CHPN Practice Test Welcome to your CHPN Practice Test 1. 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 2. 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 3. 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 4. 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 5. 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 6. 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 7. 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 8. 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 9. 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 10. 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 11. 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 12. 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 13. 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 14. 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 15. 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 16. 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 17. 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 18. 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 19. 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 20. 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 21. 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 22. 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 23. 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 24. 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 25. 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 26. 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 27. 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 28. 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 29. CHPN: Patient Care - Pain Management Which medication should be used cautiously in a palliative care patient with a history of chronic obstructive pulmonary disease 'COPD' and renal insufficiency requiring opioid therapy for cancer pain? Hydromorphone Fentanyl Morphine Oxycodone None 30. CHPN: Patient Care - Pain Management A patient with advanced pancreatic cancer complains of severe abdominal pain. Which adjuvant medication is most appropriate to add to their opioid regimen? Gabapentin Amitriptyline Lorazepam Dexamethasone None 31. CHPN: Patient Care - Pain Management For a patient experiencing neuropathic pain related to cancer metastasis, which of the following is the most appropriate initial treatment? Acetaminophen Gabapentin Ibuprofen Aspirin None 32. CHPN: Patient Care - Pain Management Which opioid administration method provides the most steady control of pain for a patient with constant cancer-related pain? Intravenous bolus Oral immediate-release Transdermal patch Oral as needed (PRN) None 33. CHPN: Patient Care - Pain Management What is the primary concern when using nonsteroidal anti-inflammatory drugs (NSAIDs) in the management of pain for a patient with end-stage renal disease? Respiratory depression Gastrointestinal bleeding Cardiac arrest Hepatic encephalopathy None 34. CHPN: Patient Care - Pain Management In managing a hospice patient's bone pain due to metastatic breast cancer, which combination therapy is typically most effective? Opioids and NSAIDs NSAIDs and acetaminophen Opioids and gabapentin Acetaminophen and antidepressants None 35. CHPN: Patient Care - Pain Management What is an essential monitoring parameter for a patient receiving opioid therapy for severe pain in a hospice setting? Serum glucose levels Blood pressure Respiratory rate Urine output None 36. CHPN: Patient Care - Pain Management Which factor should be primarily considered when initiating methadone for pain management in palliative care? Patient's cognitive function History of substance abuse Electrolyte balance QT interval None 37. CHPN: Patient Care - Pain Management In a patient with liver failure, which pain management strategy is generally safest? High-dose acetaminophen Nonsteroidal anti-inflammatory drugs (NSAIDs) Opioids that are not metabolized by the liver High-dose opioids None 38. CHPN: Patient Care - Pain Management Which technique is recommended to assess the efficacy of pain management interventions in a non-verbal hospice patient? Patient self-reporting Regular blood tests Behavioral and physical cues Family member reports None 39. CHPN: Patient Care - Pain Management Which medication is particularly useful in treating neuropathic pain associated with herpes zoster in a palliative care patient? Acetaminophen Ibuprofen Prednisone Pregabalin None 40. CHPN: Patient Care - Pain Management A patient in palliative care is experiencing breakthrough pain despite a scheduled opioid regimen. What is the appropriate initial step in managing this pain? Increase the frequency of the scheduled opioid Add a non-opioid analgesic Prescribe an immediate-release opioid for breakthrough pain Switch to a different class of opioid None 41. CHPN: Patient Care - Pain Management What is the main concern when using transdermal fentanyl in a patient with cachexia? Reduced effectiveness due to fat loss Increased risk of infection at the patch site Higher likelihood of psychological dependence Faster metabolism of the drug None 42. CHPN: Patient Care - Pain Management For