Question 1

The hospice nurse explains to the family that the overall objective of hospice service is to:

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 2

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 and who will:

Accepted Answer

A)  provide 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)  provide 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 3

The nurse must educate the patient and caregiver that large doses of narcotics are required to control pain.It is good to educate the patient and caregiver that the dose that works is the dose:

Accepted Answer

A)  the physician ordered. 
B)  that provides pain relief. 
C)  that is not addictive. 
D)  agreed upon by the patient. 
A)  the physician ordered. 
B)  that provides pain relief. 
C)  that is not addictive. 
D)  agreed upon by the patient.

Question 4

The nurse recognizes that pain can be managed what percentage of the time?

Accepted Answer

A)  50% to 55% 
B)  60% to 65% 
C)  70% to 80% 
D)  95% to 97% 
A)  50% to 55% 
B)  60% to 65% 
C)  70% to 80% 
D)  95% to 97%

Question 5

The nurse carefully assesses the symptom faced by the dying patient that often disrupts the quality and enjoyment of life and can be excruciating and terrifying.That symptom is:

Accepted Answer

A)  fear. 
B)  anger. 
C)  grief. 
D)  pain. 
A)  fear. 
B)  anger. 
C)  grief. 
D)  pain.

Question 6

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 7

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

Accepted Answer

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

Question 8

The hospice nurse recognizes that the role of the medical director is to:

Accepted Answer

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

Question 9

During a pain assessment,the patient tells the nurse that the pain is aching,stabbing,and throbbing.The nurse recognizes this pain to be:

Accepted Answer

A)  visceral. 
B)  neuropathic. 
C)  somatic. 
D)  psychogenic. 
A)  visceral. 
B)  neuropathic. 
C)  somatic. 
D)  psychogenic.

Question 10

The nutritional assessment is done at the time of admission by the:

Accepted Answer

A)  physician. 
B)  hospice nurse. 
C)  caregiver. 
D)  nursing assistant. 
A)  physician. 
B)  hospice nurse. 
C)  caregiver. 
D)  nursing assistant.

Question 11

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 at least:

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 12

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

Accepted Answer

reorient
Reorientation regardi

Question 13

The nurse warns that nausea is a common side effect with opioid treatment,and rather than discontinuing the opioid,it is better to treat the nausea with:

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 14

The hospice nurse delays the use of oropharyngeal suctioning because it:

Accepted Answer

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

Question 15

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 16

The nurse explains that because they can be delivered by all routes,give good pain control,and have no limit on the dose amount,the drugs of choice when caring for the hospice patient are:

Accepted Answer

A)  nonsteroidal anti-inflammatory drugs. 
B)  anticholinergic drugs. 
C)  Duragesic patches. 
D)  opioid derivatives. 
A)  nonsteroidal anti-inflammatory drugs. 
B)  anticholinergic drugs. 
C)  Duragesic patches. 
D)  opioid derivatives.

Question 17

The hospice nurse documents an assessment finding of cachexia in the patient record,which describes a state of:

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 18

The hospice nurse introduced the family to the volunteer coordinator who will assign a volunteer to the patient who will:

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)  find appropriate recreational activities for 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)  find appropriate recreational activities for the patient.

Exam 40: Hospice Care

The hospice nurse explains to the family that the overall objective of hospice service is to:

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 and who will:

The nurse must educate the patient and caregiver that large doses of narcotics are required to control pain.It is good to educate the patient and caregiver that the dose that works is the dose:

The nurse recognizes that pain can be managed what percentage of the time?

The nurse carefully assesses the symptom faced by the dying patient that often disrupts the quality and enjoyment of life and can be excruciating and terrifying.That symptom is:

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

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

The hospice nurse recognizes that the role of the medical director is to:

During a pain assessment,the patient tells the nurse that the pain is aching,stabbing,and throbbing.The nurse recognizes this pain to be:

The nutritional assessment is done at the time of admission by the:

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 at least:

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

The nurse warns that nausea is a common side effect with opioid treatment,and rather than discontinuing the opioid,it is better to treat the nausea with:

The hospice nurse delays the use of oropharyngeal suctioning because it:

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

The nurse explains that because they can be delivered by all routes,give good pain control,and have no limit on the dose amount,the drugs of choice when caring for the hospice patient are:

The hospice nurse documents an assessment finding of cachexia in the patient record,which describes a state of:

The hospice nurse introduced the family to the volunteer coordinator who will assign a volunteer to the patient who will:

the Evolution of Nursing

Legal and Ethical Aspects of Nursing

Communication

Vital Signs

Physical Assessment

Nursing Process and Critical Thinking

Documentation

Cultural and Ethnic Considerations

Life Span Development

Loss, grief , dying, and Death

Admission, Transfer, and Discharge

Medical-Surgical Asepsis and Infection Prevention and Control

Surgical Wound Care

Safety

Body Mechanics and Patient Mobility

Pain Management, Comfort, Rest, and Sleep

Complementary and Alternative Therapies

Hygiene and Care of the Patient’s Environment

Specimen Collection and Diagnostic Examination

Selected Nursing Skills

Basic Nutrition and Nutrition Therapy

Fluids and Electrolytes

Mathematics Review and Medication Administration

Emergency First Aid Nursing

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 Disorder

Care of the Child with a Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Basic 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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