Patient & Family-Centered Care Flashcards
7 cards from real CHPN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient & Family-Centered Care flashcards as text
A hospice patient's adult children disagree about whether to continue aggressive wound care. What is the nurse's priority intervention?
Answer: Facilitate a family meeting focused on the patient's stated wishes
Facilitating a family meeting centered on the patient's previously expressed wishes aligns care decisions with patient-centered principles.
Which behavior best demonstrates a hospice nurse applying a family systems approach to care?
Answer: Assessing how the patient's illness affects all family members' roles
A family systems approach recognizes that illness affects all members and their interrelationships, not just the patient.
A caregiver reports feeling exhausted and unable to continue home care. What is the most appropriate initial nursing response?
Answer: Assess the caregiver's specific needs and available support resources
Assessing the caregiver's specific burden and available resources allows the nurse to tailor interventions such as respite care appropriately.
When a patient lacks decision-making capacity, the hospice nurse should direct care discussions toward:
Answer: The patient's legally designated surrogate or healthcare proxy
The legally designated surrogate or healthcare proxy is authorized to make decisions consistent with the patient's known wishes.
A dying patient tells the nurse, 'I just want my family to stop arguing and be at peace.' This statement reflects which dimension of hospice care?
Answer: Psychosocial and relational well-being
The patient's concern for family harmony reflects a psychosocial and relational dimension of well-being central to patient-centered hospice care.
A family member asks the hospice nurse why the patient is sleeping more and eating less. The best response is:
Answer: 'This is a normal part of the dying process; the body is conserving energy.'
Explaining that decreased intake and increased sleep are normal signs of the natural dying process helps families understand and reduces anxiety.
Which action BEST supports shared decision-making in hospice care?
Answer: Providing information about options and eliciting patient and family preferences
Shared decision-making requires providing balanced information and actively eliciting the values and preferences of both the patient and family.
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