Nokea
Because the family is confused about the meaning of palliative care, the hospice nurse needs to explain the focus of care. What is the focus of palliative care?
- A. An aggressive approach to prolong life
- B. A protocol of pain relief
- C. A form of organized care, which relieves the family of responsibility
- D. An integrated service of support for alleviation of symptoms
Correct Answer: D
Rationale: Palliative care is not curative but is an integrated plan designed to relieve pain and control symptoms. The goal is not to prolong life. While pain relief may be one aspect of hospice care, it is not what treatment is centered upon. The family is not relieved of their responsibility.
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What are the goals of hospice service?
- A. Alleviating symptoms of approaching death
- B. Educating and supporting primary caregivers
- C. Using family input for designing a plan of care
- D. Encouraging patients and caregivers to enjoy life
- E. Focusing on the desires of the family in the plan of care
Correct Answer: A,B,C,D
Rationale: The plan of care should focus on the desires of the patient, not the desires of the family members.
The hospice nurse recommends that the patient prepare the document that provides guidance to the family concerning the patient's wishes regarding life-support measures and organ donation. What is this document called?
- A. Power of attorney
- B. Living will
- C. Advance directive
- D. Conservatorship
Correct Answer: C
Rationale: An advance directive is a document prepared while the patient is alive and competent that provides guidance to the family and health care team in the event the person can no longer make decisions.
The hospice nurse educates the patient and family about the members of the interdisciplinary team. Which caregivers are included?
- A. Medical director
- B. Nurse coordinator
- C. Social worker
- D. Spiritual coordinator
- E. Psychologist
Correct Answer: A,B,C,D
Rationale: The hospice interdisciplinary team includes the medical director, nurse coordinator, social worker, and spiritual coordinator. The interdisciplinary team does not include a psychologist.
The hospice nurse instructs the family that they have access to a bereavement coordinator who follows the plan of care focused on the caregiver after the death of the patient. For how long of a period of time will the caregiver and family have access to the bereavement coordinator?
- A. One week
- B. One month
- C. One year
- D. Two years
Correct Answer: C
Rationale: The bereavement coordinator follows the plan of care for the caregiver for at least a year following the death of the patient.
The hospice spiritual coordinator can be affiliated with any religion, assists with the spiritual assessment of the patient, and develops the plan of care regarding spiritual matters. To work in a hospice, what degree should the spiritual coordinator possess?
- A. Bachelor's degree
- B. Master's degree
- C. Seminary degree
- D. Associate degree
Correct Answer: C
Rationale: The hospice spiritual coordinator must have a seminary degree.