CHPN Domain 1: Patient Care – Assessment and Planning Welcome to your CHPN Domain 1: Patient Care – Assessment and Planning 1. CHPN: Patient Care-Assessment and Planning A 72-year-old patient with advanced heart failure is undergoing palliative care. Which assessment tool is most appropriate for determining the patient's risk of mortality within the next six months? Karnofsky Performance Scale New York Heart Association 'NYHA' functional classification Palliative Performance Scale (PPS) Mini-Mental State Examination (MMSE) None 2. CHPN: Patient Care-Assessment and Planning In assessing a patient with severe dementia in a hospice setting, which aspect is most crucial for developing an effective care plan? Prior educational level Immediate family's medical history Current cognitive function Employment history None 3. CHPN: Patient Care-Assessment and Planning For a patient with advanced cancer experiencing severe pain, which initial assessment best guides the choice of analgesic regimen? Nutritional status Pain history and current pain assessment Previous surgical history Family support system None 4. CHPN: Patient Care-Assessment and Planning When evaluating a patient for hospice care eligibility, which documentation is most critical to support the prognosis of a life expectancy of six months or less? A detailed family history A physician's certification based on clinical judgment Records of previous hospitalizations A list of current medications None 5. CHPN: Patient Care-Assessment and Planning What is the most appropriate assessment tool to use for a hospice patient who is non-verbal due to advanced ALS and experiencing possible pain? Verbal Rating Scale Numeric Rating Scale FACES Pain Scale-Revised Checklist of Nonverbal Pain Indicators (CNPI) None 6. CHPN: Patient Care-Assessment and Planning In developing a care plan for a patient with end-stage liver disease, which parameter is most critical for planning symptom management? Educational background Hepatic function tests Social activities Travel history None 7. CHPN: Patient Care-Assessment and Planning A hospice nurse is assessing a patient with COPD for oxygen therapy. Which assessment finding is most critical to determine the need for supplemental oxygen? Blood pressure Oxygen saturation levels Frequency of hospital visits Dietary preferences None 8. CHPN: Patient Care-Assessment and Planning When planning care for a terminally ill patient with frequent nausea and vomiting, which assessment should be prioritized to manage these symptoms effectively? Mobility level Visual acuity Gastrointestinal function Hearing ability None 9. CHPN: Patient Care-Assessment and Planning In the context of end-of-life care, which assessment is most relevant for addressing spiritual distress in a terminally ill patient? Cardiovascular health Spiritual beliefs and needs Cognitive skills Bone density None 10. CHPN: Patient Care-Assessment and Planning When planning palliative care for a patient with severe arthritis and chronic pain, which of the following assessments is most important to tailor pain management strategies? Pain intensity and location Previous athletic activity Number of children Preferred television programs None 11. CHPN: Patient Care-Assessment and Planning A hospice nurse is evaluating a patient with terminal cancer for potential risk factors for pressure ulcers. Which assessment is most pertinent? Scalp hair thickness Mobility and skin integrity Favorite hobbies Past travel experiences None 12. CHPN: Patient Care-Assessment and Planning In assessing a hospice patient who is experiencing severe anxiety, which tool would be most appropriate for quantifying their anxiety level? Beck Depression Inventory Hamilton Anxiety Rating Scale Body Mass Index (BMI) Muscle reflex test None 13. CHPN: Patient Care-Assessment and Planning What assessment is crucial for managing a hospice patient with frequent episodes of confusion and disorientation? Electrolyte levels Daily fluid intake Past career achievements Favorite music genre None 14. CHPN: Patient Care-Assessment and Planning For a patient receiving end-of-life care with non-verbal signs of discomfort, which assessment method is appropriate to identify pain? Economic status Checklist of Nonverbal Pain Indicators (CNPI) Number of previous marriages Language proficiency None 15. CHPN: Patient Care-Assessment and Planning A nurse is planning care for a hospice patient who shows signs of terminal restlessness. What assessment should be prioritized to manage this condition effectively? Historical job satisfaction Sleep patterns and environmental stimuli Favorite childhood memories Literary preferences None 16. CHPN: Patient Care-Assessment and Planning In a hospice setting, a patient with end-stage renal disease is being assessed for fluid and electrolyte management. Which laboratory test is most important for guiding this aspect of care? Complete blood count 'CBC' Serum electrolyte levels Cholesterol levels Liver function tests None 17. CHPN: Patient Care-Assessment and Planning When assessing a patient for palliative care needs, which factor is most critical in determining their level of family support? Number of family members living nearby Family's financial status Family's understanding of palliative care principles Family's educational attainment None 18. CHPN: Patient Care-Assessment and Planning For a patient with severe dyspnea in palliative care, which assessment tool is most appropriate for measuring the severity of their breathing difficulty? Borg Scale Glasgow Coma Scale Apgar Score Beck's Depression Inventory None 19. CHPN: Patient Care-Assessment and Planning When creating a care plan for a hospice patient with a history of strokes and current speech difficulties, which assessment is key to communication strategies? Verbal fluency Visual acuity Past vocational skills Auditory comprehension None 20. CHPN: Patient Care-Assessment and Planning In the assessment of a palliative care patient with multiple sclerosis, which factor is most critical for managing their care? Progression of neurological symptoms Number of siblings Preferred clothing style Previous holiday destinations None 21. CHPN: Patient Care-Assessment and Planning For a patient experiencing significant anxiety at the end of life, which assessment tool provides the most useful information for managing this symptom? Hamilton Anxiety Rating Scale Physical activity level Dietary intake log Social media usage None 22. CHPN: Patient Care-Assessment and Planning What is the most important assessment for a palliative care patient complaining of intermittent claudication? Peripheral arterial disease status Cognitive testing results Personal hygiene preferences Historical leisure activities None 23. CHPN: Patient Care-Assessment and Planning When assessing a hospice patient with chronic heart failure, which parameter is crucial for adjusting fluid management strategies? Favorite types of music Daily fluid and salt intake Previous job roles Regular social interactions None 24. CHPN: Patient Care-Assessment and Planning A hospice patient shows signs of advanced liver failure. Which assessment is most critical for planning end-of-life care? Hepatic function Career achievements Cultural background Favorite books None 25. CHPN: Patient Care-Assessment and Planning In managing a patient with terminal cancer and severe malnutrition, which assessment is most important to guide nutritional support? Nutritional status and needs Political views Television viewing habits Past travel experiences None 26. CHPN: Patient Care-Assessment and Planning For a patient in palliative care with frequent episodes of confusion, which of the following assessments is most critical for managing their cognitive status? Blood glucose levels List of favorite movies Regular exercise regimen Artistic preferences None 27. CHPN: Patient Care-Assessment and Planning In assessing a hospice patient's readiness for spiritual support, which question is most pertinent? Are you experiencing any spiritual or existential distress? What is your favorite color? How often do you use technology? What type of climate do you prefer? None 28. CHPN: Patient Care-Assessment and Planning What assessment is essential for determining the risk of infection in a palliative care patient with a compromised immune system? Immune system function History of pets Previous occupations Language skills None 29. CHPN: Patient Care-Assessment and Planning In planning care for a patient with terminal illness and significant hearing loss, which assessment is most relevant to improve communication? Hearing ability and assistive devices Knowledge of current events Frequency of visiting museums Types of preferred literature None 30. CHPN: Patient Care-Assessment and Planning In the context of end-of-life care, which assessment is most relevant for addressing spiritual distress in a terminally ill patient? Cardiovascular health Spiritual beliefs and needs Cognitive skills Bone density None 1 out of 30 Time is Up! Time's up