Nokea
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.
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The nurse warns that nausea is a common side effect with opioid treatment. What is the best treatment for nausea caused by opioids?
- A. Antiemetics
- B. Ice chips
- C. Dry crackers
- D. Ginger ale
Correct Answer: A
Rationale: Rather than discontinuing the opioid, the nausea should be treated with an antiemetic.
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.
Why should the hospice nurse delay the use of oropharyngeal suctioning?
- A. It will decrease mucus production.
- B. It will be uncomfortable for the patient.
- C. It is not necessary.
- D. It puts the patient at risk for infection.
Correct Answer: B
Rationale: Suctioning should only occur if the patient is choking because it causes an increase in mucus production and is uncomfortable for the patient.
The nurse should educate the patient and caregiver that large doses of narcotics are required to control pain. What is the optimal dose for pain medications?
- A. The smallest amount possible to achieve some effects
- B. The dose that provides pain relief
- C. The dose that is not addictive
- D. The dose that works for most people
Correct Answer: B
Rationale: The patient and caregiver should understand that pain can be controlled and that using large doses of opioids is common and necessary to achieve that control. It is good to educate the patient and caregiver that the dose that works is the dose that works.
The social worker evaluates and assesses the psychosocial needs of the patient. To work in a hospice, the social worker must have at least which degree?
- A. Associate
- B. Bachelor's
- C. Master's
- D. Doctorate
Correct Answer: B
Rationale: The hospice social worker must have at least a bachelor's degree.