CHPN General Knowledge 5

Question 1

A patient receiving hospice care at home begins experiencing refractory nausea unresponsive to oral antiemetics. The most appropriate route for medication delivery is:

Accepted Answer

Subcutaneous infusion via a continuous subcutaneous pump

Answer

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.

Question 2

The Edmonton Symptom Assessment System (ESAS) primarily measures:

Accepted Answer

Nine common symptoms rated by the patient on a 0–10 numeric scale

Answer

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.

Question 3

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:

Accepted Answer

Listen attentively, acknowledge the patient's concerns, and offer to contact the chaplain

Answer

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.

Question 4

Which of the following best describes the role of a hospice volunteer?

Accepted Answer

Offering companionship, respite for caregivers, and non-clinical support services

Answer

Hospice volunteers provide non-clinical support such as companionship, caregiver respite, errands, and emotional support; they do not perform clinical tasks.

Question 5

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:

Accepted Answer

Acknowledge the concern, explore its cultural or past context, and educate about the difference between tolerance/dependence and addiction in serious illness

Answer

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.

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN General Knowledge 5