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

Suspected drug diversion must be reported immediately through proper institutional channels, typically to a supervisor or compliance officer, to protect patient safety.

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

The Medicare Conditions of Participation mandate that hospice programs complete a comprehensive assessment within 5 days of the election of hospice care.

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

Autonomy, the patient's right to self-determination and to make decisions about their own care, is the principle most at risk when family members attempt to override the patient's documented wishes.

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

The IDG meeting is required to review, revise, and document updates to each patient's individualized plan of care with input from all disciplines involved.

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

Any subpoena for medical records should be directed to the agency's legal counsel or privacy officer to ensure compliance with HIPAA and applicable state laws before any records are released.

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN - Certified Hospice and Palliative Nurse Practice Test

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