CHPN CHPN - Certified Hospice and Palliative Nurse Education, Support, and Advocacy Questions and Answers 2

Question 1

A hospice nurse is educating a family about the signs of imminent death. Which of the following is the MOST appropriate information to include?

Accepted Answer

Mottling of the skin and changes in breathing patterns are expected

Answer

Mottling of the skin and irregular breathing patterns such as Cheyne-Stokes respirations are common signs of imminent death that families should be educated about.

Question 2

When advocating for a hospice patient whose family insists on aggressive interventions inconsistent with the patient's advance directive, the nurse should FIRST:

Accepted Answer

Review the advance directive with the family and clarify the patient's documented wishes

Answer

The nurse's first step should be to review the advance directive with the family, ensuring they understand the patient's previously expressed wishes.

Question 3

A hospice nurse is providing education to a newly admitted patient's caregiver about managing breakthrough pain. Which statement by the caregiver indicates a need for further teaching?

Accepted Answer

I should wait until the next scheduled dose because extra medication will cause addiction

Answer

Fear of addiction is a common misconception among caregivers; breakthrough pain medication should be administered as prescribed without withholding due to unfounded addiction concerns.

Question 4

In the context of hospice care, which action BEST demonstrates the nurse's role as a patient advocate during an interdisciplinary team meeting?

Accepted Answer

Presenting the patient's stated goals and preferences to guide the care plan

Answer

Advocating for the patient means ensuring their goals, values, and preferences are central to care planning discussions within the interdisciplinary team.

Question 5

A hospice nurse is educating a patient's spouse about the purpose of palliative sedation. Which explanation is MOST accurate?

Accepted Answer

It is intended to reduce consciousness to relieve refractory symptoms at end of life

Answer

Palliative sedation aims to reduce awareness to alleviate refractory symptoms that have not responded to other interventions, not to hasten death.

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN CHPN - Certified Hospice and Palliative Nurse Education, Support, and Advocacy Questions and Answers 2