Nokea
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.
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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 overall objective of hospice service?
- A. Relieve symptoms of terminal disease.
- B. Educate the patient about the process of death.
- C. Keep the patient comfortable as death approaches.
- D. Relieve the family of the stress of death.
Correct Answer: C
Rationale: Hospice is a philosophy of care that provides support and comfort to patients who are dying.
What symptom of hospice patients is the most dreaded and feared, and should be a priority of symptom management?
- A. Fear
- B. Anger
- C. Grief
- D. Pain
Correct Answer: D
Rationale: While hospice patients experience all of these symptoms, pain is the most dreaded and feared. Pain disrupts the quality, activities, and enjoyment of life. Pain should be a priority of symptom management in hospice care.
When air hunger is assessed in the dying patient, the nurse can perform which interventions?
- A. Circulate the air with a fan.
- B. Administer a tranquilizer to decrease anxiety.
- C. Provide good oral hygiene.
- D. Perform careful suctioning
- E. Raise the head of the bed 30 degrees.
Correct Answer: A,B,C,E
Rationale: Circulating the air with a fan, administering a tranquilizer to decrease anxiety, providing good oral hygiene, and raising the head of the bed 30 degrees are all interventions that can aid in relieving air hunger in the dying patient. Suctioning will increase mucus production, which will make the dyspnea worse.
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.