Nokea
The social worker evaluates and assesses the psychosocial needs of the patient. To work in a hospice, the social worker must have at least which degree?
- A. Associate
- B. Bachelor's
- C. Master's
- D. Doctorate
Correct Answer: B
Rationale: The hospice social worker must have at least a bachelor's degree.
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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.
Which of the following is an expected part of the end-of-dying process?
- A. Denial
- B. Despair
- C. Anorexia
- D. Depression
Correct Answer: C
Rationale: The nurse often has to reassure the patient and caregiver that anorexia is part of the end-of-dying process.
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 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.
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.