CHPN CHPN - Certified Hospice and Palliative Nurse Education, Support, and Advocacy Questions and Answers 3

Question 1

A hospice nurse is teaching a volunteer about supporting bereaved families. Which statement reflects an appropriate grief support intervention?

Accepted Answer

Use active listening and validate the family's feelings without imposing a timeline for grief

Answer

Encourage the family to move on quickly and stay busy to avoid dwelling on the loss

Answer

Recommend professional counseling for all family members immediately after the death

Answer

Tell the family that their loved one is in a better place to provide comfort

Question 2

When educating a hospice patient about their right to revoke the hospice benefit, the nurse should explain that:

Accepted Answer

The patient may revoke at any time and return to curative treatment coverage

Answer

Revocation permanently disqualifies the patient from future hospice enrollment

Answer

Revocation requires approval from the interdisciplinary team and attending physician

Answer

The patient must provide a 30-day written notice before revocation takes effect

Question 3

A hospice nurse notices that a home health aide is not following the established repositioning schedule for a bedbound patient. The MOST appropriate advocacy action is to:

Accepted Answer

Address the concern directly with the aide and reinforce the importance of the care plan

Answer

Report the aide to the state licensing board immediately

Answer

Assume the aide has a valid reason and take no action

Answer

Take over the aide's duties for the remainder of the shift

Question 4

A family member asks the hospice nurse why artificial nutrition is not being recommended for their loved one who has stopped eating. The BEST educational response is:

Accepted Answer

As the body naturally shuts down, artificial nutrition can increase discomfort and complications such as aspiration

Answer

Hospice policy prohibits all forms of artificial nutrition for enrolled patients

Answer

The patient must request artificial nutrition themselves before it can be considered

Answer

Artificial nutrition is too expensive to provide in the home setting

Question 5

Which approach BEST demonstrates hospice nurse advocacy when a patient's pain is undertreated because the physician is reluctant to increase opioid dosing?

Accepted Answer

Present objective pain assessment data and evidence-based guidelines to support a dosage adjustment request

Answer

Accept the physician's decision and document the patient's ongoing pain

Answer

Independently increase the opioid dose based on nursing judgment

Answer

Advise the patient to seek care from a different provider

Question 6

A hospice nurse is educating the interdisciplinary team about anticipatory grief. Which description is MOST accurate?

Accepted Answer

It is the grief experienced before an expected death, allowing emotional preparation for the loss

Answer

Anticipatory grief only occurs in patients and does not affect family members

Answer

Anticipatory grief eliminates the need for bereavement support after the patient dies

Answer

It is a pathological response that always requires psychiatric intervention