patients with advanced dementia experiencing pain, which assessment tool is most appropriate to gauge their pain level? Verbal rating scale Numeric rating scale Visual analog scale Behavioral pain scale None 43. CHPN: Patient Care - Pain Management What is an important consideration when using opioids in the elderly for pain management? Increased risk of constipation Decreased risk of respiratory depression Increased risk of cognitive enhancement Decreased risk of gastrointestinal bleeding None 44. CHPN: Patient Care - Pain Management A hospice patient with a history of myocardial infarction requires pain management. Which of the following opioids is preferred due to its minimal cardiovascular effects? Morphine Methadone Hydromorphone Meperidine None 45. CHPN: Patient Care - Pain Management In managing a patient's chronic pain from osteoarthritis in hospice care, which medication should be avoided due to its side effect profile in long-term use? Acetaminophen Ibuprofen Celecoxib Naproxen None 46. CHPN: Patient Care - Pain Management Which adjuvant analgesic is indicated for bone pain secondary to metastatic cancer? Anticonvulsants Bisphosphonates Antidepressants Beta-blockers None 47. CHPN: Patient Care - Pain Management What is the most effective pain management strategy for a patient suffering from both cancer pain and severe depression? NSAIDs only Opioids combined with antidepressants Antidepressants only Cognitive behavioral therapy None 48. CHPN: Patient Care - Pain Management In a palliative care setting, what is the key reason for rotating different opioids when managing a patient's chronic pain? To prevent allergic reactions To minimize tolerance development To enhance placebo effects To reduce costs None 49. CHPN: Patient Care - Pain Management Which intervention is most appropriate for a patient experiencing pain associated with terminal liver cancer? High-dose NSAIDs Acetaminophen at maximum recommended daily dose Opioid therapy tailored to liver function Alcohol-based pain management None 50. CHPN: Patient Care - Pain Management What is a crucial consideration when prescribing opioids for a patient with renal failure in a palliative care context? Enhanced drug clearance Decreased drug absorption Accumulation of drug metabolites Increased drug synthesis None 51. CHPN: Patient Care - Pain Management For managing severe acute pain in a palliative care patient who is opioid-tolerant, what is an effective strategy? Reduce opioid dose to prevent overdose Use non-pharmacological methods exclusively Administer a higher-than-usual dose of opioids Discontinue opioids and switch to NSAIDs None 52. CHPN: Patient Care - Pain Management Which factor is critical when considering a patient's suitability for spinal cord stimulator (SCS) implantation for pain management? Previous success with transcutaneous electrical nerve stimulation (TENS) Absence of psychological disorders Patient's preference for invasive procedures All of the above None 53. CHPN: Patient Care - Pain Management A patient with terminal cancer is experiencing visceral pain. Which combination of medications is most likely to provide effective relief? Opioids and antispasmodics Antidepressants and antispasmodics NSAIDs and corticosteroids Corticosteroids and opioids None 54. CHPN: Patient Care - Pain Management When managing a patient with neuropathic pain who has shown inadequate response to first-line therapies, which second-line agent could be considered? Topical capsaicin High-dose acetaminophen Systemic corticosteroids Intravenous antibiotics None 55. CHPN: Patient Care - Pain Management For a patient in palliative care experiencing muscle spasms and pain, which medication is most appropriate to prescribe? Baclofen Warfarin Insulin Albuterol None 56. CHPN: Patient Care - Pain Management Which intervention should be prioritized for a patient with chronic pain and a history of substance use disorder in a hospice setting? Strict opioid use under supervised administration Avoidance of all controlled substances Liberal use of non-opioid analgesics only Implementation of a comprehensive pain management and substance use monitoring program None 57. CHPN: Patient Care - Pain Management When considering the use of topical NSAIDs in elderly patients for pain management, what is a significant advantage? Faster systemic absorption Reduced risk of systemic side effects Increased potency compared to oral forms Enhanced cardiovascular safety None 58. CHPN: Patient Care - Symptom Management A patient with advanced cancer is experiencing severe bone pain. Which medication is most appropriate for managing his pain based on the WHO pain ladder? Ibuprofen Paracetamol Morphine Aspirin None 59. CHPN: Patient Care - Symptom Management In palliative care, which intervention is most effective for the symptomatic management of xerostomia in a patient receiving radiation therapy? Oral pilocarpine Increased fluid intake Non-sugar-based chewing gums Systemic corticosteroids None 60. CHPN: Patient Care - Symptom Management For a hospice patient complaining of dyspnea and anxiety, which of the following pharmacological treatments is most appropriate? Furosemide