Nokea
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.
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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.
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.
Who conducts the nutritional assessment at the time of admission to hospice care?
- A. Health care provider
- B. Hospice nurse
- C. Caregiver
- D. Unlicensed assistive personnel
Correct Answer: B
Rationale: The hospice nurse does the nutritional assessment during admission.
The hospice nurse clarifies that hospice service is initiated when what type of treatment is no longer effective?
- A. Proactive
- B. Palliative
- C. Alternative
- D. Curative
Correct Answer: D
Rationale: Hospice care is appropriate when curative treatment is no longer effective. Hospice service is palliative, proactive, and an alternative to curative treatment.
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.