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

Active listening and validation without imposing expectations on the grief process are foundational bereavement support techniques in hospice care.

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

Under Medicare hospice guidelines, patients have the right to revoke the hospice benefit at any time and resume standard Medicare coverage for curative treatments.

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

Direct communication with the aide about the care plan expectations is the most appropriate first step in advocating for the patient's skin integrity and comfort.

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

During the dying process, the body's decreased ability to process nutrition means artificial feeding can lead to complications like fluid overload, aspiration, and increased discomfort.

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

Presenting objective pain assessment findings along with evidence-based recommendations is the most professional and effective way to advocate for appropriate pain management.

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 3