2026 SOLVED QUESTIONS GRADED A+
● What does the Institute of Medicine recommend for improving end-of-
life care? Answer: Widespread access, comprehensive coverage,
improved clinician-patient communication, greater emphasis on advance
care planning, professional education, and stronger public engagement.
● What are the settings for palliative and end-of-life care? Answer:
Institution-based (hospital, long-term care), outpatient-based (clinic,
ambulatory), and community-based (hospice care).
● What is the goal of hospice care? Answer: To focus on quality of life
and provide support for emotional, social, spiritual, and financial
preparation for death.
● What are the principles of hospice care? Answer: Acceptance of death,
interdisciplinary team management, pain and symptom management,
viewing patient/family as a unit, necessity of home care, and provision
of bereavement care.
● What are the four levels of hospice care? Answer: Routine home care,
inpatient respite care, continuous care, and general inpatient care.
, ● What is the most common diagnosis for hospice care? Answer:
Dementia, heart disease, and lung disease.
● How should a nurse respond to a family asking about hospice for a
patient with end-stage COPD? Answer: Hospice assists the family and
patient to prepare for death.
● What is the role of communication in palliative and end-of-life care?
Answer: To assess patient and family responses to serious illness and
support their values and choices throughout care.
● What are critical points for communication in end-of-life care?
Answer: Time of diagnosis, when treatment fails, and effectiveness of
interventions.
● What is an advance directive? Answer: A legal document that
communicates a patient's preferences regarding end-of-life care when
they are unable to verbalize their wishes.
● What does hope-fostering in illness involve? Answer: Spirituality,
relationships, humor, and positive memories.
● What does hope-hindering in illness involve? Answer: Isolation,
uncontrollable pain, and feelings of abandonment.