Nokea
The nurse differentiates between curative and palliative care. What is true of curative treatment?
- A. Curative treatment is centered on symptom control.
- B. Curative treatment is focused on prolonging life.
- C. Curative treatment is not concerned with dying.
- D. Curative treatment is the only care covered by health insurance.
Correct Answer: B
Rationale: Curative treatment is aggressive care that aims to cure disease and prolong life. Palliative care is not curative in nature and is centered on symptom control. Both types of care are typically covered by health insurance.
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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.
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.
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.
The patient informs the hospice nurse, 'I'm not sold on this hospice thing. I'm not looking for Jesus, I'm just dying.' What would be the most therapeutic response by the nurse?
- A. Spiritualism is as you define it.
- B. Rejecting the spiritual aspect of yourself may not be in your best interest.
- C. Hospice service is about how to make your remaining time meaningful.
- D. Based on what you say, hospice service may not answer your needs.
Correct Answer: C
Rationale: The holistic approach of hospice pertains to the total patient care including physical, emotional, social, economic, and spiritual needs of the patient with no particular emphasis on any one of those aspects.