Certified Hospice and Palliative Care RN
Ultimate Exam Study Guide – Practice
Questions & Verified Answers
Want to study smarter, save time, and boost your exam scores? This powerful study guide is
designed to help students review key concepts quickly while building the confidence needed
to succeed in exams.
Inside this resource, you’ll find carefully structured practice questions that closely reflect real
exam formats, combined with accurate answers and clear explanations that make complex
topics easier to understand.
Instead of spending hours rereading textbooks, this guide allows you to focus on the most
important topics that are commonly tested, helping you prepare more efficiently and
effectively.
What You’ll Find Inside
✔ High-quality exam-style practice questions
✔ Verified answers with detailed explanations
✔ Coverage of essential and frequently tested topics
✔ Clear and organized formatting for easy studying
✔ Up-to-date academic content for reliable preparation
Why This Study Guide Works
This resource is designed to help students learn faster, retain information better, and improve
test performance. By practicing with exam-style questions, you’ll strengthen your
understanding of key concepts and develop the critical thinking skills needed for success.
Perfect For Students Who Want To:
• Prepare effectively for final exams
• Review material before midterms
,• Practice questions similar to real exams
• Improve understanding of challenging topics
• Increase confidence and academic performance
A trusted study resource for students who want better results with less stress.
Prepare smarter, feel confident, and walk into your exam ready to succeed.
Minorities Monopolizing Hospice Care -ANSWER 1 in 5 Hospice pts is a member of a
minority
Hospice was conceived before -ANSWER 475 AD
What year was the "Tax Equality and Fiscal Responsibility Act" and the Medicare Hospice Benefit
therein? -ANSWER 1983
What year was Medicare Hospice Benefit made permanent by Congress? -ANSWER 1986
National Hospice and Palliative Care Organization (NHPCO) -ANSWER Model for quality,
compassionate care for pt at EOL. Hospice involves team oriented approach, pt specific. Support
to pt loved ones.
Everyone has right to die pain-free, with dignity, and families receive report.
In Hospice and Palliative Care, what is the "unit of care"? -ANSWER Pt and Family (as
defined by pt)
Volunteers in Hopsice -ANSWER To meet Medicare's conditions of participation,
volunteers must provide day-to-day admin/direct pt care services in an amount that, at min =
5% of total pt care hours of all paid hospice employees and contract staff.
Bereavement services -ANSWER A minimum of 1 year after pt death.
Most Common Primary Diagnoses in Hospice -ANSWER Cancer - 36.5%
Dementia - 15%
Heart Disease - 13%
Lung - 9
,Unspecifified - 5
Stroke/coma - 5
ESRD - 3
Liver - 2
Etc.
Consultative Members -ANSWER PRN basis, such as physicians, pharmacists, specialists
(like for situations involving children involving a pediatric specialist/nurse).
Multidisciplinary Team -ANSWER Team from other professional disciplines but also
function on independent levels. Gen limited coordination/consultation between disciplines.
Teams can be organized in a hierarchical manner, which can result in limited sharing of decisions
and leadership
Interdisciplinary Team (IDT) -ANSWER Collab approach
Best practice
Physician, nurse, medical social work, counselling (bereavement and spiritual).
Other common team members: aides, volunteers, PT/OT, Speech
Palliative Care -ANSWER Provides relief from pain and other sx
Affirms life and regards dying as normal process
Intends to neither hasten or postpone death
Integrates psychological and spiritual aspects of pt care
Offers support to pt/fam to live as actively as possible until death
Offers support system to fam to cope during and after
Team approach
, Enhance QOL
Applicable early in cousre of illness and in conjunction with other tx
IDT Meeting Frequency Regulations - Inpatient -ANSWER Meet to review/revise no less
freq. than q 15 days.
IDT Meeting Frequency Regulations - Outpatient and Hospital Based -ANSWER No
regulations
IDT Meeting Pt/Fam -ANSWER Encouraged to attend, but not mandatory. Even if not
present, should be included in developing/updating POC.
What are the four dimensions of "whole person suffering" by Dame Cicely Sanders? -ANSWER
Physical, psychological, social, spiritual.
All must be addressed to achieve comfort!
Types of Clinician-Patient/Family Conflict -ANSWER Types of Clinician-pt/fam conflict:
Parentalism - making decisions for pt and infringing on their rights to self-determination
Deception - coercing or manipulating patients to do what care team wants (withholding
information, lying, imposing beliefs on pt)
Confidentiality - disclosing pt information without consent/to those not involved/specifically
asked not to inform.
Parentalism -ANSWER making decisions for pt and infringing on their rights to self-
determination.
Type of conflict between clinician-pt/fam
Deception -ANSWER coercing or manipulating patients to do what care team wants
(withholding information, lying, imposing beliefs on pt)
Type of conflict between clinician-pt/fam
Confidentiality -ANSWER disclosing pt information without consent/to those not
involved/specifically asked not to inform.
