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The hospice nurse clarifies that hospice service is initiated when what type of treatment is no longer effective?
- A. Proactive
- B. Palliative
- C. Alternative
- D. Curative
Correct Answer: D
Rationale: Hospice care is appropriate when curative treatment is no longer effective. Hospice service is palliative, proactive, and an alternative to curative treatment.
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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.
Which medication relaxes the patient's respiratory effort and thus increases the efficiency of the patient's respiratory status?
- A. Aminophylline
- B. Theophylline
- C. Epinephrine
- D. Morphine
Correct Answer: D
Rationale: Respiratory distress may be relieved by morphine.
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.
When a deficiency in nutritional status of a patient is assessed, what action should be taken by the hospice nurse?
- A. Make a comprehensive grocery list for the caregiver.
- B. Alert the licensed medical nutritionist.
- C. Seek culturally appropriate methods to increase nutrition.
- D. Instruct the caregiver to give the patient multivitamins.
Correct Answer: B
Rationale: The hospice nurse can call on the nutritionist for assistance for the patient who is assessed as having a nutritional deficit. The nutritionist can then provide assistance with meal planning and diet counseling.
Why is it important for the hospice nurse to provide time to confer with the patient and family?
- A. To show concern
- B. To report changes in the plan of care designed by the team
- C. To confirm the ongoing reimbursement
- D. To plan for changes in the scope of care
Correct Answer: D
Rationale: No changes should be made to the patient's plan of care without first discussing it with the entire family. The family should be involved in planning the changes in the scope of care.