Question 1

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 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

Question 3

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 4

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 5

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 6

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

Question 7

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

Accepted Answer

reorient
Reorientation regardi

Question 8

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

Question 9

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 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

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 12

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 13

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 14

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 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 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.

Exam 40: Hospice Care

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

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

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

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

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?

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

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

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

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

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

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

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?

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

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 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

Rehabilitation Nursing

Professional Roles and Leadership

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