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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.
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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.
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.
What are the drugs of choice when caring for the hospice patient?
- A. Nonsteroidal antiinflammatory drugs
- B. Anticholinergic drugs
- C. Duragesic patches
- D. Morphine derivatives
Correct Answer: D
Rationale: Morphine derivatives are popular drugs of choice when dealing with the hospice patient because they have a wide variety of modes of administration and provide good pain control.
Why should the hospice nurse delay the use of oropharyngeal suctioning?
- A. It will decrease mucus production.
- B. It will be uncomfortable for the patient.
- C. It is not necessary.
- D. It puts the patient at risk for infection.
Correct Answer: B
Rationale: Suctioning should only occur if the patient is choking because it causes an increase in mucus production and is uncomfortable for the patient.