CHPN Study Guide 2

Question 1

A hospice nurse is performing a pain assessment on a patient with end-stage dementia who cannot self-report. Which validated tool is MOST appropriate?

Accepted Answer

PAINAD (Pain Assessment in Advanced Dementia)

Answer

PAINAD is specifically validated for assessing pain in patients with advanced dementia who cannot self-report.

Question 2

Under the Medicare Hospice Benefit, which level of care is provided in a hospice facility or hospital for short-term pain and symptom management?

Accepted Answer

General inpatient care (GIP)

Answer

General inpatient care (GIP) is provided in a facility when symptoms cannot be managed in the home setting.

Question 3

Which opioid rotation principle should the CHPN apply when switching a patient from oral morphine to transdermal fentanyl?

Accepted Answer

Use an equianalgesic conversion table and reduce the calculated dose by 25-50%

Answer

When rotating opioids, equianalgesic tables guide conversion and a 25-50% reduction accounts for incomplete cross-tolerance.

Question 4

A palliative care patient asks about the difference between palliative sedation and euthanasia. The nurse's BEST response is:

Accepted Answer

Palliative sedation aims to relieve refractory suffering, not to hasten death, while euthanasia intentionally ends life

Answer

Palliative sedation targets refractory symptom relief and death is not the intended outcome, distinguishing it ethically and legally from euthanasia.

Question 5

Which finding indicates that a patient with heart failure is entering the active dying phase?

Accepted Answer

Mottling of the knees and lower extremities

Answer

Mottling (livedo reticularis) of the knees and lower extremities is a classic sign of imminent death due to circulatory failure.

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN Study Guide 2