NSG 349 EXAM 1 QUESTIONS AND ANSWERS
The majority of hospice care is provided in which setting?
A. Hospitals
B. Private residences
C. Jails
D. PC clinics - Answers - Answer: B
Rationale: While hospice occurs in many different settings such as acute care hospital
units, PC clinics or ambulatory settings, private practices, and prisons, most hospice
care is provided in private residences such as nursing homes, homes, and residential
facilities.
Which entity is the first professional organization for excellence in the practice of
hospice nursing?
A.National Board for Certification of Hospice and Palliative Nurses (NBCHPN)
B. Hospice and Palliative Nurses Foundation (HPNF)
C. AdvancingExpertCare(AEC)
D. Hospice and Palliative Care Nurses Association (HPNA) - Answers - Answer: D
Rationale: Incorporated in 1987, the Hospice Nurses Association (HNA) became the
first professional nursing organization dedicated to promoting excellence in the practice
of hospice nursing. NBCHN is the National Board for Certification of Hospice and
Palliative Nurses. HPNF is the Hospice and Palliative Nurses Foundation. In 2014, the
HPNA came together with the Hospice and Palliative Nurses Foundation (HPNF) and
the Hospice and Palliative Credentialing Center (HPCC) to form a partnership with a
synergized mission. The three distinct organizations form Advancing Expert Care
(AEC).
In 1995, SUPPORT investigators came to which conclusion?
A. Patients with end-of-life care felt they had adequate communication with their
healthcare
providers.
B. Patients with end of life care were requesting less-aggressive medical treatments.
C. Dying patients require an individual and collective commitment from healthcare
providers.
D. Dying patients were reporting moderate levels of pain and needed little increase in
medication. - Answers - Answer: C
Rationale: The "Study to Understand Prognoses and Preferences for Outcomes and
Risks of Treatment" (SUPPORT; SUPPORT Study Investigators, 1995) investigators
believed that improving the end-of-life care for patients required an individual and
collective commitment of healthcare providers and that the caregiving processes
needed to be reshaped. SUPPORT findings indicated a lack of communication between
patients and their providers, particularly related to EOL preferences, aggressiveness of
medical treatments, and a high level of reported pain by seriously ill and dying patients.
Which type of disease is a leading cause of death today?
, A. Infectious
B. Autoimmune
C. Chronic
D. Acute - Answers - Answer: C
Rationale: People today are living much longer than those of previous eras. The leading
causes of death have changed from primarily infectious diseases to chronic illnesses. In
2014, the 10 leading causes of death were heart disease, cancer, chronic lower
respiratory diseases, unintentional injuries, stroke, Alzheimer's disease, diabetes,
influenza and pneumonia, kidney disease, and suicide. These 10 causes of death
accounted for 74% of the 2.6 million deaths in 2014.
What is the purpose of the eight domains of palliative care?
A. To reflect national guidelines for quality palliative care
B. To correlate palliative care with hospice parameters
C. To determine nursing school palliative care learning objectives
D. To educate physicians on the benefits of a palliative care - Answers - Answer: A
Rationale: The domains of quality palliative care are designed to complement the
process of improving PC quality. The qualifications of caregivers are determined by the
organizations that grant professional credentials and programmatic accreditation. As a
specialty organization, the Hospice and Palliative Care Nurses Association has
identified the scope and standards of hospice and palliative care nursing and the
competencies at all levels of nursing practice, specifically nursing assistants, licensed
vocational nurses, professional registered nurses, and advanced practice nurses.
In addition to the nurse, which professionals are core members of the palliative care
team?
A. Dietician and physical therapist
B. Physician and pharmacist
C. Physician and nursing assistant
D. Physician and social worker - Answers - Answer: D
Rationale: At the very minimum, the interprofessional team includes the physician,
nurse, social worker, and clergy. While physical therapists, dieticians, and nursing
assistants can play significant roles in the patient's care, they are not considered part of
the minimal team.
What is the last step in the advanced practice nurse's standards for development and
implementation of a plan of care?
A. Planning
B. Consultation
C. Diagnosis
D. Evaluation - Answers - Answer: D
Rationale: A specific notation of standards applies only to the advanced practice nurse,
especially when creating a plan of care for the patient. The steps involved are
assessment, diagnosis, outcome identification, planning, implementation, coordination
of care, health teaching and health promotion, consultation, prescriptive authority and
treatment, and evaluation
The majority of hospice care is provided in which setting?
