CHPN FREE Hospice and Palliative Nurse Basic Questions and Answers 3

Question 1

What is terminal sedation (palliative sedation) primarily used for in hospice care?

Accepted Answer

To manage refractory symptoms that are unresponsive to other treatments

Answer

To hasten the patient's death

Answer

To replace opioid therapy entirely

Answer

To sedate the patient for family convenience

Question 2

A hospice nurse is caring for a patient whose family is from a culture that believes the patient should not be told about the terminal diagnosis. The BEST nursing action is to:

Accepted Answer

Explore the patient's own preferences regarding health information

Answer

Tell the patient the diagnosis regardless of family wishes

Answer

Respect the family's wishes without further assessment

Answer

Document the family's request and avoid the patient entirely

Question 3

Which of the following medications is MOST appropriate for managing death rattle (noisy secretions) in a dying patient?

Accepted Answer

Glycopyrrolate

Answer

Albuterol nebulizer

Answer

Furosemide

Answer

Dexamethasone

Question 4

According to the Kubler-Ross model, which stage of grief involves the patient attempting to negotiate for more time?

Accepted Answer

Bargaining

Answer

Denial

Answer

Anger

Answer

Depression

Question 5

A hospice patient with advanced cancer reports a pain level of 7 out of 10 despite current opioid therapy. The nurse should FIRST:

Accepted Answer

Administer the prescribed breakthrough dose

Answer

Recommend discontinuing the current opioid

Answer

Suggest non-pharmacological interventions only

Answer

Wait until the next scheduled dose

Question 6

Which of the following is a key component of the bereavement plan required by Medicare hospice conditions of participation?

Accepted Answer

Grief support must be offered for at least 13 months after the patient's death

Answer

Bereavement services are limited to the patient's spouse only

Answer

Counseling must be provided by a psychiatrist

Answer

Bereavement support ends at the time of the patient's death