Nokea
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.
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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.
What are the drugs of choice when caring for the hospice patient?
- A. Nonsteroidal antiinflammatory drugs
- B. Anticholinergic drugs
- C. Duragesic patches
- D. Morphine derivatives
Correct Answer: D
Rationale: Morphine derivatives are popular drugs of choice when dealing with the hospice patient because they have a wide variety of modes of administration and provide good pain control.
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 hospice nurse introduced the family to the volunteer coordinator who will assign a volunteer to the patient. What can a hospice volunteer do for a patient and caregiver?
- A. Give the family respite.
- B. Give necessary medication in the absence of the nurse.
- C. Be at the family's disposal 16 hours a week.
- D. Bathe the patient.
Correct Answer: A
Rationale: The volunteer coordinator assigns volunteers to the family to give the family respite. The volunteer cannot give medication. A dedicated number of hours per week are not mandated. It is not the role of the volunteer to provide personal care.
The hospice spiritual coordinator can be affiliated with any religion, assists with the spiritual assessment of the patient, and develops the plan of care regarding spiritual matters. To work in a hospice, what degree should the spiritual coordinator possess?
- A. Bachelor's degree
- B. Master's degree
- C. Seminary degree
- D. Associate degree
Correct Answer: C
Rationale: The hospice spiritual coordinator must have a seminary degree.