CHPN Professional Practice Issues 5

Question 1

A hospice nurse is asked to precept a new graduate nurse. Which teaching approach best aligns with adult learning principles?

Accepted Answer

Using case-based, problem-centered scenarios relevant to actual patient care

Answer

Adult learners are problem-centered and motivated by real-world relevance; case-based scenarios are the most effective teaching method.

Question 2

When a hospice patient's goals of care conflict with the IDT's clinical recommendations, the most appropriate response is to:

Accepted Answer

Engage in open, empathic dialogue to understand the patient's values and revise the care plan accordingly

Answer

Goals-of-care conversations that explore patient values allow the team to align the care plan with what matters most to the patient.

Question 3

A family member who is the patient's healthcare proxy demands that the nurse withhold the patient's diagnosis from them. The nurse should:

Accepted Answer

Inform the patient if they have decision-making capacity and wish to know their diagnosis

Answer

A patient with intact decision-making capacity has the right to full disclosure; a proxy cannot override that right.

Question 4

Which practice best supports a hospice nurse's own resilience and professional longevity?

Accepted Answer

Engaging in regular self-care practices and seeking peer support

Answer

Self-care practices combined with peer support are evidence-based strategies for building resilience and preventing compassion fatigue.

Question 5

Which statement about the nurse's scope of practice regarding pronouncing death in the home hospice setting is most accurate?

Accepted Answer

Registered nurses may pronounce death in many states when authorized by state law and agency policy

Answer

Many states authorize RNs to pronounce expected deaths in hospice and home settings, subject to state law and organizational policy.

CHPN - Certified Hospice and Palliative Nurse Practice Test