Lorazepam Albuterol Acetaminophen None 61. CHPN: Patient Care - Symptom Management Which medication is considered first-line treatment for neuropathic pain in a palliative care setting? Oxycodone Gabapentin Ibuprofen Acetaminophen None 62. CHPN: Patient Care - Symptom Management A palliative care patient is experiencing hiccups that are causing significant discomfort. Which medication should be considered first for treatment? Metoclopramide Dexamethasone Chlorpromazine Haloperidol None 63. CHPN: Patient Care - Symptom Management In managing terminal restlessness, which non-pharmacological intervention is effective? Scheduled repositioning Therapeutic massage Light therapy Music therapy None 64. CHPN: Patient Care - Symptom Management Which symptom is directly targeted by the use of scopolamine patches in palliative care patients? Constipation Nausea Excessive salivation Urinary retention None 65. CHPN: Patient Care - Symptom Management For a patient with terminal cancer experiencing malignant bowel obstruction, which medication is most appropriate to alleviate abdominal pain and vomiting? Ondansetron Octreotide Hydromorphone Bisacodyl None 66. CHPN: Patient Care - Symptom Management What is the primary benefit of using low-dose ketamine in the management of hospice patients with refractory pain? Anti-inflammatory effect NMDA receptor antagonism Serotonin reuptake inhibition Dopamine modulation None 67. CHPN: Patient Care - Symptom Management In managing cachexia in a patient with end-stage heart failure, which pharmacological treatment is recommended to improve appetite and weight gain? Spironolactone Megestrol acetate Erythropoietin Amiodarone None 68. CHPN: Patient Care - Symptom Management Which of the following is an effective first-line treatment for nausea in a palliative care patient? Omeprazole Metoclopramide Calcium supplements Sucralfate None 69. CHPN: Patient Care - Symptom Management A palliative patient experiences severe itching due to cholestasis. Which medication would be most appropriate to manage this symptom? Hydroxyzine Furosemide Acetaminophen Senna None 70. CHPN: Patient Care - Symptom Management For palliative patients with dysphagia, which intervention is recommended to manage their condition effectively? Nasogastric tube feeding Intravenous fluids Blenderized diet Therapeutic fasting None 71. CHPN: Patient Care - Symptom Management Which drug is most appropriate for the management of terminal delirium that includes agitation and hallucinations? Gabapentin Haloperidol Esomeprazole Insulin None 72. CHPN: Patient Care - Symptom Management In the context of palliative care, which medication is indicated for the management of severe, persistent hiccups that have not responded to first-line treatments? Lorazepam Dexamethasone Baclofen Amoxicillin None 73. CHPN: Patient Care - Symptom Management Which intervention is considered most effective for managing pruritus in end-stage renal disease patients under palliative care? Topical steroids Oral antihistamines Phototherapy Topical capsaicin None 74. CHPN: Patient Care - Symptom Management For a patient with end-stage ALS experiencing significant sialorrhea, which of the following treatments is most appropriate? Amitriptyline Atropine drops sublingually Glycerin swabs Nifedipine None 75. CHPN: Patient Care - Symptom Management In palliative care, which approach is recommended for the management of myoclonus in a patient with opioid-induced hyperalgesia? Increase opioid dosage Administer benzodiazepines Switch to a non-opioid analgesic Physical therapy None 76. CHPN: Patient Care - Symptom Management Which of the following is an appropriate treatment for managing ascites in a patient with terminal liver cancer? Beta-blockers Spironolactone Calcium channel blockers Antidepressants None 77. CHPN: Patient Care - Symptom Management A palliative care patient with COPD is experiencing severe shortness of breath at rest. Which pharmacological treatment should be prioritized? Oral corticosteroids Short-acting beta agonists Long-acting anticholinergics NSAIDs None 78. CHPN: Patient Care - Symptom Management In managing bone pain in palliative care, which combination of treatments is considered most effective? NSAIDs and opioids Antidepressants and antiepileptics Corticosteroids and bisphosphonates Muscle relaxants and anti-anxiety medication None 79. CHPN: Patient Care - Symptom Management Which intervention is best for managing constipation in a palliative care patient who is bed-bound? Increased dietary fiber Stimulant laxatives Suppository use Manual evacuation None 80. CHPN: Patient Care - Symptom Management What is the primary pharmacological strategy for managing fever in a palliative care setting? Antibiotics Antipyretics Antivirals Antifungals None 81. CHPN: Patient Care - Symptom Management For a patient experiencing severe anxiety and panic attacks in a hospice setting, which medication is preferred? Selective serotonin reuptake inhibitors (SSRIs) Beta-blockers Benzodiazepines Antipsychotics None 82. CHPN: Patient Care - Symptom Management In the management of malignant skin lesions causing significant pain and discomfort in