CDP End-of-Life Care Planning 2

Question 1

A person with late-stage dementia is admitted to hospice. Which hospice eligibility criterion specifically applies to dementia patients in the US?

Accepted Answer

FAST scale stage 7C or beyond with one or more complications

Answer

Medicare hospice eligibility for dementia uses the FAST scale, requiring stage 7C (inability to speak more than 6 words) plus at least one complication such as aspiration pneumonia, septicemia, or pressure ulcers.

Question 2

During a care conference, a family requests aggressive interventions despite the person with dementia having previously completed a DNR order. What is the most appropriate response?

Accepted Answer

Educate the family about the legally binding nature of the DNR and the patient's previously expressed wishes

Answer

A valid DNR reflects the patient's autonomous decision-making and is legally binding; the care team should compassionately educate the family while honoring the documented wishes.

Question 3

Which ethical principle is MOST central to honoring an advance directive completed before dementia onset?

Accepted Answer

Autonomy

Answer

Autonomy—the right of individuals to make decisions about their own care—is the foundational principle behind advance directives, allowing prior competent wishes to guide future care.

Question 4

A dementia practitioner notices a resident with late-stage dementia grimacing during repositioning. The best action using a comfort-focused care model is to:

Accepted Answer

Administer a scheduled analgesic and document pain response

Answer

In comfort-focused care, pain management is proactive; administering scheduled analgesics and documenting behavioral pain indicators ensures ongoing comfort and informs the care plan.

Question 5

Which tool is specifically validated for assessing pain in non-verbal individuals with advanced dementia?

Accepted Answer

PAINAD (Pain Assessment in Advanced Dementia)

Answer

The PAINAD scale uses observable behavioral indicators such as breathing, vocalizations, facial expression, body language, and consolability to quantify pain in non-verbal dementia patients.

(CDP) Certified Dementia Practitioner Practice Test

(CDP) Certified Dementia Practitioner Practice Test

CDP End-of-Life Care Planning 2