  Depression

Question 8

The hospice nurse requests that the patient designate a primary caregiver for himself. What is true of the primary caregiver?

Accepted Answer

A)  Must be a relative 
B)  Has complete control over the patient's care 
C)  Assumes ongoing responsibility for health maintenance of the patient 
D)  Must have power of attorney 
A)  Must be a relative 
B)  Has complete control over the patient's care 
C)  Assumes ongoing responsibility for health maintenance of the patient 
D)  Must have power of attorney

Question 9

The hospice nurse instructs the family that they have access to a hospice pharmacist, who is available for consultation on the drugs the hospice patient may be taking. What other role does the hospice pharmacist fill?

Accepted Answer

A)  Administer all drugs necessary for pain alleviation 
B)  Evaluate drug interactions with food and other medications 
C)  Evaluate the safety of the drug storage in the patient's home 
D)  Monitor drug effectiveness by frequent phone interviews with the family 
A)  Administer all drugs necessary for pain alleviation 
B)  Evaluate drug interactions with food and other medications 
C)  Evaluate the safety of the drug storage in the patient's home 
D)  Monitor drug effectiveness by frequent phone interviews with the family

Question 10

Why should the hospice nurse delay the use of oropharyngeal suctioning?

Accepted Answer

A)  It will decrease mucus production 
B)  It will be uncomfortable for the patient 
C)  It is not necessary 
D)  It puts the patient at risk for infection 
A)  It will decrease mucus production 
B)  It will be uncomfortable for the patient 
C)  It is not necessary 
D)  It puts the patient at risk for infection

Question 11

The hospice nurse clarifies that hospice service is initiated when what type of treatment is no longer effective?

Accepted Answer

A)  Proactive 
B)  Palliative 
C)  Alternative 
D)  Curative 
A)  Proactive 
B)  Palliative 
C)  Alternative 
D)  Curative

Question 12

When air hunger is assessed in the dying patient, the nurse can perform which intervention(s)? (Select all that apply.)

Accepted Answer

A)  Circulate the air with a fan 
B)  Use a tranquilizer to decrease anxiety 
C)  Provide good oral hygiene 
D)  Perform careful suctioning 
E)  Raise the head of the bed 30 degrees 
A)  Circulate the air with a fan 
B)  Use a tranquilizer to decrease anxiety 
C)  Provide good oral hygiene 
D)  Perform careful suctioning 
E)  Raise the head of the bed 30 degrees

Question 13

During a pain assessment, the patient tells the nurse that the pain is aching, stabbing, and throbbing. What type of pain is the patient describing?

Accepted Answer

A)  Visceral 
B)  Neuropathic 
C)  Somatic 
D)  Psychogenic 
A)  Visceral 
B)  Neuropathic 
C)  Somatic 
D)  Psychogenic

Question 14

What is the role of the hospice medical director?

Accepted Answer

A)  To design and direct the plan of care 
B)  To evaluate the appropriateness of the care 
C)  To function as mediator between the team and the attending physician 
D)  To take the place of the patient's attending physician 
A)  To design and direct the plan of care 
B)  To evaluate the appropriateness of the care 
C)  To function as mediator between the team and the attending physician 
D)  To take the place of the patient's attending physician

Question 15

The nurse warns that nausea is a common side effect with opioid treatment. What is the best treatment for nausea caused by opioids?

Accepted Answer

A)  Antiemetics 
B)  Ice chips 
C)  Dry crackers 
D)  Ginger ale 
A)  Antiemetics 
B)  Ice chips 
C)  Dry crackers 
D)  Ginger ale

Question 16

The patient informs the hospice nurse, "I'm not sold on this hospice thing. I'm not looking for Jesus, I'm just dying." What would be the most therapeutic response by the nurse?