palliative care, which topical treatment is most effective? Topical NSAIDs Topical lidocaine Topical antibiotics Topical corticosteroids None 83. CHPN: Patient Care - Symptom Management What is the best approach for managing insomnia in a patient receiving palliative care? Stimulant medications Cognitive behavioral therapy (CBT) Benzodiazepines Antipsychotic medications None 84. CHPN: Patient Care - Symptom Management Which of the following is recommended for managing anorexia in a palliative care patient? High-calorie supplements Intravenous fluids Appetite stimulants Enteral feeding None 85. CHPN: Patient Care - Symptom Management What is the recommended treatment for managing severe dehydration in a palliative care patient who is unable to swallow? Subcutaneous hydration Oral rehydration solutions Intravenous hydration High fluid diet None 86. CHPN: Patient Care - Symptom Management Which pharmacological agent is preferred for managing depressive symptoms in the context of palliative care? Atypical antipsychotics Conventional antipsychotics Selective serotonin reuptake inhibitors (SSRIs) Mood stabilizers None 87. CHPN: Patient Care - Symptom Management Which medication is most appropriate for the symptomatic relief of severe abdominal pain due to pancreatic cancer in palliative care? Acetaminophen Nonsteroidal anti-inflammatory drugs (NSAIDs) Opioids Antispasmodics None 88. CHPN: Patient Care - Symptom Management What is the primary pharmacological strategy for managing fever in a palliative care setting? Antibiotics Antipyretics Antivirals Antifungals None 89. 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 90. 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 91. 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 92. 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 93. 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 94. 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 95. 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 96. 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 97. 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 98. 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 99. 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 100. 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 101. 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 102. 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 103. 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 104. 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 105. 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 106. 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 107. 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 108. 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 109. 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 110. 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 111. 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 112. 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 113. 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 114. 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 115. 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 116. 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 117. 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 118. 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 119. 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 120. CHPN: Practice Issues A hospice nurse is coordinating care for a patient with advanced dementia. The patient's family requests additional information about the use of non-pharmacological interventions. Which of the following is considered the most effective non-pharmacological intervention for reducing agitation in dementia patients? Scheduled repositioning Cognitive stimulation therapy Music therapy Increased fluid intake None 121. CHPN: Practice Issues In a case where a patient's advance directive is not available, and they are unable to make their own decisions, who is primarily responsible for making decisions regarding the patient's care? The attending physician A court-appointed guardian The closest family member The hospice nurse None 122. CHPN: Practice Issues Which of the following actions best exemplifies a hospice nurse's role in advocating for patient autonomy? Implementing family decisions without consulting the patient Discussing care preferences directly with the patient whenever possible Following hospital protocols regardless of the patient's stated preferences Advising the patient based on the nurse's personal beliefs None 123. CHPN: Practice Issues A hospice nurse is part of an interdisciplinary team that includes doctors, social workers, and spiritual care providers. Which of the following best describes the nurse's role in this team? To lead the team and make final decisions on patient care To provide direct patient care and relay observations to the team To handle all medical procedures independently To coordinate appointments and transportation for the patient None 124. CHPN: Practice Issues What is the primary ethical consideration when dealing with a terminally ill patient who refuses to eat or drink? The nurse must force