CHPN Patient & Family-Centered Care 4

Question 1

A patient with a POLST form specifying DNR/DNI is found unresponsive by the family. The family calls 911. The hospice nurse's priority is:

Accepted Answer

Support the family in honoring the POLST by clearly communicating the patient's wishes to emergency responders

Answer

The nurse's priority is ensuring the patient's documented wishes on the POLST are communicated clearly to EMS to prevent unwanted interventions.

Question 2

Which statement BEST explains the difference between an advance directive and a POLST form?

Accepted Answer

POLST forms are actionable medical orders; advance directives express preferences that guide surrogates

Answer

POLST forms are physician-signed medical orders immediately actionable by providers, while advance directives are legal documents expressing wishes for surrogates.

Question 3

A hospice nurse is conducting a goals-of-care conversation with a patient who has weeks to live. The BEST opening question is:

Accepted Answer

'What matters most to you in the time you have left?'

Answer

Opening with 'What matters most to you?' invites the patient to define their own values and goals, forming the foundation of patient-centered care planning.

Question 4

A patient wants to be kept comfortable but her son insists on hospitalization for IV nutrition. The nurse should:

Accepted Answer

Clarify and advocate for the patient's expressed comfort-focused goals

Answer

The nurse's ethical duty is to advocate for the patient's own expressed wishes, which take precedence over family preferences.

Question 5

Which factor is MOST important to assess when a patient requests hospice care at home?

Accepted Answer

Availability of a capable and willing primary caregiver

Answer

A capable, willing primary caregiver is the most critical factor for safe and effective home hospice care delivery.

(CHPN) Hospice Certified Professional Practice Test

(CHPN) Hospice Certified Professional Practice Test

CHPN Patient & Family-Centered Care 4