CHPN CHPN - Certified Hospice and Palliative Nurse End-of-Life Care and Spiritual Considerations 2

Question 1

Which of the following is a key component of a 'good death' as defined in hospice and palliative care literature?

Accepted Answer

Pain and symptom control with patient dignity preserved

Answer

Death occurring in an inpatient hospice facility

Answer

Having unresolved family conflicts addressed before death

Answer

Completing all curative treatment options before stopping care

Question 2

When a patient from a culture that does not discuss death openly is admitted to hospice, the nurse should:

Accepted Answer

Assess the patient's and family's cultural beliefs and preferences regarding disclosure

Answer

Insist on full disclosure of the terminal prognosis to the patient

Answer

Document refusal of information and proceed with standard hospice education

Answer

Limit all end-of-life discussions to family members only

Question 3

Which ethical principle is MOST directly supported when a hospice nurse honors a patient's decision to refuse artificial nutrition?

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Justice

Answer

Nonmaleficence

Question 4

Anticipatory grief in family members of a hospice patient refers to:

Accepted Answer

The grief process that begins before the patient's death in response to expected loss

Answer

Grief that occurs only after the patient has died

Answer

Grief that is considered pathological and requires psychiatric intervention

Answer

A delayed grief reaction that appears months after bereavement

Question 5

A patient states they wish to die at home. The hospice team determines that the patient's pain cannot be adequately controlled in that setting. What should the nurse do FIRST?

Accepted Answer

Discuss the clinical situation with the patient, exploring options while respecting their wishes

Answer

Override the patient's wish and arrange inpatient transfer

Answer

Contact the family to make the decision for the patient

Answer

Discharge the patient to a skilled nursing facility without discussion

Question 6

Which of the following best describes the concept of 'double effect' as it applies to palliative care?

Accepted Answer

An action intended to provide comfort may unintentionally hasten death, which is ethically permissible

Answer

Using two different opioid medications simultaneously for better pain control

Answer

Giving two doses of morphine to ensure adequate pain relief

Answer

The dual role of the nurse as both caregiver and patient advocate