Nokea
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.
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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.
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.
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 instructs the family that they have access to a hospice pharmacist, who is available for consultation on the drugs the hospice patient may be taking. What other role does the hospice pharmacist fill?
- A. Administer all drugs necessary for pain alleviation.
- B. Evaluate drug interactions with food and other medications.
- C. Evaluate the safety of the drug storage in the patient's home.
- D. Monitor drug effectiveness by frequent phone interviews with the family.
Correct Answer: B
Rationale: The hospice pharmacist is available to consult about drug interactions with other drugs or food. The pharmacist does not administer the drugs. The nurse would evaluate the safety of drug storage in the home and monitor the drug effectiveness.