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Certified Hospice and Palliative Care RN Exam – Questions With Solutions
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Certified Hospice and Palliative Care RN Exam – Questions With Solutions
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Certified Hospice and Palliative Care RN Exam –Questions With Solutions
Minorities Monopolizing Hospice Care Right Ans - 1 in 5 Hospice pts is a
member of a minority
Hospice was conceived before Right Ans - 475 AD
What year was the "Tax Equality and Fiscal Responsibility Act" and the
Medicare Hospice Benefit therein? Right Ans - 1983
What year was Medicare Hospice Benefit made permanent by Congress?
Right Ans - 1986
National Hospice and Palliative Care Organization (NHPCO) Right Ans -
Model for quality, compassionate care for pt at EOL. Hospice involves team
oriented approach, pt specific. Support to pt loved ones.
Everyone has right to die pain-free, with dignity, and families receive report.
In Hospice and Palliative Care, what is the "unit of care"? Right Ans - Pt and
Family (as defined by pt)
Volunteers in Hopsice Right Ans - To meet Medicare's conditions of
participation, volunteers must provide day-to-day admin/direct pt care
services in an amount that, at min = 5% of total pt care hours of all paid
hospice employees and contract staff.
Bereavement services Right Ans - A minimum of 1 year after pt death.
Most Common Primary Diagnoses in Hospice Right Ans - Cancer - 36.5%
Dementia - 15%
Heart Disease - 13%
Lung - 9
Unspecifified - 5
Stroke/coma - 5
ESRD - 3
Liver - 2
,Etc.
Consultative Members Right Ans - PRN basis, such as physicians,
pharmacists, specialists (like for situations involving children involving a
pediatric specialist/nurse).
Multidisciplinary Team Right Ans - Team from other professional
disciplines but also function on independent levels. Gen limited
coordination/consultation between disciplines.
Teams can be organized in a hierarchical manner, which can result in limited
sharing of decisions and leadership
Interdisciplinary Team (IDT) Right Ans - Collab approach
Best practice
Physician, nurse, medical social work, counselling (bereavement and
spiritual).
Other common team members: aides, volunteers, PT/OT, Speech
Palliative Care Right Ans - Provides relief from pain and other sx
Affirms life and regards dying as normal process
Intends to neither hasten or postpone death
Integrates psychological and spiritual aspects of pt care
Offers support to pt/fam to live as actively as possible until death
Offers support system to fam to cope during and after
Team approach
Enhance QOL
Applicable early in cousre of illness and in conjunction with other tx
IDT Meeting Frequency Regulations - Inpatient Right Ans - Meet to
review/revise no less freq. than q 15 days.
IDT Meeting Frequency Regulations - Outpatient and Hospital Based Right
Ans - No regulations
,IDT Meeting Pt/Fam Right Ans - Encouraged to attend, but not mandatory.
Even if not present, should be included in developing/updating POC.
What are the four dimensions of "whole person suffering" by Dame Cicely
Sanders? Right Ans - Physical, psychological, social, spiritual.
All must be addressed to achieve comfort!
Types of Clinician-Patient/Family Conflict Right Ans - Types of Clinician-
pt/fam conflict:
Parentalism - making decisions for pt and infringing on their rights to self-
determination
Deception - coercing or manipulating patients to do what care team wants
(withholding information, lying, imposing beliefs on pt)
Confidentiality - disclosing pt information without consent/to those not
involved/specifically asked not to inform.
Parentalism Right Ans - making decisions for pt and infringing on their
rights to self-determination.
Type of conflict between clinician-pt/fam
Deception Right Ans - coercing or manipulating patients to do what care
team wants (withholding information, lying, imposing beliefs on pt)
Type of conflict between clinician-pt/fam
Confidentiality Right Ans - disclosing pt information without consent/to
those not involved/specifically asked not to inform.
Type of conflict between clinician-pt/fam
Balancing between family and patient Right Ans - Try to find a happy
ground. If none, side with patient.
Role model Right Ans - - passive method of supporting newer clinicians
Mentor - Right Ans - - gen. Long-term relationship between mentor and
mentee
, Precepting Right Ans - - direct supervising relationship
When does burn out occur? Right Ans - What occurs when mismatch
between work life in 1 or more of 6 areas: workload, control, reward,
community, fairness, and values.
What are the (3) components of burn out? Right Ans - Emotional
exhaustion - over-extended or depleted
Cynicism and depersonalization - negative, detached
Ineffectiveness and lack of personal accomplishment - feeling
incompetent/ineffective
... are the components of?
What are the sx of "emotional exhaustion"? (burnout) Right Ans - - over-
extended or depleted are sx of what r/t burnout?
What are the sx of "Cynicism (depersonalization)"? (burn out) Right Ans - -
negative and detached are sx of what r/t burnout?
What are the sx of "Ineffectiveness and lack of personal accomplishment"?
(burn out) Right Ans - - feeling incompetent/ineffective are sx of what r/t
burnout?
Compassion fatigue syndrome is...? Right Ans - What syndrome is almost
identical to PTSD, except in that it is applying to emotionally affected by
trauma?
What are the (2) leading causes of death in the US? Right Ans - 1) heart
disease
2) cancer
What is "invasion" in cancer? Right Ans - ?
Angiogenesis Right Ans - - generation of blood vessels, increase risk of
mets
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