FREE ACHPN Education and Professionalism Questions and Answers

Question 1

When the advanced practice registered nurse stays with a patient and holds the patient's hand when the physician delivers bad news about the patient's prognosis, the APRN is acting on the ethical principle of:

Accepted Answer

beneficence.

Answer

Explanation:
When the advanced practice registered nurse stays with a patient and holds the patient's hand when the physician delivers bad news about the patient's prognosis, the APRN is acting on the ethical principle of beneficence. Beneficence is acting to benefit another person, and this can include providing comfort in times of distress as well as ensuring that treatments should ultimately benefit the patient even though they may result in adverse effects.

Question 2

If the advanced practice registered nurse is using the Palliative Performance Scale (PPS) to assess a patient with severe heart disease and finds the patient is now completely bedridden, requires total care, oral intake of both food and fluids is reduced, and the patient is responsive but very drowsy, the PPS score would be:

Accepted Answer

30.

Answer

Explanation:
If the advanced practice registered nurse is using the Palliative Performance Scale to assess a patient with severe heart disease and finds the patient is now completely bedridden, requires total care, oral intake of both food and fluids is reduced, and the patient is responsive but very drowsy, the PPS would be 30. Once a patient becomes bedridden, the highest possible score is 30. Scores of 50 and below indicate that the disease is extensive and the condition deteriorating.

Question 3

If a patient with metastatic breast cancer has informed healthcare providers that she wants a DNR order and no heroic measures to prolong life but the patient's son and daughter insist that all life-prolonging measures be carried out, the best response is to:

Accepted Answer

arrange a family meeting so that the patient and children can discuss this issue.

Answer

Explanation:
If a patient with metastatic breast cancer has informed healthcare providers that she wants a DNR order and no heroic measures to prolong life but the patient's son and daughter insist that all life-prolonging measures be carried out, the best response is to arrange a family meeting so that the patient and children can discuss this issue. Both the patient and her children need to express their reasoning and their feelings about the patient's condition and treatment.

Question 4

If using the ask-tell-ask framework to educate a patient about self-care, the advanced practice registered nurse would begin by:

Accepted Answer

asking the patient what he/she knows and wants to know.

Answer

Explanation:
If using the ask-tell-ask framework to educate a patient about self-care, the advanced practice registered nurse would begin by asking the patient what the patient already knows about the condition and needs and what the patient wants to know. When the patient responds, the APRN tells the patient the information needed or wanted and then asks if the patient still has more questions or needs more information, continuing the cycle of ask-tell-ask.

Question 5

A 69-year-old patient with severe cognitive impairment has fallen and fractured her elbow. Which of the following pain assessment methods is most appropriate?

Accepted Answer

PAINAD

Answer

Explanation:
If a 69-year-old patient with severe cognitive impairment has fallen and fractured her elbow, the pain assessment method that is most appropriate is PAINAD (Pain Assessment in Advanced Dementia). This scale assesses 5 elements: respirations (hyperventilation, tachypnea, Cheyne-Stokes), vocalization (silence, moan, groan, cry), facial expression (sad, frightened, grimacing), body language (tense, fidgeting, fist clinched, fetal position, combative), and consolability (inability to distract or console).

ACHPN - Advanced Certified Hospice and Palliative Nurse Examination Practice Test

ACHPN - Advanced Certified Hospice and Palliative Nurse Examination Practice Test

FREE ACHPN Education and Professionalism Questions and Answers