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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.
You may also like to solve these questions
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.
When the dying patient becomes confused, the nurse should him or her.
Correct Answer: reorient
Rationale: Reorientation regarding time, date, and location is the least distressing to the dying patient.
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 air hunger is assessed in the dying patient, the nurse can perform which interventions?
- A. Circulate the air with a fan.
- B. Administer a tranquilizer to decrease anxiety.
- C. Provide good oral hygiene.
- D. Perform careful suctioning
- E. Raise the head of the bed 30 degrees.
Correct Answer: A,B,C,E
Rationale: Circulating the air with a fan, administering a tranquilizer to decrease anxiety, providing good oral hygiene, and raising the head of the bed 30 degrees are all interventions that can aid in relieving air hunger in the dying patient. Suctioning will increase mucus production, which will make the dyspnea worse.
Who was responsible for renewing the hospice philosophy in the 1960s?
- A. Cicely Saunders
- B. Lillian Wald
- C. Dorothea Dix
- D. Florence Nightingale
Correct Answer: A
Rationale: The idea of hospice is originated in Europe. Dame Cicely Saunders renewed the idea of hospice in the 1960s.