CHPN Psychosocial & Spiritual Support 2

Question 1

A hospice patient states, 'I don't understand why God is letting me suffer like this.' Which response best demonstrates spiritual support?

Accepted Answer

Acknowledge the patient's distress and ask if they would like to explore these feelings further.

Answer

Acknowledging distress and inviting further dialogue is the most therapeutic initial response to spiritual pain.

Question 2

Which grief theory describes mourning as having 'tasks' rather than fixed stages that must be completed?

Accepted Answer

Worden's Task Model

Answer

William Worden's Task Model describes four tasks of mourning that bereaved individuals work through, not necessarily in order.

Question 3

A family caregiver is exhausted and tearful but insists on providing all personal care for the dying patient. The nurse's priority intervention is to:

Accepted Answer

Acknowledge the caregiver's dedication and assess for caregiver burden and respite needs.

Answer

Recognizing caregiver dedication while assessing for burnout and introducing respite options is the priority psychosocial intervention.

Question 4

When conducting a spiritual assessment, which mnemonic tool is commonly used in palliative and hospice care?

Accepted Answer

FICA

Answer

FICA (Faith, Importance, Community, Address in care) is a validated spiritual assessment tool widely used in hospice and palliative settings.

Question 5

A patient from a culture that prohibits discussing death directly with the patient asks that all prognosis information be given only to the family. The CHPN should:

Accepted Answer

Respect the cultural preference and explore the patient's own wishes through culturally sensitive questions.

Answer

Culturally competent care requires exploring the patient's own wishes sensitively before assuming Western autonomy norms apply.

(CHPN) Hospice Certified Professional Practice Test

(CHPN) Hospice Certified Professional Practice Test

CHPN Psychosocial & Spiritual Support 2