CHPN Education, Support, and Advocacy 4

Question 1

A hospice nurse documents that patient education was 'verbalized understanding.' This documentation is considered:

Accepted Answer

Insufficient because it does not demonstrate comprehension

Answer

Stating a patient 'verbalized understanding' does not demonstrate actual comprehension; documentation should reflect teach-back or return demonstration.

Question 2

Which statement BEST describes the hospice nurse's role in supporting spiritual needs?

Accepted Answer

Nurses should assess spiritual distress and collaborate with the chaplain as part of the interdisciplinary team

Answer

Spiritual assessment and collaborative referral to chaplaincy are within the hospice nurse's scope as part of holistic interdisciplinary care.

Question 3

A family member asks why the nurse is reducing the dying patient's IV fluids. The BEST educational response is:

Accepted Answer

'The body no longer needs fluids at this stage and they can cause discomfort.'

Answer

Educating families that the dying body cannot process fluids, and that IV fluids may worsen symptoms like edema and secretions, supports understanding and acceptance.

Question 4

Which behavior BEST demonstrates a hospice nurse acting as a patient advocate?

Accepted Answer

Ensuring the patient's pain is reassessed after an analgesic and reporting inadequate relief to the physician

Answer

Advocacy includes actively monitoring outcomes and communicating unresolved symptoms to the care team to ensure patient comfort is achieved.

Question 5

When educating a family about oral care for a non-responsive dying patient, the nurse should instruct them to:

Accepted Answer

Use moistened swabs to keep lips and mouth moist and avoid aspiration risk

Answer

Moistened swabs keep mucosal membranes comfortable and reduce the aspiration risk associated with using a toothbrush or large amounts of liquid in a non-responsive patient.

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN Education, Support, and Advocacy 4