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What are the drugs of choice when caring for the hospice patient?


A) Nonsteroidal antiinflammatory drugs
B) Anticholinergic drugs
C) Duragesic patches
D) Morphine derivatives

E) B) and C)
F) A) and D)

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Which of the following is an expected part of the end-of-dying process?


A) Denial
B) Despair
C) Anorexia
D) Depression

E) A) and B)
F) A) and C)

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Which medication relaxes the patient's respiratory effort and thus increases the efficiency of the patient's respiratory status?


A) Aminophylline
B) Theophylline
C) Epinephrine
D) Morphine

E) C) and D)
F) B) and C)

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What is the overall objective of hospice service?


A) Relieve symptoms of terminal disease.
B) Educate the patient about the process of death.
C) Keep the patient comfortable as death approaches.
D) Relieve the family of the stress of death.

E) B) and D)
F) All of the above

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What symptom of hospice patients is the most dreaded and feared,and should be a priority of symptom management?


A) Fear
B) Anger
C) Grief
D) Pain

E) A) and D)
F) None of the above

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The hospice nurse instructs the family that they have access to a hospice pharmacist,who is available for consultation on the drugs the hospice patient may be taking.What other role does the hospice pharmacist fill?


A) Administer all drugs necessary for pain alleviation.
B) Evaluate drug interactions with food and other medications.
C) Evaluate the safety of the drug storage in the patient's home.
D) Monitor drug effectiveness by frequent phone interviews with the family.

E) B) and C)
F) A) and D)

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When educating a patient concerning ways to prevent nausea,the nurse suggests that eating slowly in a pleasant atmosphere will help,as well as taking an antiemetic before meals.How many minutes before meals should the patient take the antiemetic?


A) 10
B) 20
C) 30
D) 60

E) B) and C)
F) A) and D)

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The hospice nurse explains that to qualify for admission to a hospice,the attending health care provider must certify that the patient has a life expectancy of fewer than how many months?


A) 2 months
B) 3 months
C) 4 months
D) 6 months

E) A) and B)
F) A) and C)

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During a pain assessment,the patient tells the nurse that the pain is aching,stabbing,and throbbing.What type of pain is the patient describing?


A) Visceral
B) Neuropathic
C) Somatic
D) Psychogenic

E) A) and D)
F) B) and C)

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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

E) B) and D)
F) None of the above

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Why is it important for the hospice nurse to provide time to confer with the patient and family?


A) To show concern
B) To report changes in the plan of care designed by the team
C) To confirm the ongoing reimbursement
D) To plan for changes in the scope of care

E) B) and C)
F) A) and D)

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Who conducts the nutritional assessment at the time of admission to hospice care?


A) Health care provider
B) Hospice nurse
C) Caregiver
D) Unlicensed assistive personnel

E) B) and D)
F) A) and D)

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The hospice nurse requests that the patient designate a primary caregiver for himself.What is true of the primary caregiver?


A) Must be a relative.
B) Has complete control over the patient's care.
C) Assumes ongoing responsibility for health maintenance of the patient.
D) Must have power of attorney.

E) A) and B)
F) All of the above

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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

E) C) and D)
F) All of the above

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The hospice nurse recommends that the patient prepare the document that provides guidance to the family concerning the patient's wishes regarding life-support measures and organ donation.What is this document called?


A) Power of attorney
B) Living will
C) Advance directive
D) Conservatorship

E) A) and B)
F) A) and C)

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The hospice nurse introduced the family to the volunteer coordinator who will assign a volunteer to the patient.What can a hospice volunteer do for a patient and caregiver?


A) Give the family respite.
B) Give necessary medication in the absence of the nurse.
C) Be at the family's disposal 16 hours a week.
D) Bathe the patient.

E) A) and B)
F) B) and D)

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