Free Hospice and Palliative Nurse Guide Questions and Answers

Question 1

A patient's sole experience with opioid use isnot grow accustomed to it.

Accepted Answer

Constipation

Answer

While nausea, vomiting, and pruritus are common side effects of opioid use, the body typically develops tolerance to these symptoms over time. However, opioid-induced constipation (OIC) is a persistent side effect that does not improve with continued use because opioids act on mu-opioid receptors in the gastrointestinal tract, slowing motility, and tolerance to this effect does not develop.

Question 2

The implementation of advance instructions occurs when a patient:

Accepted Answer

Cannot express his or her own wishes

Answer

Advance directives are legal documents that become effective when a patient loses the capacity to make or communicate their own healthcare decisions. They are put into action precisely at the point when the patient's voice can no longer be heard, ensuring their previously stated wishes are honored regarding medical treatment and end-of-life care.

Question 3

When will her recently deceased grandmother return, wonders a 4-year-old child. Her mother clarifies as follows: She is unable to return. The young person nods, but subsequently poses the same query. As an illustration, consider this as:

Accepted Answer

Congruence with developmental level

Answer

A 4-year-old child's understanding of death is typically concrete and often lacks the concept of permanence. They may view death as temporary or reversible, or believe the deceased can still return. Repeatedly asking if a deceased person will return, even after being told no, is a normal cognitive and emotional response for this developmental stage.

Question 4

Which of these services is not included in the Medicare Benefit for Hospice?

Accepted Answer

Pet therapy

Answer

The Medicare Hospice Benefit covers a comprehensive range of services, including personal care, light housekeeping (as it relates to patient care), medication management, nursing care, and social work. While pet therapy can be beneficial for emotional support, it is generally considered an ancillary or complementary service and is not explicitly covered as a core service under the standard Medicare Hospice Benefit.

Question 5

A 1.5-inch foam overlay covers the mattress of a bedridden patient. When the nurse puts her palm beneath the overlay, she discovers that it has crushed to a depth of 0.75 inches. This suggests:

Accepted Answer

Bottoming out

Answer

'Bottoming out' occurs when a patient's weight compresses a support surface, such as a mattress overlay, to the point where their body rests directly on the underlying, firmer surface of the bed. The nurse's palm sinking to 0.75 inches beneath a 1.5-inch overlay indicates that the overlay is no longer providing adequate pressure redistribution, increasing the risk of pressure injury.

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN - Certified Hospice and Palliative Nurse Practice Test

Free Hospice and Palliative Nurse Guide Questions and Answers