Education, Support, and Advocacy 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 Education, Support, and Advocacy flashcards as text
A hospice nurse is educating a family about the dying process. Which sign should the nurse explain as indicating death is likely within hours to days?
Answer: Mottling of the extremities and Cheyne-Stokes respirations
Mottling of the extremities and Cheyne-Stokes respirations are late signs indicating imminent death, typically within hours to days.
Which approach best supports health literacy when educating a patient with low literacy about medication schedules?
Answer: Use the teach-back method with simple language and visual aids
The teach-back method combined with plain language and visuals is the gold standard for confirming understanding in patients with low health literacy.
A caregiver expresses guilt saying 'I should be able to do more for my mother.' What is the MOST therapeutic response from the hospice nurse?
Answer: Explore the feelings of guilt and validate the caregiver's experience
Exploring and validating the caregiver's feelings of guilt allows for therapeutic communication and identifies unmet support needs.
When advocating for a hospice patient's right to refuse treatment, the nurse should FIRST:
Answer: Ensure the patient has decision-making capacity and understands the consequences
Before acting on a refusal, the nurse must confirm the patient has decision-making capacity and comprehends the potential outcomes.
A hospice patient's advance directive states 'no artificial nutrition.' The patient's adult child insists on a feeding tube. The nurse's BEST action is to:
Answer: Advocate for the patient's documented wishes and involve the interdisciplinary team
The nurse's primary advocacy role is to uphold the patient's documented wishes and engage the interdisciplinary team and ethics resources as needed.
Which educational topic is MOST important for a family caring for a hospice patient at home regarding medication safety?
Answer: Proper storage, administration, and disposal of controlled substances
Safe storage, correct administration, and proper disposal of controlled substances prevent diversion, accidental ingestion, and legal issues.
A hospice nurse identifies that a patient's family speaks limited English. Which action BEST supports equitable education?
Answer: Arrange for a qualified professional interpreter and provide materials in the family's language
Professional interpreters ensure accurate communication and prevent the ethical issues that arise when minors or family members serve as interpreters.