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CHPN Study Group – Questions & Solutions (100% Accurate)
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CHPN Study Group – Questions & Solutions (100% Accurate)
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CHPN Study Group – Questions & Solutions (100%Accurate)
The Patient Self-Determination Act requires that hospitals accepting Medicare
patients must
A. Ask if the patient has an advanced directive.
B. Document the presence of a do not resuscitate order.
C. Ensure that patients with terminal illnesses have an advance directive.
D. Require patient to provide copies of their advance directives. Right Ans -
A. Ask if the patient has an advance directive
Goals of advance care planning include
A. Completion of advance directive.
B. Counseling for families with opposing views.
C. Determining values and priorities for end-of-life care.
D. Signing a do not resuscitate order. Right Ans - C. Determining values and
priorities for end-of-life care.
Patients with an out-of-hospital do not resuscitate order
A. Are required to wear and identification bracelet or necklace.
B. May revoke it at any time.
D. Must have a do not resuscitate order written in the event of hospitalization.
D. Will not receive any aggressive treatment. Right Ans - B. May revoke it at
any time.
The Physician Orders for Life-Sustaining Treatment (POLST) differs from a
living will in that the POLST
A. Is a signed medical order by a provider.
B. Is designed for people without a life-limiting illness.
C. Orders are situational.
D. Requires two physician signatures. Right Ans - A. Is a signed medical
order by a provider.
The Patient Self-Determination Act (PSDA was passed as a result of
A. Increasing healthcare costs.
B. Increasing medically-related lawsuits.
C. The Karen Ann Quinlan case.
D. The Nancy Cruzan case. Right Ans - D. The Nancy Cruzan case.
,Which of the following is true about the nurse's role in advance care planning?
A. Complete his/her own advance directive.
B. Initiate discussion on the first encounter with the patient.
C. Know the prognosis for the patient.
D. Wait until the patient is close to dying. Right Ans - A. Complete his/her
own advance directive.
The nurse's primary role in advance care planning is to
A. Advocate for the patient.
B. Ensure ethics committee involvement is the process.
C. Help settle family differences.
D. Obtain a do not resuscitate order. Right Ans - A. Advocate for the patient.
Barriers to completion of an advance directive include
A. Fear of substandard care.
B. Goals of care have already been discussed.
C. No perceived conflict among family member.
D. Prior experience with dying relative. Right Ans - A. Fear of substandard
care.
In discussing advance care planning with a patient with severe chronic
obstructive pulmonary disease, the nurse should
A. Determine if the patient is eligible for Medicaid.
B. Discuss smoking history.
C. Include discussion of intubation.
D. Not upset the patient by discussing possible intubation. Right Ans - C
Include discussion of intubation.
A family member who is designated as the healthcare power of attorney
A. Can sign financial documents
B. Makes decisions in consultation with the patient and healthcare team.
C. Must be included in all healthcare conversations.
D. Only makes healthcare decisions when the patient lacks capacity. Right
Ans - D. Only makes healthcare decisions when the patient lacks capacity.
Core members of the interdisciplinary team under the Medicare Hospice
Benefit include
A. Chaplain, physician, and hospice aides.
, B. Pet therapist, registered nurse, and hospice aide
C. Physician, nurse, medical social worker and counseling services.
D. Volunteers, physicians, and registered nurse. Right Ans - C. Physician,
nurse, medical social worker and counseling services.
Types of typical healthcare teams may include
A. Functional and dysfunctional.
B. Multidisciplinary, interdisciplinary, and transdisciplinary.
C. Pre-disciplinary, mid-disciplinary, and post-disciplinary.
D. Pre-disciplinary, multidisciplinary, and functional. Right Ans - B.
Multidisciplinary, interdisciplinary, and transdisciplinary.
A multidisciplinary team
A. Is comprised of several physicians within a healthcare setting.
B. Can be organized in a hierarchical manner.
C. Is considered to be the most effective.
D. Operates solely in a hospital setting. Right Ans - B. Can be organized in a
hierarchical manner.
According the Medicare Hospice Benefit, how often must the IDG review,
revise, and document the individualized plan?
A. As often as all members of the team can meet together in one room.
B. At least every 15 days.
C. Only with changes in the patient's condition.
D. There are no regulations on how often the team must meet. Right Ans -
B. At least every 15 days.
Which of the following best reflects the definition of peer review?
A. A passive method of supporting clinicians with less experience.
B. A process by which clinicians are held accountable for their practice.
C. Direct supervision of a clinician.
D. Long-term relationship between experienced and less experienced
clinicians. Right Ans - B. A process by which clinicians are held accountable
for their practice.
Volunteers
A. Are required by the Hospice Medicare Benefit.
B. Do not need orientation and training.
C. Provide care including bathing and toileting.
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