CHPN Domain 4: Support, Education, and Advocacy Welcome to your CHPN Domain 4: Support, Education, and Advocacy 1. CHPN: Support-Education and Advocacy A hospice nurse is providing education on medication management to a patient with advanced dementia and their family. What strategy is most effective to ensure comprehension and adherence? Provide written instructions only. Use complex medical terminology to ensure accuracy. Deliver information in one, long session to cover all material. Utilize repeated verbal instructions and simple language. None 2. CHPN: Support-Education and Advocacy In discussing end-of-life care options, a nurse must explain the concept of a DNR order to a patient's family. Which approach ensures the family fully understands the implications? Use medical jargon to describe the process. Provide examples and scenarios where a DNR might be implemented. Offer the information quickly to avoid distressing the family. Recommend the family decide without nurse input to avoid bias. None 3. CHPN: Support-Education and Advocacy How should a nurse advocate for a hospice patient who expresses a desire to die at home rather than in a hospital? Insist on hospital care for safety. Honor the patient's wishes and coordinate the necessary support services. Discuss only the risks of home death with the family. Ignore the patient's wishes if they contradict medical advice. None 4. CHPN: Support-Education and Advocacy What is an appropriate method for educating a family on managing their loved one's symptoms of terminal illness at home? Provide all information verbally in a single session. Use medical charts and graphs that the family may not understand. Deliver the information segmented into manageable parts over multiple sessions. Encourage self-learning through online resources without guidance. None 5. CHPN: Support-Education and Advocacy When advocating for a patient's access to palliative care services, which of the following is the most critical aspect for the nurse to emphasize to the healthcare provider? The cost-effectiveness of palliative care The legal risks of not providing palliative care The patient's right to comfort and dignity The preferences of healthcare providers None 6. CHPN: Support-Education and Advocacy A nurse needs to educate a patient with limited health literacy on their new pain management regimen. Which technique is most effective? Using detailed pharmacological descriptions Providing the information orally, accompanied by visual aids Giving the patient pamphlets and asking them to read them at home Sending them links to complex medical research articles None 7. CHPN: Support-Education and Advocacy In a case where a terminally ill patient is experiencing spiritual distress, what should the nurse prioritize in their care approach? Immediately recommend psychiatric evaluation. Dismiss the patient's spiritual concerns as irrelevant to medical care. Arrange for a consultation with a spiritual care provider. Focus solely on physical symptoms. None 8. CHPN: Support-Education and Advocacy What is the most effective way for a nurse to support a patient struggling with the emotional impact of a terminal diagnosis? Tell the patient to stay positive and not worry. Limit discussions about the diagnosis to reduce fear. Provide space for the patient to express feelings and fears. Avoid discussing prognosis to prevent sadness. None 9. CHPN: Support-Education and Advocacy A hospice nurse is discussing bereavement services with a family anticipating the loss of a loved one. Which approach is most effective for introducing these services? Wait until after the patient has died to mention bereavement support. Introduce the concept early in the care process to prepare the family. Only discuss bereavement support if the family asks about it. Focus solely on the patient and avoid burdening the family with future plans. None 10. CHPN: Support-Education and Advocacy How should a nurse handle a situation where a patient's family member insists on treatments that the patient has declined? Implement the family's wishes despite the patient's decisions. Educate the family on respecting the patient's autonomy and informed decisions. Ignore the family's requests and avoid further discussion. Persuade the patient to accept the family's wishes. None 11. CHPN: Support-Education and Advocacy When teaching a patient about the management of symptoms associated with terminal illness, what is the most effective approach to ensure adherence? Use complex medical terms to describe symptoms and treatments. Develop a simplified, personalized management plan with the patient. Provide a generic, detailed pamphlet and ask them to follow it. Leave decisions about symptom management to the medical team. None 12. CHPN: Support-Education and Advocacy How should a hospice nurse respond when a patient questions the efficacy of their pain management regimen? Suggest they endure as it is the only option available. Discuss alternative pain management options and adjust as needed. Dismiss their concerns if the regimen is medically approved. Change the regimen without consulting the patient. None 13. CHPN: Support-Education and Advocacy When dealing with a culturally diverse patient needing end-of-life care, what is essential for a nurse to consider for effective communication? Assume a one-size-fits-all approach to avoid confusion. Use medical interpreters when dealing with language barriers. Focus only on legal aspects to avoid cultural misunderstandings. Apply the same strategies used with other patients to maintain consistency. None 14. CHPN: Support-Education and Advocacy What should a nurse prioritize when educating a family about handling the stress of caregiving for a terminally ill relative? The importance of seeking financial compensation for their efforts. Using medical terminology to ensure they understand the severity of the situation. Stress management techniques and resources for caregiver support. Keeping discussions brief and infrequent to reduce the burden on the family. None 15. CHPN: Support-Education and Advocacy When a patient in hospice care exhibits signs of depression, what is the most appropriate action for the nurse to take? Ignore the signs as a normal part of the dying process. Provide immediate counseling without consulting a mental health professional. Encourage the family to cheer up the patient