Nokea
The hospice nurse introduced the family to the volunteer coordinator who will assign a volunteer to the patient. What can a hospice volunteer do for a patient and caregiver?
- A. Give the family respite.
- B. Give necessary medication in the absence of the nurse.
- C. Be at the family's disposal 16 hours a week.
- D. Bathe the patient.
Correct Answer: A
Rationale: The volunteer coordinator assigns volunteers to the family to give the family respite. The volunteer cannot give medication. A dedicated number of hours per week are not mandated. It is not the role of the volunteer to provide personal care.
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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.
Who conducts the nutritional assessment at the time of admission to hospice care?
- A. Health care provider
- B. Hospice nurse
- C. Caregiver
- D. Unlicensed assistive personnel
Correct Answer: B
Rationale: The hospice nurse does the nutritional assessment during admission.
Which are signs and symptoms of approaching death?
- A. Mottled extremities
- B. Significant increase in urine output
- C. Increased restlessness and pulling at bed linens
- D. Alteration in rhythmic respiration
- E. Increased pulse rate
Correct Answer: A,C,D,E
Rationale: Mottled extremities, a significant decrease in urine output, an increased restlessness, alteration in rhythmic respirations, and increased pulse rate are all symptoms of approaching death.
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 nurse should educate the patient and caregiver that large doses of narcotics are required to control pain. What is the optimal dose for pain medications?
- A. The smallest amount possible to achieve some effects
- B. The dose that provides pain relief
- C. The dose that is not addictive
- D. The dose that works for most people
Correct Answer: B
Rationale: The patient and caregiver should understand that pain can be controlled and that using large doses of opioids is common and necessary to achieve that control. It is good to educate the patient and caregiver that the dose that works is the dose that works.