FREE Hospice and Palliative Nurse MCQ Questions and Answers

Question 1

Which hospice Medicare/Medicaid benefit service would be covered for the hospice patient?

Accepted Answer

Transportation and visits to the emergency room that are arranged by the hospice provider

Answer

Room and board in a nursing home facility.

Answer

Treatment intended to cure the hospice-qualifying terminal illness

Answer

Care for the terminal illness from more than one hospice provider

Question 2

How long are grief services accessible to family and other people connected to the patient after their death?

Accepted Answer

Up to 1 year following the death of the patient.

Answer

Up to 6 months for family members and up to 6 weeks for other individuals associated with the patient.

Answer

Hospices have no obligation to provide bereavement services for any specific period of time.

Answer

Based on the degree of bereavement risk assessed, services can continue indefinitely.

Question 3

Which member of the IDT could be most useful in locating accessible community options for support if a patient and family are experiencing financial difficulty?

Accepted Answer

Hospice social worker

Answer

Hospice director

Answer

Hospice chaplain

Answer

Hospice aide

Question 4

How frequently must a registered nurse visit the patient's home to supervise a hospice assistant in accordance with Medicare guidelines?

Accepted Answer

Once every 14 days

Answer

Once every benefit period

Answer

Once every 7 days

Answer

Once every 30 days

Question 5

If the patient and family would like to engage in the IDT discussion in the hospice residential environment, what would be the appropriate course of action?

Accepted Answer

Hold the meeting at the patient's bedside.

Answer

Ask them to attend the meeting in the manager's office.

Answer

Ask them to attend the meeting in the conference room.

Answer

Hold the meeting in the hall outside the patient's room.

Question 6

What constitutes the ideal method for using an electronic health record in patient care?

Accepted Answer

Point of service documentation

Answer

Documenting in the office

Answer

Documentation for all patients in one sitting

Answer

Documenting before the end of the day

Question 7

A therapy, including palliative and end-of-life care, can generally be withheld or withdrawn under which circumstance, notwithstanding minor differences in state laws?

Accepted Answer

The patient's legal surrogate refuses it.

Answer

The interdisciplinary team determines that further therapy causes existential pain.

Answer

Only when an ethics committee investigation is conducted.

Answer

Only when the patient themselves refuses it.

Question 8

Lorna is nearing the end of her life due to metastatic ovarian cancer. She has continuously graded her pain as an 8 or 9 out of 10, requiring higher dosages of painkillers to be comfortable for the duration of her hospice benefit. She hasn't spoken for the past 24 hours. Her son worries that mom won't be able to express to him how she is feeling. Which educational point would be best to impart to her son?

Accepted Answer

When patients cannot communicate verbally, we look for behavioral changes that indicate that pain is present.

Answer

We assume that her pain will escalate, so will just keep increasing her pain medication from this point on.

Answer

Once a patient is non-verbal, we initiate terminal sedation as a way to manage pain.

Answer

At this point she is no longer feeling any pain.

Question 9

Regarding multidisciplinary teams for palliative and hospice care (IDT), which statement is more accurate?

Accepted Answer

Patients and their families are considered members of the IDT.

Answer

Each professional discipline operates independently to provide the most expansive care

Answer

All team members can voice opinions, but the medical director is the final decision-maker

Answer

Centers for Medicare & Medicaid Services (CMS) requires the palliative IDT to include a volunteer as a member of core services

Question 10

A new patient who attends your church has recently come under your care, and she gave permission for the notification of her hospice admittance to be included in the weekly church bulletin. A mutual buddy asks her how she's doing at Bible study. Which answer is the most suitable?

Accepted Answer

Kindly reinforce that you cannot share personal information.

Answer

Ask the group to pray for her.

Answer

Ask her to talk to the pastor.

Answer

Provide an update on your patient's condition.