CHPN Basic Questions 5

Question 1

Which hospice level of care is provided in a Medicare-approved facility when pain or symptoms cannot be managed in the home setting?

Accepted Answer

General inpatient care (GIP)

Answer

General inpatient care is the highest-intensity Medicare hospice benefit level, used for acute symptom management that cannot be controlled at home.

Question 2

A hospice nurse is assessing a nonverbal patient for pain. Which tool is MOST appropriate?

Accepted Answer

PAINAD (Pain Assessment in Advanced Dementia)

Answer

PAINAD evaluates breathing, vocalization, facial expression, body language, and consolability in patients who cannot self-report pain.

Question 3

When a patient's family disagrees about continuing hospice care, the FIRST action by the hospice nurse should be:

Accepted Answer

Facilitate a family meeting with the interdisciplinary team to clarify goals of care

Answer

A structured IDT family meeting facilitates communication, resolves conflict, and keeps decision-making patient-centered.

Question 4

Which of the following best describes anticipatory grief?

Accepted Answer

Grief experienced before the anticipated loss of a loved one

Answer

Anticipatory grief begins before the death as family members mourn losses already occurring (function, role, future) and prepare emotionally.

Question 5

A patient with end-stage heart failure develops worsening ascites. The palliative intervention that MOST directly improves comfort is:

Accepted Answer

Therapeutic paracentesis

Answer

Therapeutic paracentesis provides rapid relief of abdominal distension, pain, and dyspnea caused by large-volume ascites.

CHPN - Certified Hospice and Palliative Nurse Practice Test