Question 1

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

Question 2

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 3

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 4

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 5

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 6

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 7

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 8

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 9

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 10

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

Accepted Answer

reorient
Reorientation regardi

Question 11

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

Question 12

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 13

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 14

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

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

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

Exam 39: Hospice Care

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

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

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

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?

What is the role of the hospice medical director?

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

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?

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

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

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

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?

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

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

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

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

Professional Roles and Leadership

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