CHPN Professional Practice Issues 2

Question 1

A hospice nurse disagrees with a physician's order for a higher opioid dose than the nurse believes is appropriate. What is the most appropriate first action?

Accepted Answer

Contact the physician to discuss the clinical rationale

Answer

The nurse should first communicate directly with the prescriber to clarify the rationale, which supports safe collaborative practice.

Question 2

Which ethical principle is most directly applied when a patient with decision-making capacity refuses a recommended comfort intervention?

Accepted Answer

Autonomy

Answer

Autonomy grants competent patients the right to accept or refuse any treatment or intervention.

Question 3

A hospice nurse is caring for a patient whose family insists on continuing aggressive treatments. The patient previously expressed a wish for comfort-focused care. What should guide the nurse's advocacy?

Accepted Answer

The patient's documented advance directives and prior expressed wishes

Answer

The patient's own advance directives and prior wishes are the primary guide for advocacy when the patient cannot speak for themselves.

Question 4

What is the primary purpose of a palliative care interdisciplinary team meeting?

Accepted Answer

To coordinate holistic care and update the plan of care

Answer

IDT meetings facilitate coordinated, patient-centered care planning across all disciplines.

Question 5

A CHPN nurse is asked by a hospice administrator to falsify documentation to support continued Medicare eligibility. The correct response is to:

Accepted Answer

Refuse and report the request through appropriate channels

Answer

Falsifying Medicare documentation is fraud; the nurse must refuse and report it through compliance or legal channels.

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN Professional Practice Issues 2