Question 1

Which are signs and symptoms of approaching death? (Select all that apply.)

Accepted Answer

A)  Mottled extremities 
B)  Significant increase in urine output 
C)  Increased restlessness and pulling at bed linens 
D)  Alteration in rhythmic respiration 
E)  Increased pulse rate 
A)  Mottled extremities 
B)  Significant increase in urine output 
C)  Increased restlessness and pulling at bed linens 
D)  Alteration in rhythmic respiration 
E)  Increased pulse rate

Question 2

When the dying patient becomes confused, the nurse should ____________ him or her.

Accepted Answer

reorient
Reorientation regardi

Question 3

Because the family is confused about the meaning of palliative care, the hospice nurse needs to explain the focus of care. What is the focus of palliative care?

Accepted Answer

A)  An aggressive approach to prolong life 
B)  A protocol of pain relief 
C)  A form of organized care, which relieves the family of responsibility 
D)  An integrated service of support for alleviation of symptoms 
A)  An aggressive approach to prolong life 
B)  A protocol of pain relief 
C)  A form of organized care, which relieves the family of responsibility 
D)  An integrated service of support for alleviation of symptoms

Question 4

The hospice spiritual coordinator can be affiliated with any religion, assists with the spiritual assessment of the patient, and develops the plan of care regarding spiritual matters. To work in a hospice, what degree should the spiritual coordinator possess?

Accepted Answer

A)  Bachelor's degree 
B)  Master's degree 
C)  Seminary degree 
D)  Associate degree 
A)  Bachelor's degree 
B)  Master's degree 
C)  Seminary degree 
D)  Associate degree

Question 5

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

Accepted Answer

A)  Physician 
B)  Hospice nurse 
C)  Caregiver 
D)  Nursing assistant 
A)  Physician 
B)  Hospice nurse 
C)  Caregiver 
D)  Nursing assistant

Question 6

The nurse differentiates between curative and palliative care. What is true of curative treatment?

Accepted Answer

A)  Curative treatment is centered on symptom control. 
B)  Curative treatment is focused on prolonging life. 
C)  Curative treatment is not concerned with dying. 
D)  Curative treatment is the only care covered by health insurance. 
A)  Curative treatment is centered on symptom control. 
B)  Curative treatment is focused on prolonging life. 
C)  Curative treatment is not concerned with dying. 
D)  Curative treatment is the only care covered by health insurance.

Question 7

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

Accepted Answer

A)  Nonsteroidal anti-inflammatory drugs 
B)  Anticholinergic drugs 
C)  Duragesic patches 
D)  Morphine derivatives 
A)  Nonsteroidal anti-inflammatory drugs 
B)  Anticholinergic drugs 
C)  Duragesic patches 
D)  Morphine derivatives

Question 8

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 9

The hospice nurse documents an assessment finding of cachexia in the patient record. What does cachexia describe?

Accepted Answer

A)  Deep sleep and unresponsiveness 
B)  Marked weakness and emaciation 
C)  Total addiction to opioids 
D)  Renewed energy 
A)  Deep sleep and unresponsiveness 
B)  Marked weakness and emaciation 
C)  Total addiction to opioids 
D)  Renewed energy

Question 10

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 11

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 12

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 13

Who was responsible for renewing the hospice philosophy in the 1960s?

Accepted Answer

A)  Cicely Saunders 
B)  Lillian Wald 
C)  Dorothea Dix 
D)  Florence Nightingale 
A)  Cicely Saunders 
B)  Lillian Wald 
C)  Dorothea Dix 
D)  Florence Nightingale

Question 14

When a deficiency in nutritional status of a patient is assessed, what action should be taken by the hospice nurse?

Accepted Answer

A)  Make a comprehensive grocery list for the caregiver 
B)  Alert the licensed medical nutritionist 
C)  Seek culturally appropriate methods to increase nutrition 
D)  Instruct the caregiver to give the patient multivitamins 
A)  Make a comprehensive grocery list for the caregiver 
B)  Alert the licensed medical nutritionist 
C)  Seek culturally appropriate methods to increase nutrition 
D)  Instruct the caregiver to give the patient multivitamins

Question 15

The hospice nurse instructs caregivers in repositioning the patient because the patient spends most of the time reclining. What problem can this cause?

Accepted Answer

A)  Contractures 
B)  Pressure ulcers 
C)  Bruising 
D)  Excoriation 
A)  Contractures 
B)  Pressure ulcers 
C)  Bruising 
D)  Excoriation

Question 16

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

Exam 39: Hospice Care

Which are signs and symptoms of approaching death? (Select all that apply.)

When the dying patient becomes confused, the nurse should ____________ him or her.

Because the family is confused about the meaning of palliative care, the hospice nurse needs to explain the focus of care. What is the focus of palliative care?

The hospice spiritual coordinator can be affiliated with any religion, assists with the spiritual assessment of the patient, and develops the plan of care regarding spiritual matters. To work in a hospice, what degree should the spiritual coordinator possess?

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

The nurse differentiates between curative and palliative care. What is true of curative treatment?

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

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?

The hospice nurse documents an assessment finding of cachexia in the patient record. What does cachexia describe?

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?

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

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?

Who was responsible for renewing the hospice philosophy in the 1960s?

When a deficiency in nutritional status of a patient is assessed, what action should be taken by the hospice nurse?

The hospice nurse instructs caregivers in repositioning the patient because the patient spends most of the time reclining. What problem can this cause?

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?

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

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