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What are the goals of hospice service?
- A. Alleviating symptoms of approaching death
- B. Educating and supporting primary caregivers
- C. Using family input for designing a plan of care
- D. Encouraging patients and caregivers to enjoy life
- E. Focusing on the desires of the family in the plan of care
Correct Answer: A,B,C,D
Rationale: The plan of care should focus on the desires of the patient, not the desires of the family members.
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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.
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.
Because the family is confused about the meaning of palliative care, the hospice nurse needs to explain the focus of care. What is the focus of palliative care?
- A. An aggressive approach to prolong life
- B. A protocol of pain relief
- C. A form of organized care, which relieves the family of responsibility
- D. An integrated service of support for alleviation of symptoms
Correct Answer: D
Rationale: Palliative care is not curative but is an integrated plan designed to relieve pain and control symptoms. The goal is not to prolong life. While pain relief may be one aspect of hospice care, it is not what treatment is centered upon. The family is not relieved of their responsibility.
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.
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.