CHPN CHPN - Certified Hospice and Palliative Nurse End-of-Life Care and Spiritual Considerations 3

Question 1

When performing a bereavement follow-up call to a widow six weeks after her husband's death, the nurse notes she is sleeping only 2 hours per night and has stopped eating. This MOST likely indicates:

Accepted Answer

Complicated grief or major depression requiring further assessment

Answer

Severe insomnia and inability to eat at six weeks post-loss are warning signs of complicated grief or major depressive disorder requiring clinical assessment.

Question 2

A patient with terminal illness requests information about voluntary stopping of eating and drinking (VSED). The hospice nurse's most appropriate response is to:

Accepted Answer

Provide balanced information and refer to the interdisciplinary team for support

Answer

VSED is a legally and ethically recognized option for dying patients; the nurse should provide information and involve the IDT to support the patient.

Question 3

Which position is MOST recommended for a patient experiencing Cheyne-Stokes respirations in the final hours of life?

Accepted Answer

Semi-Fowler's or lateral position to improve comfort and reduce secretions

Answer

Semi-Fowler's or a lateral position promotes comfort, facilitates drainage of secretions, and can reduce the distress of irregular breathing patterns near death.

Question 4

During a family meeting, family members disagree about whether to continue tube feeding for an unresponsive hospice patient. The nurse's PRIMARY role is to:

Accepted Answer

Support the decision of the healthcare proxy or durable power of attorney for health care

Answer

Legally and ethically, the designated healthcare proxy or DPAHC has decision-making authority for an incapacitated patient.

Question 5

A nurse is caring for a Jewish patient who is actively dying. The family requests that a rabbi be present. Which action reflects culturally competent end-of-life care?

Accepted Answer

Facilitate contact with a rabbi and accommodate religious observances per the patient's wishes

Answer

Culturally competent care requires facilitating the patient's and family's religious practices, including contacting a faith leader of their specific tradition.

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN CHPN - Certified Hospice and Palliative Nurse End-of-Life Care and Spiritual Considerations 3