Accepted Answer

A)  "Spiritualism is as you define it." 
B)  "Rejecting the spiritual aspect of yourself may not be in your best interest." 
C)  "Hospice service is about how to make your remaining time meaningful." 
D)  "Based on what you say, hospice service may not answer your needs." 
A)  "Spiritualism is as you define it." 
B)  "Rejecting the spiritual aspect of yourself may not be in your best interest." 
C)  "Hospice service is about how to make your remaining time meaningful." 
D)  "Based on what you say, hospice service may not answer your needs."

Question 17

Why is it important for the hospice nurse to provide time to confer with the patient and family?

Accepted Answer

A)  To show concern 
B)  To report changes in the plan of care designed by the team 
C)  To confirm the ongoing reimbursement 
D)  To plan for changes in the scope of care 
A)  To show concern 
B)  To report changes in the plan of care designed by the team 
C)  To confirm the ongoing reimbursement 
D)  To plan for changes in the scope of care

Question 18

What is the overall objective of hospice service?

Accepted Answer

A)  Relieve symptoms of terminal disease 
B)  Educate the patient about the process of death 
C)  Keep the patient comfortable as death approaches 
D)  Relieve the family of the stress of death 
A)  Relieve symptoms of terminal disease 
B)  Educate the patient about the process of death 
C)  Keep the patient comfortable as death approaches 
D)  Relieve the family of the stress of death

Question 19

Which medication relaxes the patient's respiratory effort and thus increases the efficiency of the patient's respiratory status?

Accepted Answer

A)  Aminophylline 
B)  Theophylline 
C)  Epinephrine 
D)  Morphine 
A)  Aminophylline 
B)  Theophylline 
C)  Epinephrine 
D)  Morphine

Question 20

The hospice nurse educates the patient and family about the members of the interdisciplinary team. Which caregivers are included? (Select all that apply.)

Accepted Answer

A)  Medical director 
B)  Nurse coordinator 
C)  Social worker 
D)  Spiritual coordinator 
E)  Psychologist 
A)  Medical director 
B)  Nurse coordinator 
C)  Social worker 
D)  Spiritual coordinator 
E)  Psychologist

Exam 39: Hospice Care

What are the goals of hospice service? (Select all that apply.)

What is the most common problem of the terminally ill patient that is caused by narcotics?

The hospice nurse instructs the family that they have access to a bereavement coordinator who follows the plan of care focused on the caregiver after the death of the patient. For how long of a period of time will the caregiver and family have access to the bereavement coordinator?

The hospice nurse tells the family that the nurse coordinator, an RN, will visit them. What is the role of the nurse coordinator?

The nurse should educate the patient and caregiver that large doses of narcotics are required to control pain. What is the optimal dose for pain medications?

The hospice nurse explains that to qualify for admission to a hospice, the attending physician must certify that the patient has a life expectancy of fewer than how many months?

Which of the following is an expected part of the end-of-dying process?

The hospice nurse requests that the patient designate a primary caregiver for himself. What is true of the primary caregiver?

The hospice nurse instructs the family that they have access to a hospice pharmacist, who is available for consultation on the drugs the hospice patient may be taking. What other role does the hospice pharmacist fill?

Why should the hospice nurse delay the use of oropharyngeal suctioning?

The hospice nurse clarifies that hospice service is initiated when what type of treatment is no longer effective?

When air hunger is assessed in the dying patient, the nurse can perform which intervention(s)? (Select all that apply.)

During a pain assessment, the patient tells the nurse that the pain is aching, stabbing, and throbbing. What type of pain is the patient describing?

What is the role of the hospice medical director?

The nurse warns that nausea is a common side effect with opioid treatment. What is the best treatment for nausea caused by opioids?

The patient informs the hospice nurse, "I'm not sold on this hospice thing. I'm not looking for Jesus, I'm just dying." What would be the most therapeutic response by the nurse?

Why is it important for the hospice nurse to provide time to confer with the patient and family?

What is the overall objective of hospice service?

Which medication relaxes the patient's respiratory effort and thus increases the efficiency of the patient's respiratory status?

The hospice nurse educates the patient and family about the members of the interdisciplinary team. Which caregivers are included? (Select all that apply.)

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Professional Roles and Leadership

Filters