CHPN Trivia 2 — Questions and Answers
Question 1: Which organization developed the original standards for hospice care in the United States?
- National Hospice and Palliative Care Organization (NHPCO) (Correct answer)
- Joint Commission
- American Nurses Association
- Centers for Medicare & Medicaid Services
Correct answer: National Hospice and Palliative Care Organization (NHPCO)
NHPCO developed the foundational standards and guidelines that shaped U.S. hospice care practice.
Question 2: What year did the Medicare Hospice Benefit officially become law in the United States?
- 1978
- 1982 (Correct answer)
- 1986
- 1990
Correct answer: 1982
The Medicare Hospice Benefit was enacted in 1982 as part of the Tax Equity and Fiscal Responsibility Act.
Question 3: Dame Cicely Saunders, founder of the modern hospice movement, was originally trained in which profession before becoming a physician?
- Pharmacist
- Social worker
- Nurse (Correct answer)
- Chaplain
Correct answer: Nurse
Saunders trained as a nurse during World War II before later becoming a social worker and then a physician.
Question 4: Which palliative care symptom assessment tool uses a 0–10 scale across nine symptoms including pain, nausea, and anxiety?
- ESAS (Edmonton Symptom Assessment System) (Correct answer)
- PAINAD
- PHQ-9
- FLACC Scale
Correct answer: ESAS (Edmonton Symptom Assessment System)
The Edmonton Symptom Assessment System (ESAS) rates nine common palliative care symptoms on a 0–10 scale.
Question 5: The term 'palliative care' is derived from the Latin word 'pallium,' which means:
- Comfort
- Cloak or covering (Correct answer)
- Peaceful
- Suffering
Correct answer: Cloak or covering
Pallium means cloak or covering, symbolizing the care that wraps around and protects patients from suffering.
Question 6: Under the Medicare Hospice Benefit, what is the maximum number of days in a general inpatient (GIP) stay that a hospice can provide without special justification?
- There is no per-stay limit, but aggregate GIP days are capped at 20% of total days (Correct answer)
- 7 consecutive days
- 14 consecutive days
- 30 days per benefit period
Correct answer: There is no per-stay limit, but aggregate GIP days are capped at 20% of total days
CMS caps aggregate GIP days at 20% of total hospice days; there is no hard per-episode inpatient day limit.
Question 7: Which ethical principle is most directly invoked when a hospice nurse honors a patient's documented refusal of artificial nutrition?
- Beneficence
- Justice
- Autonomy (Correct answer)
- Nonmaleficence
Correct answer: Autonomy
Respecting a competent patient's informed refusal of treatment is the core expression of the autonomy principle.
CHPN Trivia 2
Which organization developed the original standards for hospice care in the United States?