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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.
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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.
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.
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.
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.
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.