Basic Questions 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 Basic Questions flashcards as text
Which hospice level of care is provided in a Medicare-approved facility when pain or symptoms cannot be managed in the home setting?
Answer: General inpatient care (GIP)
General inpatient care is the highest-intensity Medicare hospice benefit level, used for acute symptom management that cannot be controlled at home.
A hospice nurse is assessing a nonverbal patient for pain. Which tool is MOST appropriate?
Answer: PAINAD (Pain Assessment in Advanced Dementia)
PAINAD evaluates breathing, vocalization, facial expression, body language, and consolability in patients who cannot self-report pain.
When a patient's family disagrees about continuing hospice care, the FIRST action by the hospice nurse should be:
Answer: Facilitate a family meeting with the interdisciplinary team to clarify goals of care
A structured IDT family meeting facilitates communication, resolves conflict, and keeps decision-making patient-centered.
Which of the following best describes anticipatory grief?
Answer: Grief experienced before the anticipated loss of a loved one
Anticipatory grief begins before the death as family members mourn losses already occurring (function, role, future) and prepare emotionally.
A patient with end-stage heart failure develops worsening ascites. The palliative intervention that MOST directly improves comfort is:
Answer: Therapeutic paracentesis
Therapeutic paracentesis provides rapid relief of abdominal distension, pain, and dyspnea caused by large-volume ascites.
Which professional on the hospice interdisciplinary team is primarily responsible for addressing the patient's and family's spiritual needs?
Answer: The hospice chaplain
The hospice chaplain provides spiritual care and assessment, though all team members should conduct basic spiritual screening.
A hospice patient receiving morphine for pain develops myoclonus (muscle jerking). The MOST appropriate intervention is:
Answer: Rotate to an alternative opioid such as hydromorphone and ensure adequate hydration
Opioid-induced myoclonus is caused by accumulation of neuroexcitatory metabolites; opioid rotation and hydration reduce metabolite burden.