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What is the role of the hospice medical director?
- A. To design and direct the plan of care
- B. To evaluate the appropriateness of the care
- C. To function as mediator between the team and the attending health care provider
- D. To take the place of the patient's attending health care provider
Correct Answer: C
Rationale: The medical director is a mediator between the interdisciplinary team and the attending health care provider. The interdisciplinary team designs the plan of care. The primary team, along with the interdisciplinary team, evaluates the appropriateness of care. The medical director does not take the place of the attending health care provider, but instead acts as a consultant for the attending health care provider.
You may also like to solve these questions
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.
The hospice nurse recommends that the patient prepare the document that provides guidance to the family concerning the patient's wishes regarding life-support measures and organ donation. What is this document called?
- A. Power of attorney
- B. Living will
- C. Advance directive
- D. Conservatorship
Correct Answer: C
Rationale: An advance directive is a document prepared while the patient is alive and competent that provides guidance to the family and health care team in the event the person can no longer make decisions.
Who was responsible for renewing the hospice philosophy in the 1960s?
- A. Cicely Saunders
- B. Lillian Wald
- C. Dorothea Dix
- D. Florence Nightingale
Correct Answer: A
Rationale: The idea of hospice is originated in Europe. Dame Cicely Saunders renewed the idea of hospice in the 1960s.
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.
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.