CHPNA Pain and Symptom Management 3

Question 1

Which of the following best describes 'terminal restlessness'?

Accepted Answer

Agitation, confusion, and purposeless movements occurring near the end of life

Answer

Terminal restlessness (also called terminal agitation) is a state of agitation, confusion, and involuntary movements that can occur in the final hours or days of life.

Question 2

Mouth care in hospice is important primarily because:

Accepted Answer

It reduces xerostomia (dry mouth) and improves comfort

Answer

Regular mouth care helps relieve xerostomia (dry mouth), which is common in terminal patients due to reduced fluid intake and mouth breathing, improving overall comfort.

Question 3

Which assessment tool is used to evaluate pain in non-verbal or cognitively impaired patients?

Accepted Answer

PAINAD (Pain Assessment in Advanced Dementia) Scale

Answer

The PAINAD scale assesses pain in patients with advanced dementia by observing breathing, vocalization, facial expression, body language, and consolability.

Question 4

When performing skin care for a hospice patient with edema, the nursing assistant should:

Accepted Answer

Handle the skin gently, keep it clean and dry, and report any skin breakdown

Answer

Edematous skin is fragile and at high risk for breakdown; gentle handling, keeping skin clean and dry, and promptly reporting any changes is essential.

Question 5

What is 'Cheyne-Stokes' breathing?

Accepted Answer

A pattern of breathing with cycles of increasing and decreasing depth followed by periods of apnea

Answer

Cheyne-Stokes respiration is a cyclical breathing pattern with gradual increases and decreases in depth and rate, interspersed with periods of apnea, often seen near death.

CHPNA - Certified Hospice and Palliative Nursing Assistant Practice Test

CHPNA - Certified Hospice and Palliative Nursing Assistant Practice Test

CHPNA Pain and Symptom Management 3