Nokea
Which are signs and symptoms of approaching death?
- A. Mottled extremities
- B. Significant increase in urine output
- C. Increased restlessness and pulling at bed linens
- D. Alteration in rhythmic respiration
- E. Increased pulse rate
Correct Answer: A,C,D,E
Rationale: Mottled extremities, a significant decrease in urine output, an increased restlessness, alteration in rhythmic respirations, and increased pulse rate are all symptoms of approaching death.
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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 nurse documents an assessment finding of cachexia in the patient record. What does cachexia describe?
- A. Deep sleep and unresponsiveness
- B. Marked weakness and emaciation
- C. Total addiction to opioids
- D. Renewed energy
Correct Answer: B
Rationale: Malnutrition marked by weakness and emaciation is called cachexia.
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.
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 instructs the family that they have access to a bereavement coordinator who follows the plan of care focused on the caregiver after the death of the patient. For how long of a period of time will the caregiver and family have access to the bereavement coordinator?
- A. One week
- B. One month
- C. One year
- D. Two years
Correct Answer: C
Rationale: The bereavement coordinator follows the plan of care for the caregiver for at least a year following the death of the patient.