CHPN Patient & Family-Centered Care 2

Question 1

A hospice patient's adult children disagree about whether to continue aggressive wound care. What is the nurse's priority intervention?

Accepted Answer

Facilitate a family meeting focused on the patient's stated wishes

Answer

Facilitating a family meeting centered on the patient's previously expressed wishes aligns care decisions with patient-centered principles.

Question 2

Which behavior best demonstrates a hospice nurse applying a family systems approach to care?

Accepted Answer

Assessing how the patient's illness affects all family members' roles

Answer

A family systems approach recognizes that illness affects all members and their interrelationships, not just the patient.

Question 3

A caregiver reports feeling exhausted and unable to continue home care. What is the most appropriate initial nursing response?

Accepted Answer

Assess the caregiver's specific needs and available support resources

Answer

Assessing the caregiver's specific burden and available resources allows the nurse to tailor interventions such as respite care appropriately.

Question 4

When a patient lacks decision-making capacity, the hospice nurse should direct care discussions toward:

Accepted Answer

The patient's legally designated surrogate or healthcare proxy

Answer

The legally designated surrogate or healthcare proxy is authorized to make decisions consistent with the patient's known wishes.

Question 5

A dying patient tells the nurse, 'I just want my family to stop arguing and be at peace.' This statement reflects which dimension of hospice care?

Accepted Answer

Psychosocial and relational well-being

Answer

The patient's concern for family harmony reflects a psychosocial and relational dimension of well-being central to patient-centered hospice care.

(CHPN) Hospice Certified Professional Practice Test