TEST BANK FOR PALLIATIVE
CARE NURSING QUALITY CARE
TO THE END OF LIFE 5TH
EDITION MATZO
, Palliative Care Nursing Quality Care to the End of Life 5th Edition Matzo Test Bank
CHAPTER 1 Palliative Care Nursing
Multiple Choice
1. The majority of hospice care is provided in which setting?
A. Hospitals
B. Private residences
C. Jails
D. PC clinics
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.
2. 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. Advancing Expert Care (AEC)
D. Hospice and Palliative Care Nurses Association (HPNA)
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).
3. 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.
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
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, related to EOL preferences, aggressiveness of medical treatments, and a high level of reported
pain by seriously ill and dying patients.
4. Which type of disease is a leading cause of death today?
A. Infectious
B. Autoimmune
C. Chronic
D. Acute
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.
5. 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
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.
6. 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
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.
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, 7. 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
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.
8. Which situation shows a nurse demonstrating competency in collaboration when providing
palliative care?
A. Checking current research on effective pain management when determining the care plan
for an end-of-life patient
B. Consulting with a dietician when determining the meal plan for a patient with end-stage
renal failure
C. Providing a list of caregiver support groups to a patient's family members
D. Reflecting on actions taken in a care situation and how they may be improved
Answer: B
Rationale: Interprofessional collaborative practice involves different types of health
professionals working together with patients, families, and communities to deliver best practices
and best patient outcomes. Practicing evidence-based nursing, being knowledgeable regarding
resources to assist patients and families, and evaluating care are nursing competencies but does
not reflect interprofessional collaboration.
9. What is the core principle of palliative care?
A. Patient’s family involvement is approved by the healthcare provider.
B. Patient’s care depends primarily on the disease involved.
C. Patient and healthcare provider are the unit of care.
D. Patient and family are the unit of care.
Answer: D
Rationale: A core principle of palliative care across the entire disease spectrum and in all settings
is that the patient and family constitute the unit of care. The patient and family, rather than the
disease, are the primary focus of care. Family-centered care forms the foundation of palliative
care philosophy; it addresses the meaning of disease, suffering, life, and death within the context
of each family unit.
10. Physical, psychological, spiritual, and social dimensions are part of which conceptual model?
A. Whole-person suffering
B. Calkin model of advanced nursing practice
C. Systems approach
D. Clinical ethics
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CARE NURSING QUALITY CARE
TO THE END OF LIFE 5TH
EDITION MATZO
, Palliative Care Nursing Quality Care to the End of Life 5th Edition Matzo Test Bank
CHAPTER 1 Palliative Care Nursing
Multiple Choice
1. The majority of hospice care is provided in which setting?
A. Hospitals
B. Private residences
C. Jails
D. PC clinics
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.
2. 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. Advancing Expert Care (AEC)
D. Hospice and Palliative Care Nurses Association (HPNA)
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).
3. 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.
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
=>
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Distribution of this document is illegal
, related to EOL preferences, aggressiveness of medical treatments, and a high level of reported
pain by seriously ill and dying patients.
4. Which type of disease is a leading cause of death today?
A. Infectious
B. Autoimmune
C. Chronic
D. Acute
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.
5. 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
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.
6. 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
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.
=>
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Distribution of this document is illegal
, 7. 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
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.
8. Which situation shows a nurse demonstrating competency in collaboration when providing
palliative care?
A. Checking current research on effective pain management when determining the care plan
for an end-of-life patient
B. Consulting with a dietician when determining the meal plan for a patient with end-stage
renal failure
C. Providing a list of caregiver support groups to a patient's family members
D. Reflecting on actions taken in a care situation and how they may be improved
Answer: B
Rationale: Interprofessional collaborative practice involves different types of health
professionals working together with patients, families, and communities to deliver best practices
and best patient outcomes. Practicing evidence-based nursing, being knowledgeable regarding
resources to assist patients and families, and evaluating care are nursing competencies but does
not reflect interprofessional collaboration.
9. What is the core principle of palliative care?
A. Patient’s family involvement is approved by the healthcare provider.
B. Patient’s care depends primarily on the disease involved.
C. Patient and healthcare provider are the unit of care.
D. Patient and family are the unit of care.
Answer: D
Rationale: A core principle of palliative care across the entire disease spectrum and in all settings
is that the patient and family constitute the unit of care. The patient and family, rather than the
disease, are the primary focus of care. Family-centered care forms the foundation of palliative
care philosophy; it addresses the meaning of disease, suffering, life, and death within the context
of each family unit.
10. Physical, psychological, spiritual, and social dimensions are part of which conceptual model?
A. Whole-person suffering
B. Calkin model of advanced nursing practice
C. Systems approach
D. Clinical ethics
=>
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