Nokea
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.
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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.
The hospice nurse clarifies that hospice service is initiated when what type of treatment is no longer effective?
- A. Proactive
- B. Palliative
- C. Alternative
- D. Curative
Correct Answer: D
Rationale: Hospice care is appropriate when curative treatment is no longer effective. Hospice service is palliative, proactive, and an alternative to curative treatment.
Which medication relaxes the patient's respiratory effort and thus increases the efficiency of the patient's respiratory status?
- A. Aminophylline
- B. Theophylline
- C. Epinephrine
- D. Morphine
Correct Answer: D
Rationale: Respiratory distress may be relieved by morphine.
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.
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.