General Knowledge 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 General Knowledge flashcards as text
A patient receiving hospice care at home begins experiencing refractory nausea unresponsive to oral antiemetics. The most appropriate route for medication delivery is:
Answer: Subcutaneous infusion via a continuous subcutaneous pump
Subcutaneous infusion via a pump provides continuous medication delivery and is the preferred route when the oral route is unavailable or ineffective in home hospice settings.
The Edmonton Symptom Assessment System (ESAS) primarily measures:
Answer: Nine common symptoms rated by the patient on a 0–10 numeric scale
ESAS is a patient-reported outcome tool that asks patients to rate nine symptoms — including pain, fatigue, nausea, and anxiety — on a 0–10 scale.
A hospice patient states, 'I've done everything wrong in my life and I'm afraid God won't forgive me.' The nurse's best initial response is to:
Answer: Listen attentively, acknowledge the patient's concerns, and offer to contact the chaplain
The nurse's role is to listen, acknowledge the spiritual distress without offering personal theological opinions, and facilitate access to the appropriate spiritual care provider.
Which of the following best describes the role of a hospice volunteer?
Answer: Offering companionship, respite for caregivers, and non-clinical support services
Hospice volunteers provide non-clinical support such as companionship, caregiver respite, errands, and emotional support; they do not perform clinical tasks.
A hospice nurse is caring for an African American patient who refuses hospice-prescribed opioids citing fear of addiction. The nurse's best approach is to:
Answer: Acknowledge the concern, explore its cultural or past context, and educate about the difference between tolerance/dependence and addiction in serious illness
Culturally competent care requires exploring and validating patient concerns, then providing tailored education that distinguishes physical dependence from addiction in the context of serious illness.
Under HIPAA, a hospice nurse may share a patient's protected health information with the patient's family member without written authorization when:
Answer: The patient is present, has capacity, and does not object to the disclosure
HIPAA permits sharing PHI with involved family members when the patient is present, has decision-making capacity, and does not object to the disclosure.
Which of the following medications is considered first-line pharmacological treatment for terminal restlessness/agitation in the actively dying patient?
Answer: Haloperidol or benzodiazepines (e.g., lorazepam, midazolam)
Haloperidol (for delirium component) and benzodiazepines (for anxiety/myoclonus component) are first-line agents for managing terminal restlessness in the actively dying patient.