Ultimate Exam Study Guide – Practice
Questions & Verified Answers
Want to study smarter, save time, and boost your exam scores? This powerful study guide is
designed to help students review key concepts quickly while building the confidence needed
to succeed in exams.
Inside this resource, you’ll find carefully structured practice questions that closely reflect real
exam formats, combined with accurate answers and clear explanations that make complex
topics easier to understand.
Instead of spending hours rereading textbooks, this guide allows you to focus on the most
important topics that are commonly tested, helping you prepare more efficiently and
effectively.
What You’ll Find Inside
✔ High-quality exam-style practice questions
✔ Verified answers with detailed explanations
✔ Coverage of essential and frequently tested topics
✔ Clear and organized formatting for easy studying
✔ Up-to-date academic content for reliable preparation
Why This Study Guide Works
This resource is designed to help students learn faster, retain information better, and improve
test performance. By practicing with exam-style questions, you’ll strengthen your
understanding of key concepts and develop the critical thinking skills needed for success.
Perfect For Students Who Want To:
• Prepare effectively for final exams
• Review material before midterms
,• Practice questions similar to real exams
• Improve understanding of challenging topics
• Increase confidence and academic performance
A trusted study resource for students who want better results with less stress.
Prepare smarter, feel confident, and walk into your exam ready to succeed.
Minorities Monopolizing Hospice Care -ANSWER 1 in 5 Hospice pts is a member of a
minority
Hospice was conceived before -ANSWER 475 AD
What year was the "Tax Equality and Fiscal Responsibility Act" and the Medicare Hospice Benefit
therein? -ANSWER 1983
What year was Medicare Hospice Benefit made permanent by Congress? -ANSWER 1986
National Hospice and Palliative Care Organization (NHPCO) -ANSWER Model for quality,
compassionate care for pt at EOL. Hospice involves team oriented approach, pt specific. Support
to pt loved ones.
Everyone has right to die pain-free, with dignity, and families receive report.
In Hospice and Palliative Care, what is the "unit of care"? -ANSWER Pt and Family (as
defined by pt)
Volunteers in Hopsice -ANSWER To meet Medicare's conditions of participation,
volunteers must provide day-to-day admin/direct pt care services in an amount that, at min =
5% of total pt care hours of all paid hospice employees and contract staff.
Bereavement services -ANSWER A minimum of 1 year after pt death.
Most Common Primary Diagnoses in Hospice -ANSWER Cancer - 36.5%
Dementia - 15%
Heart Disease - 13%
Lung - 9
,Unspecifified - 5
Stroke/coma - 5
ESRD - 3
Liver - 2
Etc.
Consultative Members -ANSWER PRN basis, such as physicians, pharmacists, specialists
(like for situations involving children involving a pediatric specialist/nurse).
Multidisciplinary Team -ANSWER Team from other professional disciplines but also
function on independent levels. Gen limited coordination/consultation between disciplines.
Teams can be organized in a hierarchical manner, which can result in limited sharing of decisions
and leadership
Interdisciplinary Team (IDT) -ANSWER Collab approach
Best practice
Physician, nurse, medical social work, counselling (bereavement and spiritual).
Other common team members: aides, volunteers, PT/OT, Speech
Palliative Care -ANSWER Provides relief from pain and other sx
Affirms life and regards dying as normal process
Intends to neither hasten or postpone death
Integrates psychological and spiritual aspects of pt care
Offers support to pt/fam to live as actively as possible until death
Offers support system to fam to cope during and after
Team approach
, Enhance QOL
Applicable early in cousre of illness and in conjunction with other tx
IDT Meeting Frequency Regulations - Inpatient -ANSWER Meet to review/revise no less
freq. than q 15 days.
IDT Meeting Frequency Regulations - Outpatient and Hospital Based -ANSWER No
regulations
IDT Meeting Pt/Fam -ANSWER Encouraged to attend, but not mandatory. Even if not
present, should be included in developing/updating POC.
What are the four dimensions of "whole person suffering" by Dame Cicely Sanders? -ANSWER
Physical, psychological, social, spiritual.
All must be addressed to achieve comfort!
Types of Clinician-Patient/Family Conflict -ANSWER Types of Clinician-pt/fam conflict:
Parentalism - making decisions for pt and infringing on their rights to self-determination
Deception - coercing or manipulating patients to do what care team wants (withholding
information, lying, imposing beliefs on pt)
Confidentiality - disclosing pt information without consent/to those not involved/specifically
asked not to inform.
Parentalism -ANSWER making decisions for pt and infringing on their rights to self-
determination.
Type of conflict between clinician-pt/fam
Deception -ANSWER coercing or manipulating patients to do what care team wants
(withholding information, lying, imposing beliefs on pt)
Type of conflict between clinician-pt/fam
Confidentiality -ANSWER disclosing pt information without consent/to those not
involved/specifically asked not to inform.
