Question 1

What are the drugs of choice when caring for the hospice patient?

Accepted Answer

A)  Nonsteroidal antiinflammatory drugs 
B)  Anticholinergic drugs 
C)  Duragesic patches 
D)  Morphine derivatives 
A)  Nonsteroidal antiinflammatory drugs 
B)  Anticholinergic drugs 
C)  Duragesic patches 
D)  Morphine derivatives

Question 2

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 3

The hospice nurse recommends that the patient prepare the document that provides guidance to the family concerning the patient's wishes regarding life-support measures and organ donation.What is this document called?

Accepted Answer

A)  Power of attorney 
B)  Living will 
C)  Advance directive 
D)  Conservatorship 
A)  Power of attorney 
B)  Living will 
C)  Advance directive 
D)  Conservatorship

Question 4

The hospice nurse explains that to qualify for admission to a hospice,the attending health care provider 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 5

What symptom of hospice patients is the most dreaded and feared,and should be a priority of symptom management?

Accepted Answer

A)  Fear 
B)  Anger 
C)  Grief 
D)  Pain 
A)  Fear 
B)  Anger 
C)  Grief 
D)  Pain

Question 6

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 7

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 8

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 9

Who conducts the nutritional assessment at the time of admission to hospice care?

Accepted Answer

A)  Health care provider 
B)  Hospice nurse 
C)  Caregiver 
D)  Unlicensed assistive personnel 
A)  Health care provider 
B)  Hospice nurse 
C)  Caregiver 
D)  Unlicensed assistive personnel

Question 10

The hospice nurse introduced the family to the volunteer coordinator who will assign a volunteer to the patient.What can a hospice volunteer do for a patient and caregiver?

Accepted Answer

A)  Give the family respite. 
B)  Give necessary medication in the absence of the nurse. 
C)  Be at the family's disposal 16 hours a week. 
D)  Bathe the patient. 
A)  Give the family respite. 
B)  Give necessary medication in the absence of the nurse. 
C)  Be at the family's disposal 16 hours a week. 
D)  Bathe the patient.

Question 11

When educating a patient concerning ways to prevent nausea,the nurse suggests that eating slowly in a pleasant atmosphere will help,as well as taking an antiemetic before meals.How many minutes before meals should the patient take the antiemetic?

Accepted Answer

A)  10 
B)  20 
C)  30 
D)  60 
A)  10 
B)  20 
C)  30 
D)  60

Question 12

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 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

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 15

The social worker evaluates and assesses the psychosocial needs of the patient.To work in a hospice,the social worker must have at least which degree?

Accepted Answer

A)  Associate 
B)  Bachelor's 
C)  Master's 
D)  Doctorate 
A)  Associate 
B)  Bachelor's 
C)  Master's 
D)  Doctorate

Question 16

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

Exam 40: Hospice Care

What are the drugs of choice when caring for the hospice patient?

What is the overall objective of hospice service?

The hospice nurse recommends that the patient prepare the document that provides guidance to the family concerning the patient's wishes regarding life-support measures and organ donation.What is this document called?

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

What symptom of hospice patients is the most dreaded and feared,and should be a priority of symptom management?

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

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?

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?

Who conducts the nutritional assessment at the time of admission to hospice care?

The hospice nurse introduced the family to the volunteer coordinator who will assign a volunteer to the patient.What can a hospice volunteer do for a patient and caregiver?

When educating a patient concerning ways to prevent nausea,the nurse suggests that eating slowly in a pleasant atmosphere will help,as well as taking an antiemetic before meals.How many minutes before meals should the patient take the antiemetic?

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

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?

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

The social worker evaluates and assesses the psychosocial needs of the patient.To work in a hospice,the social worker must have at least which degree?

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

The 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 Patients Environment

Safety

Admission, transfer, and Discharge

Vital Signs

Physical Assessment

Oxygenation

Elimination and Gastric Intubation

Care of Patients Experiencing Urgent Alterations in Health

Dosage Calculation and Medication Administration

Fluids and Electrolytes

Nutritional Concepts and Related Therapies

Complementary and Alternative Therapies

Pain Management, comfort, rest, and Sleep

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Lifespan 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

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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 an Endocrine Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With a Reproductive Disorder

Care of the Patient With a Visual or Auditory Disorder

Care of the Patient With a Neurologic Disorder

Care of the Patient With an Immune Disorder

Care of the Patient With Hivaids

Care of the Patient With Cancer

Professional Roles and Leadership

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