CHPN Psychosocial & Spiritual Support 3

Question 1

A dying patient tells the nurse, 'I need to make things right with my estranged son before I die.' This represents which dimension of suffering?

Accepted Answer

Existential/relational

Answer

Unresolved relational conflict reflects existential and relational suffering, a key dimension of total pain in hospice care.

Question 2

Which statement about complicated grief (prolonged grief disorder) is CORRECT?

Accepted Answer

It involves persistent, disabling grief that significantly impairs functioning for at least 12 months.

Answer

Prolonged grief disorder is characterized by intense, impairing grief symptoms persisting beyond 12 months that disrupt daily functioning.

Question 3

A hospice nurse notices a patient has placed meaningful photos and objects at the bedside. This behavior BEST reflects:

Accepted Answer

Life review and legacy-building as a coping strategy.

Answer

Arranging meaningful objects is a common life review behavior that supports meaning-making and psychological well-being near end of life.

Question 4

When a patient's religious beliefs conflict with the recommended medical plan, the CHPN's primary role is to:

Accepted Answer

Facilitate communication between the patient, family, and team while respecting the patient's beliefs.

Answer

The CHPN facilitates open communication and ensures the patient's spiritual values are integrated into care planning.

Question 5

Which of the following is a recognized risk factor for complicated bereavement in surviving family members?

Accepted Answer

A history of depression or prior losses in the caregiver

Answer

A personal history of depression or previous significant losses substantially increases risk for complicated grief after bereavement.

(CHPN) Hospice Certified Professional Practice Test