The hospice nurse documents an assessment finding of cachexia in the patient record. What does cachexia describe?
- A. Deep sleep and unresponsiveness
- B. Marked weakness and emaciation
- C. Total addiction to opioids
- D. Renewed energy
Correct Answer: B
Rationale: Malnutrition marked by weakness and emaciation is called cachexia.
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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.
The hospice nurse explains that to qualify for admission to a hospice, the attending health care provider must certify that the patient has a life expectancy of fewer than how many months?
- A. 2 months
- B. 3 months
- C. 4 months
- D. 6 months
Correct Answer: D
Rationale: The patient must meet certain criteria to be admitted to hospice, such as a prognosis of 6 months or fewer to live.
The patient informs the hospice nurse, 'I'm not sold on this hospice thing. I'm not looking for Jesus, I'm just dying.' What would be the most therapeutic response by the nurse?
- A. Spiritualism is as you define it.
- B. Rejecting the spiritual aspect of yourself may not be in your best interest.
- C. Hospice service is about how to make your remaining time meaningful.
- D. Based on what you say, hospice service may not answer your needs.
Correct Answer: C
Rationale: The holistic approach of hospice pertains to the total patient care including physical, emotional, social, economic, and spiritual needs of the patient with no particular emphasis on any one of those aspects.
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.
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.
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