CHPN CHPN - Certified Hospice and Palliative Nurse Professional Practice Issues Questions and Answers 2

Question 1

A hospice nurse discovers that a colleague has been diverting controlled substances from the medication supply. What is the nurse's most appropriate first action?

Accepted Answer

Report the concern to the nursing supervisor or compliance officer

Answer

Confront the colleague privately and ask them to stop

Answer

Document the observation and wait to see if it happens again

Answer

Contact law enforcement directly

Question 2

Which federal regulation requires hospice programs to conduct a comprehensive assessment of the patient's needs within a specific timeframe of admission?

Accepted Answer

Medicare Conditions of Participation

Answer

HIPAA Privacy Rule

Answer

OSHA Workplace Safety Standards

Answer

Americans with Disabilities Act

Question 3

A hospice nurse is caring for a patient whose family insists on pursuing aggressive curative treatment despite the patient's documented wishes for comfort care only. What ethical principle is most at risk of being violated?

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Justice

Answer

Fidelity

Question 4

In hospice care, what is the primary purpose of the interdisciplinary group (IDG) meeting?

Accepted Answer

To review and update each patient's plan of care collaboratively

Answer

To assign nursing tasks for the upcoming week

Answer

To evaluate staff performance and productivity metrics

Answer

To coordinate billing and insurance documentation

Question 5

A hospice nurse receives a subpoena requesting a deceased patient's complete medical record. What should the nurse do first?

Accepted Answer

Notify the agency's legal counsel or privacy officer before releasing any records

Answer

Immediately provide all requested records to comply with the subpoena

Answer

Destroy any sensitive information before releasing the records

Answer

Refuse to release records because the patient is deceased

Question 6

Which situation best illustrates a boundary violation in the hospice nurse-patient relationship?

Accepted Answer

Accepting a large monetary gift from a patient's family during active care

Answer

Attending a patient's memorial service at the family's invitation

Answer

Sharing appropriate personal experiences to build therapeutic rapport

Answer

Providing the family with community bereavement resource information