CHPN Study cards Exam 20 Questions with Verified Answers,100% CORRECT

CHPN Study cards Exam 20 Questions with Verified Answers Which of the following is NOT an appropriate intervention for a bowel obstruction - CORRECT ANSWER Metoclopramide would have no value for a pt with a bowel obst ...

CHPN Study cards Exam 20 Questions with Verified Answers Which of the following is NOT an appropriate intervention for a bowel obstruction - CORRECT ANSWER Metoclopramide would have no value for a pt with a bowel obstruction. An NG tube would prevent vomiting and therefore provide comfort. Corticosteroids can relieve obstruction especially if caused by metastatic disease. Ocetrotide can reverse symptoms of a small bowel obstruction. A 90 y/o male is newly admitted to the hospice program in a long-term care facility. He no longer recognizes his family, is bed bound, and presents with extreme rigidity of all extremities. He has developed hypoactive delirium. As the plan of care is initiated, which of the following is an appropriate intervention? - CORRECT ANSWER Create an atmosphere with limited stimulation Hypoactive delirium - CORRECT ANSWER Corticosteroids - CORRECT ANSWER The state of having suffered a loss is - CORRECT ANSWER Bereavment Mourning - CORRECT ANSWER A cultural response to having suffered a loss Grief - CORRECT ANSWER is the process of psychological, social, and somatic reactions to perceived loss Disseseminated intravascular coagulation (DIC) - CORRECT ANSWER signs and symptoms include focal ischemia, widespread thrombosis or bleeding, superficial gangrene and jaundice A 68 y/o man a prognosis of days to weeks has developed dysphagia. Which of the following is most appropriate in his treatment plan? - CORRECT ANSWER Teach the family importance of oral hygiene An example of advocacy in palliative care includes all of the following EXCEPT - CORRECT ANSWER Assuring a patient that the goals of care that her son wants are most important Changes in status of an 82 y/o man on hospice indicate progression of his disease with a prognosis of days to weeks. How would the interdisciplinary team be used to provide coordinated care? - CORRECT ANSWER Which of the following was the first hospice in the United States? A). Memorial Sloan Kettering Hospice in New York City B). Hospice of the Western Reserve in Cleveland C). St. Joseph's Hospice in Boston D). The Connecticut Hospice in New Haven - CORRECT ANSWER D). The Connecticut Hospice in New Haven was founded Florence Wald (former Dean of the Yale Nursing School) in the early 1970's The nurse is orienting a new staff member on a unit that cares for many patients at the end of life. Which comment by the nurse correctly reflects a principle of palliative care? A). "We're busy because most people prefer to die in a hospital rather than at home where they would be a burden" B). "Death and dying are not discussed much here in order to maintain hope for patients and families." C). "Because our patients often are uncomfortable, they need physical care more than psychological or sp - CORRECT ANSWER D). Palliative Care does not limit a patient's options to pursue curative treatment but enhances the patient's quality of life by maximizing supportive care. The difference between the origin of hospice and palliative care in the United States is A). The hospice movement was part of the establishment B). The hospice movement was part of hospital sponsored programs. C). Palliative care grew from academic, teaching hospitals D). Palliative care movement grew from a grassroots movement - CORRECT ANSWER C). Palliative care units originated in the academic, teaching hospitals as demonstration projects. The focus had been to move the philosophy of Hospice upstream to encourage the application of the philosophy earlier in the disease trajectory and to allow patients a choice of therapies. Which of the following is the best description of hospice A). A type of care utilized when nothing more can be done for the patient. B). A philosophy of care to improve quality of life for the terminally ill. C). A place where people are sent to die. D). Available to patients and families only if the patient is at home. - CORRECT ANSWER B).Hospice is truly a philosophy to improve quality of life for the terminally ill. When comparing eligibility for hospice care versus palliative care, which of the following is true A). Palliative care allows for more aggressive treatment B). Both have federal guidelines for enrollment C). Palliative care is not holistic D). Hospice has a broader enrollment - CORRECT ANSWER A).Palliative care includes whatever therapies are medically indicated and desired by the patient. The eligibility for hospice and palliative care is A). Six month prognosis for both B). Six month prognosis for Hospice and no time limit for Palliative care C). Not affected by prognosis D). Not affected by time limits - CORRECT ANSWER B).Although hospice has a requirement for certification by the physician of a six month prognosis, palliative care does not have this requirement. When is aggressive treatment NOT indicated? A). Cure is possible B). There is a realistic chance of worthwhile prolongation of life C). The side effects of the treatment are more distressing than the potential benefits D). A patient chooses a clinical trial with informed consent - CORRECT ANSWER C). It is inappropriate to plan aggressive curative treatment when the side effects of the treatment are more distressing than the potential benefits. Currently, palliative care is primarily delivered in which of the following settings A). Home B). Acute Care setting C). Nursing Home D). Rehab setting - CORRECT ANSWER B). Palliative care is currently delivered primarily in the acute care settings either in a dedicated unit or through palliative care consult teams. The nurse is having a discussion about barriers to quality of end of life care with a co-worker. Which comment by the co-worker indicates misunderstanding and the need for more information A). "A significant obstacle is 'healthcare professionals' lack of education about end of life". B). "One reason people don't seek palliative care is that they are reluctant to give up hope" C). "The failure of healthcare professionals to acknowledge the limits of traditional medicine is a major barrier" D). " - CORRECT ANSWER D). Quality end-of-life care should be initiated at the point in the illness when supportive care needs and concerns with quality of life become primary'