nutrition to prolong life The nurse must respect the patient's wishes after ensuring they are informed The nurse should prioritize the family's wishes The nurse should make decisions based on the patient's past preferences None 125. CHPN: Practice Issues Which strategy is most effective for a hospice nurse managing a multidisciplinary team in a culturally diverse setting? Applying the same standards uniformly to all team members Customizing communication styles to fit the cultural backgrounds of team members Prioritizing efficiency over cultural considerations Delegating cultural issues to social workers None 126. CHPN: Practice Issues In assessing the quality of hospice care, which outcome measure is most important for a hospice nurse to monitor? The number of patients served annually Patient and family satisfaction with end-of-life care Efficiency of administrative processes Number of staff meetings held per month None 127. CHPN: Practice Issues How should a hospice nurse approach the care of a non-communicative patient who is in apparent distress? Assuming the cause of distress based on common symptoms Waiting for family input before acting Observing for non-verbal cues and consulting with the care team Administering pain medication routinely None 128. CHPN: Practice Issues A hospice nurse is caring for a patient who frequently changes their mind about pain management strategies. What is the best approach for the nurse to take? Decide on the most appropriate pain management strategy and insist on it Respect the patient's right to change their mind and adjust care plans accordingly Consult only the family to finalize the pain management plan Ignore the changes and continue with the original plan None 129. CHPN: Practice Issues When a patient in hospice care expresses a desire to discuss their fears about dying, how should the nurse respond? Redirect the conversation to a more positive topic Listen empathetically and encourage expression of these fears Suggest waiting for a family member to be present Offer reassurances that everything will be fine None 130. CHPN: Practice Issues How should a hospice nurse handle a situation where a patient's family is in conflict over the patient's care preferences? Support the opinion of the eldest family member Arrange a family meeting with the healthcare team to discuss the patient's wishes Decide based on what most family members want Enforce hospital policies regardless of family disagreements None 131. CHPN: Practice Issues A hospice nurse finds that a patient's cultural beliefs about death significantly differ from their own. What is the most appropriate action for the nurse to take? Try to convince the patient to view death from a medical perspective Respect and incorporate the patient's cultural beliefs into the care plan Ignore the cultural beliefs as irrelevant to medical care Document the beliefs but not integrate them into care None 132. CHPN: Practice Issues What should a hospice nurse prioritize when communicating about a terminal diagnosis to a patient who has limited health literacy? Use medical jargon to ensure accuracy Provide information in a simple, clear, and respectful manner Avoid detailed explanations to prevent confusion Let family members convey the diagnosis None 133. CHPN: Practice Issues In a case where a terminally ill patient has multiple caregivers, what is the key role of the hospice nurse? To assign tasks to each caregiver To mediate personal conflicts between caregivers To educate and support caregivers in providing consistent care To supervise caregivers at all times None 134. CHPN: Practice Issues Which approach is most suitable for a hospice nurse when managing a patient who is experiencing existential distress at the end of life? Provide strong reassurances about the normality of their feelings Arrange for psychological counseling without patient consent Engage in open discussions about the patient's feelings and fears Focus only on physical symptoms and ignore existential concerns None 135. CHPN: Practice Issues How should a hospice nurse react when a patient consistently refuses to take prescribed medications? Discontinue all medications to respect the patient's wishes Explore the reasons behind the refusal and seek alternatives or adjustments Report the patient to higher authorities for non-compliance Force the patient to comply through legal means None 136. CHPN: Practice Issues What is an essential component for a hospice nurse when establishing trust with a newly admitted patient? Demonstrating authority over medical knowledge Ensuring quick medical interventions Showing consistency and reliability in care Promising to cure or significantly improve the condition None 137. CHPN: Practice Issues When a hospice patient expresses a desire to die at home, but their home environment is deemed unsafe, what should the hospice nurse prioritize in their response? Arrange for necessary modifications to make the home safe Convince the patient to die in a hospital instead Dismiss the patient's wishes as impractical Transfer the patient to a hospice facility without discussion None 138. CHPN: Practice Issues In end-of-life care, a