HCA End-of-Life Care and Hospice Support 1

Question 1

What is the primary goal of hospice care?

Accepted Answer

To provide comfort and quality of life for patients who are dying

Answer

To cure the patient's terminal illness through aggressive treatment

Answer

To extend the patient's life as long as medically possible

Answer

To prepare the patient for transfer to a rehabilitation facility

Question 2

According to the Kübler-Ross model of grief, which stage involves a patient trying to make deals with God or medical providers in hopes of a different outcome?

Accepted Answer

Bargaining

Answer

Denial

Answer

Anger

Answer

Acceptance

Question 3

A hospice patient reports increased pain to the HCA. What is the most appropriate first action?

Accepted Answer

Report the complaint to the supervising nurse immediately

Answer

Administer an additional dose of the patient's pain medication

Answer

Tell the patient to wait until the next scheduled medication time

Answer

Suggest the patient perform slow breathing exercises and rest

Question 4

Which legal document allows a patient to specify their wishes regarding end-of-life medical treatment in advance?

Accepted Answer

An advance directive (living will)

Answer

A hospital admission consent form

Answer

A HIPAA authorization form

Answer

A physician's progress note

Question 5

What does the abbreviation DNR mean in a healthcare setting?

Accepted Answer

Do Not Resuscitate

Answer

Do Not Remove

Answer

Daily Nursing Record

Answer

Do Not Refer

Question 6

Which of the following physical signs may indicate that a patient's death is imminent?

Accepted Answer

Mottling of the skin and significantly decreased urine output

Answer

Increased appetite and improved muscle strength

Answer

Improved orientation and increased alertness

Answer

Stronger and more regular vital signs

Question 7

After a patient passes away, what should the HCA do first?

Accepted Answer

Notify the nurse or charge nurse of the death

Answer

Begin post-mortem care and prepare the body

Answer

Call the patient's next of kin directly

Answer

Remove all equipment and supplies from the room