Nokea
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.
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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.
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.
What is the most common problem of the terminally ill patient that is caused by narcotics?
- A. Malnutrition
- B. Constipation
- C. Fluid retention
- D. Dehydration
Correct Answer: B
Rationale: One of the most common opioid-induced problems of the terminally ill patient is constipation.
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.
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.