A. Hospitals
B. Private residences
C. Jails
D. PC clinics - Answers - Answer: B
Rationale: While hospice occurs in many different settings such as acute care hospital
units, PC clinics or ambulatory settings, private practices, and prisons, most hospice
care is provided in private residences such as nursing homes, homes, and residential
facilities.
Which entity is the first professional organization for excellence in the practice of
hospice nursing?
A.National Board for Certification of Hospice and Palliative Nurses (NBCHPN)
B. Hospice and Palliative Nurses Foundation (HPNF)
C. AdvancingExpertCare(AEC)
D. Hospice and Palliative Care Nurses Association (HPNA) - Answers - Answer: D
Rationale: Incorporated in 1987, the Hospice Nurses Association (HNA) became the
first professional nursing organization dedicated to promoting excellence in the practice
of hospice nursing. NBCHN is the National Board for Certification of Hospice and
Palliative Nurses. HPNF is the Hospice and Palliative Nurses Foundation. In 2014, the
HPNA came together with the Hospice and Palliative Nurses Foundation (HPNF) and
the Hospice and Palliative Credentialing Center (HPCC) to form a partnership with a
synergized mission. The three distinct organizations form Advancing Expert Care
(AEC).
In 1995, SUPPORT investigators came to which conclusion?
A. Patients with end-of-life care felt they had adequate communication with their
healthcare
providers.
B. Patients with end of life care were requesting less-aggressive medical treatments.
C. Dying patients require an individual and collective commitment from healthcare
providers.
D. Dying patients were reporting moderate levels of pain and needed little increase in
medication. - Answers - Answer: C
Rationale: The "Study to Understand Prognoses and Preferences for Outcomes and
Risks of Treatment" (SUPPORT; SUPPORT Study Investigators, 1995) investigators
believed that improving the end-of-life care for patients required an individual and
collective commitment of healthcare providers and that the caregiving processes
needed to be reshaped. SUPPORT findings indicated a lack of communication between
patients and their providers, particularly related to EOL preferences, aggressiveness of
medical treatments, and a high level of reported pain by seriously ill and dying patients.
Which type of disease is a leading cause of death today?
, A. Infectious
B. Autoimmune
C. Chronic
D. Acute - Answers - Answer: C
Rationale: People today are living much longer than those of previous eras. The leading
causes of death have changed from primarily infectious diseases to chronic illnesses. In
2014, the 10 leading causes of death were heart disease, cancer, chronic lower
respiratory diseases, unintentional injuries, stroke, Alzheimer's disease, diabetes,
influenza and pneumonia, kidney disease, and suicide. These 10 causes of death
accounted for 74% of the 2.6 million deaths in 2014.
What is the purpose of the eight domains of palliative care?
A. To reflect national guidelines for quality palliative care
B. To correlate palliative care with hospice parameters
C. To determine nursing school palliative care learning objectives
D. To educate physicians on the benefits of a palliative care - Answers - Answer: A
Rationale: The domains of quality palliative care are designed to complement the
process of improving PC quality. The qualifications of caregivers are determined by the
organizations that grant professional credentials and programmatic accreditation. As a
specialty organization, the Hospice and Palliative Care Nurses Association has
identified the scope and standards of hospice and palliative care nursing and the
competencies at all levels of nursing practice, specifically nursing assistants, licensed
vocational nurses, professional registered nurses, and advanced practice nurses.
In addition to the nurse, which professionals are core members of the palliative care
team?
A. Dietician and physical therapist
B. Physician and pharmacist
C. Physician and nursing assistant
D. Physician and social worker - Answers - Answer: D
Rationale: At the very minimum, the interprofessional team includes the physician,
nurse, social worker, and clergy. While physical therapists, dieticians, and nursing
assistants can play significant roles in the patient's care, they are not considered part of
the minimal team.
What is the last step in the advanced practice nurse's standards for development and
implementation of a plan of care?
A. Planning
B. Consultation
C. Diagnosis
D. Evaluation - Answers - Answer: D
Rationale: A specific notation of standards applies only to the advanced practice nurse,
especially when creating a plan of care for the patient. The steps involved are
assessment, diagnosis, outcome identification, planning, implementation, coordination
of care, health teaching and health promotion, consultation, prescriptive authority and
treatment, and evaluation