patient requests not to be told about the progression of their disease. How should the hospice nurse handle this request? Inform them despite their wishes to ensure they are aware Respect the patient's wishes and provide care without disclosing progression details Discuss the disease progression with the family instead Record the request but periodically reevaluate and inform the patient None 139. CHPN: Practice Issues What should a hospice nurse prioritize when a terminally ill patient has conflicting requests from different family members regarding their care? The nurse's own assessment of what's best for the patient The wishes of the family member who is legally responsible The patient's own preferences and wishes The most medically recommended option None 140. CHPN: Practice Issues When a hospice patient shows signs of withdrawal and depression, what is the most appropriate nursing action? Immediately prescribe antidepressants Encourage family members to cheer up the patient Assess for potential causes and facilitate appropriate interventions Ignore as a normal part of the dying process None 141. CHPN: Practice Issues A patient in hospice care frequently discusses their fear of dying alone. What strategy should the hospice nurse implement? Recommend psychiatric evaluation Schedule more frequent visits and check-ins Discourage such negative thoughts Increase medication dosages to reduce anxiety None 142. CHPN: Practice Issues What is the most effective way for a hospice nurse to support a patient who is grieving the impending loss of their own life? Encourage the patient to remain strong and not show sadness Provide space for the patient to express their grief and listen actively Focus on the positive aspects and minimize discussion of death Suggest avoiding discussions about death to reduce grief None 143. CHPN: Practice Issues When a hospice nurse encounters a patient with cultural values very different from their own, which of the following is the most appropriate action? Attempt to change the patient's views to align more closely with Western medicine Educate the patient about the nurse's own cultural values Respect and attempt to understand the patient's cultural values and incorporate them into care Ignore cultural differences as irrelevant to medical care None 144. CHPN: Practice Issues A hospice nurse is caring for a patient who believes in the therapeutic benefits of alternative medicine alongside conventional treatments. What is the most appropriate response by the nurse? Dismiss the patient's beliefs as unscientific Incorporate safe alternative practices that do not conflict with medical treatments Insist on relying solely on conventional medical treatments Allow the patient to use alternative medicine exclusively None 145. CHPN: Practice Issues When a hospice nurse is faced with a patient who consistently exhibits aggressive behavior due to pain and frustration, what is the most appropriate nursing action? Use restraints to prevent harm Respond with similar aggression to assert control Assess pain levels and explore all options for pain management Withdraw care to avoid confrontation None 146. CHPN: Practice Issues When a hospice nurse encounters a patient with cultural values very different from their own, which of the following is the most appropriate action? Attempt to change the patient's views to align more closely with Western medicine Educate the patient about the nurse's own cultural values Respect and attempt to understand the patient's cultural values and incorporate them into care Ignore cultural differences as irrelevant to medical care None 147. CHPN: Practice Issues When a hospice patient shows signs of withdrawal and depression, what is the most appropriate nursing action? Immediately prescribe antidepressants Encourage family members to cheer up the patient Assess for potential causes and facilitate appropriate interventions Ignore as a normal part of the dying process None 148. CHPN: Practice Issues Which approach is most suitable for a hospice nurse when managing a patient who is experiencing existential distress at the end of life? Provide strong reassurances about the normality of their feelings Arrange for psychological counseling without patient consent Engage in open discussions about the patient's feelings and fears Focus only on physical symptoms and ignore existential concerns None 149. CHPN: Practice Issues In assessing the quality of hospice care, which outcome measure is most important for a hospice nurse to monitor? The number of patients served annually Patient and family satisfaction with end-of-life care Efficiency of administrative processes Number of staff meetings held per month None 150. CHPN: Practice Issues What is the primary ethical consideration when dealing with a terminally ill patient who refuses to eat or drink? The nurse must force nutrition to prolong life The nurse must respect the patient's wishes after ensuring they are informed The nurse should prioritize the family's wishes The nurse should make decisions based on the patient's past preferences None 1 out of 150 Time is Up! 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