constantly. Refer the patient for evaluation by a mental health professional. None 16. CHPN: Support-Education and Advocacy A hospice nurse is tasked with teaching a patient about the non-pharmacological methods to manage pain. Which approach should the nurse prioritize? Discourage the use of such methods as they are often ineffective. Emphasize only pharmacological methods for reliability. Provide a comprehensive overview of available non-pharmacological options. Suggest the patient research these methods independently. None 17. CHPN: Support-Education and Advocacy How should a nurse approach a discussion about the expected progression of a terminal illness with a patient and their family? Avoid discussing any negative outcomes to maintain hope. Provide detailed statistics on survival rates to inform them fully. Focus solely on immediate care needs without discussing future changes. Offer clear and compassionate information about what to expect. None 18. CHPN: Support-Education and Advocacy In educating a patient about the side effects of their medication, what is crucial for the nurse to include? Only the most common and mild side effects. An exhaustive list of every possible side effect. Clear information on likely side effects and their management. Information that discourages the use of the medication due to side effects. None 19. CHPN: Support-Education and Advocacy When a patient expresses concern about the burden their illness may be causing their family, what should the nurse emphasize during their discussions? Downplay the severity of the illness to lessen worry. Confirm that the illness is indeed a burden to the family. Focus on the supports available to both the patient and family. Suggest the family seek counseling without the patient. None 20. CHPN: Support-Education and Advocacy A patient in palliative care expresses a desire to discuss their fears about death and dying, but their family is uncomfortable with the conversation. How should the nurse facilitate this discussion? Avoid the topic to respect the family's wishes. Schedule private sessions with the patient only. Insist the family participate against their wishes. Mediate a conversation that respects both parties' comfort levels. None 21. CHPN: Support-Education and Advocacy When preparing to educate a patient about the side effects of their new medication, which resource is most beneficial for a nurse to use to ensure patient understanding? A medical textbook. Detailed scientific articles. Tailored educational brochures. Informal anecdotes. None 22. CHPN: Support-Education and Advocacy A terminally ill patient expresses a desire to stop all life-sustaining treatments. What is the nurse's role in this situation? Discourage the decision to ensure all treatments are tried. Support the patient's decision and discuss it with the healthcare team. Ignore the request as it may be based on emotional distress. Persuade the patient to reconsider for the sake of the family. None 23. CHPN: Support-Education and Advocacy How should a nurse approach the topic of spiritual distress with a patient who is reluctant to discuss their beliefs? Force the conversation to ensure all aspects of care are covered. Respect the patient's reluctance and provide non-intrusive support. Redirect all spiritual care discussions to a chaplain without consent. Avoid the topic entirely to prevent discomfort. None 24. CHPN: Support-Education and Advocacy When a patient in hospice care makes a request that is not in line with clinical guidelines, how should the nurse respond? Refuse the request immediately and enforce standard protocols. Explore the reasons behind the request and seek alternatives that respect the patient's wishes. Report the patient for non-compliance. Modify clinical guidelines to accommodate the request. None 25. CHPN: Support-Education and Advocacy What is the best approach for a nurse when a patient's family is spreading misinformation about the patient's condition on social media? Publicly correct the misinformation on the same platform. Discuss the implications of sharing misinformation with the family privately. Ignore the situation as it is outside the nurse's responsibility. Encourage the patient to confront the family. None 26. CHPN: Support-Education and Advocacy In the context of end-of-life care, how should a nurse manage a scenario where team members have conflicting opinions about a patient's care plan? Implement the majority opinion without further discussion. Facilitate a team meeting to discuss each viewpoint and reach a consensus. Choose the opinion of the most senior team member. Delay any decisions until a unanimous agreement is reached. None 27. CHPN: Support-Education and Advocacy What is the most appropriate action for a nurse when a patient expresses a lack of understanding of their prognosis despite previous explanations? Assume the patient is in denial and avoid further clarification. Re-explain the prognosis using simpler terms and visual aids. Inform the patient that no further explanation will be provided. Suggest that the patient's lack of understanding is not a priority. None 28. CHPN: Support-Education and Advocacy How should a nurse react when they discover that cultural beliefs are influencing a family's reluctance to use pain medication for a terminally ill patient? Dismiss the cultural beliefs as irrelevant. Respect the beliefs while providing education about the benefits and necessity of pain management. Enforce the use of medication regardless of the family's beliefs. Recommend the family change their beliefs. None 29. CHPN: Support-Education and Advocacy When encountering resistance from a patient about discussing advance directives, what is the most respectful approach for a nurse to take? Postpone the discussion indefinitely to avoid distress. Address the topic aggressively to ensure it's handled. Provide information and offer to revisit the discussion later. Ignore the patient's resistance and proceed with the discussion. None 30. CHPN: Support-Education and Advocacy A nurse must update a family about a change in their loved one's end-of-life care plan. What is the most effective communication method? Send a text message for convenience. Provide an update through a detailed email. Arrange a family meeting to discuss the changes. Leave a voicemail with brief details. None 1 out of 30 Time is Up! Time's up