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Nursing Made Incredibly Easy!:
doi: 10.1097/01.NME.0000446434.39164.96
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Hospice care is comfort care

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For more than 66 additional continuing education articles related to palliative and hospice care topics, go to Nursingcenter.com/CE.

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INSTRUCTIONS Hospice care is comfort care

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Hospice care is comfort care

GENERAL PURPOSE: To provide information about hospice nursing. LEARNING OBJECTIVES: After reading the article and taking this test, you'll be able to: 1. Identify the concepts of hospice care and patient eligibility. 2. Describe nursing care for the hospice patient.

1. Hospice is a specialized type of healthcare for patients who have

a. a terminal illness.

b. been diagnosed with cancer.

c. no other means of elderly care.

2. Hospice care involves

a. health promotion and prevention.

b. only pain management-related care.

c. physical comfort, psychological care, and spiritual care.

3. Using the mnemonic HOSPICE, the P represents

a. peace.

b. professional.

c. pain management.

4. A criterion to be eligible for hospice includes a prognosis of

a. 6 months or less to live.

b. 8 months or less to live.

c. 12 months or less to live.

5. Most patients who enter hospice care

a. have cancer.

b. are referred late.

c. pay out-of-pocket.

6. Hospice care focuses on the 5 Cs, which include

a. creative caregivers.

b. cultural/spiritual care.

c. complementary therapies.

7. Hospice nurses should use expert therapeutic communication skills to

a. provide hope for survival.

b. discuss all aspects of end-of-life care.

c. convince patients to avoid fears of death.

8. During end-of-life care, Western cultures value decision making by the

a. patient.

b. physician.

c. community.

9. The hospice nurse should prevent and relieve patient discomfort while

a. considering the patient's wishes.

b. foregoing higher doses of opioids.

c. disregarding the patient's request for less pain medication.

10. When a patient can't adequately express pain, the hospice nurse can

a. provide high opioid dosing throughout the day.

b. ask family members to identify pain indicators.

c. assume that the patient doesn't need pain medication.

11. If the hospice patient experiences anxiety with dyspnea,

a. administer oxygen.

b. suction the patient.

c. use relaxation techniques.

12. If a patient is anxious about who'll care for the surviving spouse,

a. have the patient talk to a skilled supportive nurse.

b. don't allow the spouse to remain near the patient.

c. manage the patient's anxiety with medication.

13. To reduce patient anxiety and decrease arousal of the mind, the hospice nurse can use

a. meditation techniques.

b. oxygen and deep breathing.

c. discussion to focus on the patient's fears.

14. If the hospice patient experiences nausea and vomiting, initially

a. change all medications to oral routes.

b. adjust the medication schedule around meals.

c. call the physician and administer multiple antiemetics.

15. Constipation in hospice patients can potentially cause anorexia, vomiting, and

a. cancer metastasis.

b. bowel obstruction.

c. urinary incontinence.

16. When starting opioid use, prevent constipation for the hospice patient with

a. laxatives.

b. daily enemas.

c. rectal exams daily.

17. Hospice patients should have a bowel movement at least every

a. 3 days.

b. 5 days.

c. 7 days.

18. If the patient has no advance directives or power of attorney,

a. an ethics committee will intervene.

b. family members can speak for the patient.

c. the physician will make all patient decisions.

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