CHPN FREE Hospice and Palliative Nurse Trivia Questions and Answers 3

Question 1

Which scale is specifically designed to assess pain in non-verbal or cognitively impaired hospice patients?

Accepted Answer

PAINAD

Answer

The Pain Assessment in Advanced Dementia (PAINAD) scale uses behavioral observations to assess pain in patients who cannot self-report.

Question 2

What is the most appropriate nursing intervention for death rattle in an actively dying patient?

Accepted Answer

Repositioning the patient and administering glycopyrrolate

Answer

Repositioning and anticholinergic medications like glycopyrrolate are recommended to reduce death rattle while avoiding invasive suctioning.

Question 3

In hospice care, what does the concept of 'total pain' as described by Dame Cicely Saunders encompass?

Accepted Answer

Physical, psychological, social, and spiritual suffering

Answer

Dame Cicely Saunders' concept of total pain recognizes that suffering has physical, psychological, social, and spiritual dimensions that must all be addressed.

Question 4

Which of the following is a hallmark criterion for hospice eligibility under the Medicare benefit?

Accepted Answer

A prognosis of six months or less if the disease runs its normal course

Answer

Medicare hospice eligibility requires physician certification that the patient has a life expectancy of six months or less if the illness follows its expected trajectory.

Question 5

What is the nurse's priority role when a hospice patient's family expresses guilt about choosing comfort care over aggressive treatment?

Accepted Answer

Provide emotional support and normalize their feelings while reinforcing the patient's wishes

Answer

The hospice nurse should validate the family's emotions, normalize guilt as a common response, and gently reinforce that the care plan honors the patient's expressed wishes.

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN FREE Hospice and Palliative Nurse Trivia Questions and Answers 3