CHPN FREE Hospice and Palliative Nurse Guide Questions and Answers 2

Question 1

A hospice patient with end-stage heart failure develops Cheyne-Stokes respirations. What should the nurse communicate to the family?

Accepted Answer

This is a normal breathing pattern near end of life

Answer

The patient needs immediate intubation

Answer

Oxygen therapy must be increased to 100%

Answer

The patient should be transferred to the ICU

Question 2

Which medication is most appropriate for managing terminal secretions (death rattle) in a hospice patient?

Accepted Answer

Glycopyrrolate

Answer

Metformin

Answer

Lisinopril

Answer

Methotrexate

Question 3

A palliative care nurse is caring for a patient whose family insists on continuing aggressive treatment despite the patient's advance directive refusing it. What is the nurse's primary obligation?

Accepted Answer

Advocate for the patient's documented wishes

Answer

Follow the family's verbal instructions

Answer

Defer all decisions to the attending physician

Answer

Withhold information from the family to reduce conflict

Question 4

Which scale is specifically designed to assess functional status and prognosis in hospice patients?

Accepted Answer

Palliative Performance Scale (PPS)

Answer

Glasgow Coma Scale

Answer

Braden Scale

Answer

Morse Fall Scale

Question 5

What is the primary goal of palliative sedation in hospice care?

Accepted Answer

To relieve refractory symptoms that cannot be controlled by other means

Answer

To hasten the patient's death

Answer

To eliminate the need for family involvement in care

Answer

To reduce staffing requirements for complex patients

Question 6

A hospice nurse notices that a bereaved spouse has not resumed normal activities eight months after the patient's death and expresses persistent yearning. Which condition should the nurse screen for?

Accepted Answer

Prolonged grief disorder

Answer

Normal grief response

Answer

Major depressive disorder with psychotic features

Answer

Acute stress disorder