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When a deficiency in nutritional status of a patient is assessed, what action should be taken by the hospice nurse?
- A. Make a comprehensive grocery list for the caregiver.
- B. Alert the licensed medical nutritionist.
- C. Seek culturally appropriate methods to increase nutrition.
- D. Instruct the caregiver to give the patient multivitamins.
Correct Answer: B
Rationale: The hospice nurse can call on the nutritionist for assistance for the patient who is assessed as having a nutritional deficit. The nutritionist can then provide assistance with meal planning and diet counseling.
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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.
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.
Why is it important for the hospice nurse to provide time to confer with the patient and family?
- A. To show concern
- B. To report changes in the plan of care designed by the team
- C. To confirm the ongoing reimbursement
- D. To plan for changes in the scope of care
Correct Answer: D
Rationale: No changes should be made to the patient's plan of care without first discussing it with the entire family. The family should be involved in planning the changes in the scope of care.
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.
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.