Nokea
The hospice nurse requests that the patient designate a primary caregiver for himself. What is true of the primary caregiver?
- A. Must be a relative.
- B. Has complete control over the patient's care.
- C. Assumes ongoing responsibility for health maintenance of the patient.
- D. Must have power of attorney.
Correct Answer: C
Rationale: A primary caregiver is one who assumes responsibility for health maintenance and therapy. It is not necessary that the primary caregiver be a relative. The primary caregiver does not have complete control over the patient's care, and it is not necessary for the primary caregiver to have power of attorney.
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What symptom of hospice patients is the most dreaded and feared, and should be a priority of symptom management?
- A. Fear
- B. Anger
- C. Grief
- D. Pain
Correct Answer: D
Rationale: While hospice patients experience all of these symptoms, pain is the most dreaded and feared. Pain disrupts the quality, activities, and enjoyment of life. Pain should be a priority of symptom management in hospice care.
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.
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.
When educating a patient concerning ways to prevent nausea, the nurse suggests that eating slowly in a pleasant atmosphere will help, as well as taking an antiemetic before meals. How many minutes before meals should the patient take the antiemetic?
- A. 10
- B. 20
- C. 30
- D. 60
Correct Answer: C
Rationale: Taking an antiemetic 30 minutes before meals reduces nausea and increases appetite.
The nurse warns that nausea is a common side effect with opioid treatment. What is the best treatment for nausea caused by opioids?
- A. Antiemetics
- B. Ice chips
- C. Dry crackers
- D. Ginger ale
Correct Answer: A
Rationale: Rather than discontinuing the opioid, the nausea should be treated with an antiemetic.