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 patient's POLST form indicates 'DNR/DNI.' During a home visit, the patient's family begins CPR. The nurse should:
Answer: Calmly stop CPR, explain the patient's wishes, and provide comfort-focused care
The nurse must uphold the patient's legal POLST directive by stopping CPR, educating the family calmly, and redirecting to comfort care.
Which statement indicates a family member has understood teaching about the active dying phase?
Answer: 'Changes in breathing and mottled skin mean the end is very near.'
Understanding that mottling and breathing changes are signs of imminent death, not reversible decline, is a key educational goal for families.
A grieving widower tells the hospice bereavement counselor he is 'fine' but has lost 15 pounds and isolates himself. The team should:
Answer: Assess for complicated grief and depression and increase support contact
Significant weight loss and social isolation despite verbal denial of distress are red flags for complicated grief requiring closer assessment and support.
When teaching a family about administering sublingual morphine to a non-swallowing patient, the nurse should emphasize:
Answer: Placing drops under the tongue and waiting for absorption without forcing swallowing
Sublingual administration relies on mucosal absorption; the family must understand drops are placed under the tongue and swallowing is not required or forced.
Which action by the hospice nurse BEST demonstrates advocacy at the systems level?
Answer: Participating in policy review to improve access to palliative sedation for refractory symptoms
Systems-level advocacy involves influencing policies and practices that affect patient populations, not just individual patient care actions.
A hospice nurse is explaining the difference between palliative sedation and euthanasia to a family. Which statement is ACCURATE?
Answer: Palliative sedation relieves refractory suffering while allowing natural death; euthanasia intentionally causes death
Palliative sedation reduces consciousness to relieve suffering with natural death as the outcome, while euthanasia intentionally causes death — a fundamental ethical distinction.
Which educational intervention is MOST appropriate for a family who fears the patient will suffer at the end of life?
Answer: Explain the interdisciplinary team's symptom management plan and reassure them that comfort is the primary goal
Explaining the concrete comfort-focused care plan, including symptom management strategies, directly addresses fear and builds trust in the hospice team.