Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. The hospice nurse instructs the famil y 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 safet y of the drug storage in the patient’s home.
d. Monitor drug effectiveness by frequent phone interviews with the
famil y.
ANS: B
The hospice pharmacist is available to consult about drug interactions
with other drugs or food. The pharmacist does no t administer the drugs.
The nurse would evaluate the safet y of drug storage in the home and
monitor the drug effectiveness.
DIF: Cognitive Level: Anal ysis REF: p. 1210 OBJ: 4
TOP: Hospice KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiol ogical Integrit y
2. 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
ANS: B
The hospice nurse does the nutritional assessment during admission.
DIF: Cognitive Level: Comprehension REF: p. 1210
OBJ: 4 TOP: Hospice KEY: Nursing Process
Step: Assessment MSC: NC LEX: Physiological Integrit y
3. When a deficiency in nutritional status of a patient is assessed, what
action should be taken by the hospic e nurse?
a. Make a comprehensive grocery list for the caregiver.
b. Alert the licensed medical nutritionist.
c. Seek culturall y appropriate methods to increase nutrition.
d. Instruct the caregiver to give the patient multivitamins.
ANS: B
The hospice nurse can call on the nutritionist for assistance for the
patient who is assessed as having a nutritional deficit. The nutritionist
can then provide assistance with meal planning and diet counseling.
DIF: Cognitive Level: Anal ysis REF: p. 1210 OBJ: 4
TOP: Hospice KEY: Nursing Process Step:
Assessment MSC: NC LEX: Physiological Integrit y
, 4. What symptom of hospice patients is the most dreaded and feared, and
should be a priorit y of symptom management?
a. Fear
b. Anger
c. Grief
d. Pain
ANS: D
While hospice patients experience all of these symptoms, pain is the
most dreaded and feared. Pain disrupts the qualit y, activities, and
enjoyment of life. Pain should be a priority of symptom management in
hospice care.
DIF: Cognitive Level: Application REF: p. 1211 OBJ: 5
TOP: Hospice KEY: Nursing Process Step:
Assessment MSC: NC LEX: Psychosocial Integrit y
5. During a pain assessment, the patient tells the nurse that the pain is
aching, stabbing, and throbbing. What t ype of pain is the patient
describing?
a. Visceral
b. Neuropathic
c. Somatic
d. Ps ychogenic
ANS: C
Somatic pain arises from the musculoskeletal system and is aching,
stabbing, or throbbing. Visceral pain arises from the internal organs