CHPN Free Hospice and Palliative Nurse Knowledge Questions and Answers 3

Question 1

Which opioid is generally considered the safest choice for a hospice patient with renal impairment requiring pain management?

Accepted Answer

Hydromorphone

Answer

Morphine

Answer

Codeine

Answer

Meperidine

Question 2

A hospice nurse is caring for a patient who exhibits restlessness, moaning, and grimacing but is unable to verbally report pain. Which assessment tool is most appropriate?

Accepted Answer

FLACC or PAINAD behavioral pain scale

Answer

Numeric Rating Scale (0-10)

Answer

Visual Analog Scale

Answer

McGill Pain Questionnaire

Question 3

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

Accepted Answer

To relieve refractory symptoms that have not responded to standard palliative interventions

Answer

To hasten the dying process when the patient requests it

Answer

To eliminate the need for family presence during active dying

Answer

To replace opioid therapy in patients with substance use history

Question 4

Which of the following is a key component of providing culturally competent end-of-life care?

Accepted Answer

Assessing each patient's and family's individual cultural beliefs and preferences about death and dying

Answer

Applying standardized cultural protocols based on the patient's ethnicity

Answer

Avoiding discussions about death to prevent cultural offense

Answer

Deferring all care decisions to the oldest male family member

Question 5

A hospice patient on long-term opioid therapy develops myoclonus. Which action should the nurse prioritize?

Accepted Answer

Notify the physician to consider opioid rotation

Answer

Increase the current opioid dose to manage breakthrough pain

Answer

Administer meperidine for the myoclonus

Answer

Discontinue all opioid therapy immediately

Question 6

Which spiritual care intervention is most appropriate when a hospice patient expresses feelings of meaninglessness near end of life?

Accepted Answer

Dignity therapy that helps the patient reflect on their life's meaning and create a legacy document

Answer

Prescribing an antidepressant for existential distress

Answer

Reassuring the patient that everything will be fine

Answer

Contacting the hospital ethics committee for a consultation