Patient Assessment and Planning 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 Assessment and Planning flashcards as text
A nurse uses the Confusion Assessment Method (CAM) to evaluate a hospice patient. Which feature is REQUIRED to confirm a diagnosis of delirium using CAM?
Answer: Acute onset and fluctuating course plus inattention
CAM requires both acute onset with fluctuating course AND inattention as mandatory features, with either disorganized thinking or altered consciousness as a third feature.
In palliative care, the '4 Ms' framework for older adults includes Mind, Mobility, Medications, and:
Answer: Meaning
The Age-Friendly Health Systems '4 Ms' framework includes Mind, Mobility, Medications, and What Matters (meaning/goals), guiding patient-centered assessment.
A hospice patient has new-onset bone pain and hypercalcemia. Which assessment finding would the nurse MOST expect?
Answer: Polyuria, polydipsia, and confusion
Hypercalcemia of malignancy classically presents with polyuria, polydipsia, constipation, and confusion ('bones, groans, moans, and stones').
Which of the following BEST describes the primary purpose of advance care planning in hospice?
Answer: To align future medical decisions with the patient's values and wishes
Advance care planning is a process of communication to ensure future medical care reflects the patient's values, goals, and preferences, not primarily a legal or administrative function.
A palliative nurse assesses a patient for total pain. Which of the following represents the 'social' dimension of total pain?
Answer: Financial stress and family conflict
Dame Cicely Saunders' concept of total pain includes physical, psychological, social (relationships, financial burden, role loss), and spiritual components.
When assessing a terminally ill patient's respiratory status, which finding signals impending death within hours to days?
Answer: Cheyne-Stokes respirations with apneic pauses
Cheyne-Stokes respirations—cycles of increasing and decreasing depth with apneic pauses—are a classic sign of impending death as brainstem control of breathing deteriorates.
A hospice nurse completes a skin integrity assessment and finds a stage 2 pressure injury. According to hospice care planning standards, what is the PRIORITY intervention?
Answer: Document and update the care plan with a prevention and treatment protocol
Documenting the wound and updating the interdisciplinary care plan with a tailored prevention and treatment protocol is the priority to guide ongoing wound management in hospice.