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During a pain assessment, the patient tells the nurse that the pain is aching, stabbing, and throbbing. What type of pain is the patient describing?
- A. Visceral
- B. Neuropathic
- C. Somatic
- D. Psychogenic
Correct Answer: C
Rationale: Somatic pain arises from the musculoskeletal system and is aching, stabbing, or throbbing. Visceral pain arises from the internal organs and is described as cramping, dull, or squeezing. Neuropathic pain arises from the neurologic system and is described as tingling, burning, or shooting.
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The social worker evaluates and assesses the psychosocial needs of the patient. To work in a hospice, the social worker must have at least which degree?
- A. Associate
- B. Bachelor's
- C. Master's
- D. Doctorate
Correct Answer: B
Rationale: The hospice social worker must have at least a bachelor's degree.
Which of the following is an expected part of the end-of-dying process?
- A. Denial
- B. Despair
- C. Anorexia
- D. Depression
Correct Answer: C
Rationale: The nurse often has to reassure the patient and caregiver that anorexia is part of the end-of-dying process.
The hospice nurse instructs caregivers in repositioning the patient because the patient spends most of the time reclining. What problem can this cause?
- A. Contractures
- B. Pressure injuries
- C. Bruising
- D. Excoriation
Correct Answer: B
Rationale: Increased weakness is noted in the last stages of a terminal illness. With increased weakness, activity intolerance increases, and the patient spends most of the time reclining. This leads to risk for skin impairment and the formation of pressure injuries.
The hospice nurse tells the family that the nurse coordinator, an RN, will visit them. What is the role of the nurse coordinator?
- A. Collect initial fees for the hospice service.
- B. Officially admit the patient to the hospice service.
- C. Assist with accessing community resources.
- D. Assist with funeral planning.
Correct Answer: B
Rationale: The role of the nurse coordinator is to do the initial assessment, admit the patient, and develop the plan of care with the interdisciplinary team. The nurse coordinator would not be responsible for collecting fees at the initiation of services. The social worker would assist with community resources. The spiritual coordinator would assist with funeral planning.
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.