CHPN CHPN - Certified Hospice and Palliative Nurse Patient Assessment and Planning Questions and Answers 2

Question 1

A hospice nurse is assessing a patient with end-stage heart failure who reports increasing dyspnea at rest. Which intervention should be prioritized in the plan of care?

Accepted Answer

Administer low-dose opioids for symptom relief

Answer

Initiate continuous pulse oximetry monitoring

Answer

Recommend cardiac rehabilitation exercises

Answer

Schedule an echocardiogram for reassessment

Question 2

During a comprehensive hospice admission assessment, the nurse identifies that a patient's primary caregiver is showing signs of burnout. Which action best reflects appropriate care planning?

Accepted Answer

Refer the caregiver to respite care services and support resources

Answer

Document the observation and reassess at the next visit

Answer

Advise the caregiver to hire private-duty nursing assistance

Answer

Recommend the patient be transferred to an inpatient hospice facility

Question 3

A patient with advanced dementia is grimacing, moaning, and resisting care during repositioning. The patient is unable to verbally report pain. Which assessment tool is most appropriate?

Accepted Answer

PAINAD (Pain Assessment in Advanced Dementia)

Answer

Numeric Rating Scale (NRS)

Answer

Visual Analog Scale (VAS)

Answer

Brief Pain Inventory (BPI)

Question 4

When developing a plan of care for a hospice patient from a cultural background that values family decision-making over individual autonomy, the nurse should first:

Accepted Answer

Assess the patient's preferred level of involvement in decision-making

Answer

Insist on speaking privately with the patient to confirm their wishes

Answer

Follow the family's directives without consulting the patient

Answer

Document that the patient lacks decision-making capacity

Question 5

A hospice nurse is planning care for a patient with a PPS (Palliative Performance Scale) score of 30%. Which finding is most consistent with this score?

Accepted Answer

The patient is mainly bedbound with extensive assistance required for self-care

Answer

The patient is ambulatory with occasional assistance needed

Answer

The patient is able to do significant work activity with some disease evidence

Answer

The patient requires total care and is completely bedbound with no oral intake

Question 6

Which assessment finding would prompt the hospice nurse to initiate a discussion about updating a patient's advance directive?

Accepted Answer

The patient has experienced a significant decline in functional status over the past week

Answer

The patient's pain level has increased from 3 to 5 on the numeric scale

Answer

The patient's family is requesting more frequent nursing visits

Answer

The patient's medication regimen requires adjustment for symptom control