TEST BANK
FOUNDATIONS AND ADULT
HEALTH NURSING
8th Edition
By Kim Cooper, Kelly Gosnell
FROM CHAPTER
40-58
,Chapter 40: Hospice Care
Test Bank for Foundations and Adult Health Nursing 8th Edition Kim Cooper Kelly Gosnell
MULTIPLE CHOICE
1. What is the overall objective of hospice service?
a. Relieve symptoms of terminal disease.
b. Educate the patient about the process of death.
c. Keep the patient comfortable as death approaches.
d. Relieve the family of the stress of death.
ANS: C
Hospice is a philosophy of care that provides support and comfort to patients who are dying.
DIF: Cognitive Level: Comprehension REF: 1204 OBJ: 1
TOP: Hospice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
2. Who was responsible for renewing the hospice philosophy in the 1960s?
a. Cicely Saunders
b. Lillian Wald
c. Dorothea Dix
d. Florence Nightingale
ANS: A
The idea of hospice is originated in Europe. Dame Cicely Saunders renewed the idea of
hospice in the 1960s. NURSINGTB.COM
DIF: Cognitive Level: Knowledge REF: 1204 OBJ: 1
TOP: Hospice KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
3. The hospice nurse clarifies that hospice service is initiated when what type of treatment is no
longer effective?
a. Proactive
b. Palliative
c. Alternative
d. Curative
ANS: D
Hospice care is appropriate when curative treatment is no longer effective. Hospice service is
palliative, proactive, and an alternative to curative treatment.
DIF: Cognitive Level: Comprehension REF: 1206 OBJ: 2
TOP: Hospice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
4. The nurse differentiates between curative and palliative care. What is true of curative
treatment?
a. Curative treatment is centered on symptom control.
b. Curative treatment is focused on prolonging life.
c. Curative treatment is not concerned with dying.
NURSINGTB.COM
, d. Curative treatment is the only care covered by health insurance.
ANS: B
Curative treatment is aggressive care that aims to cure disease and prolong life. Palliative care
is not curative in nature and is centered on symptom control. Both types of care are typically
covered by health insurance.
DIF: Cognitive Level: Application REF: 1206 OBJ: 2
TOP: Hospice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
5. Because the family is confused about the meaning of palliative care, the hospice nurse needs
to explain the focus of care. What is the focus of palliative care?
a. An aggressive approach to prolong life
b. A protocol of pain relief
c. A form of organized care, which relieves the family of responsibility
d. An integrated service of support for alleviation of symptoms
ANS: D
Palliative care is not curative but is an integrated plan designed to relieve pain and control
symptoms. The goal is not to prolong life. While pain relief may be one aspect of hospice
care, it is not what treatment is centered upon. The family is not relieved of their
responsibility.
DIF: Cognitive Level: Analysis REF: 1205-1206 OBJ: 2
TOP: Hospice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
N R I G B. C M
6. The hospice nurse explains th a U S Nlif yTforadmOis sion to a hospice, the attending health
t to qua
care provider must certify that the patient has a life expectancy of fewer than how many
months?
a. 2 months
b. 3 months
c. 4 months
d. 6 months
ANS: D
The patient must meet certain criteria to be admitted to hospice, such as a prognosis of 6
months or fewer to live.
DIF: Cognitive Level: Comprehension REF: 1206 OBJ: 3
TOP: Hospice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
7. The hospice nurse requests that the patient designate a primary caregiver for himself. What is
true of the primary caregiver?
a. Must be a relative.
b. Has complete control over the patient’s care.
c. Assumes ongoing responsibility for health maintenance of the patient.
d. Must have power of attorney.
ANS: C
NURSINGTB.COM
, A primary caregiver is one who assumes responsibility for health maintenance and therapy. It
is not necessary that the primary caregiver be a relative. The primary caregiver does not have
complete control over the patient’s care, and it is not necessary for the primary caregiver to
have power of attorney.
DIF: Cognitive Level: Application REF: 1207 OBJ: 3
TOP: Hospice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
8. Why is it important for the hospice nurse to provide time to confer with the patient and
family?
a. To show concern
b. To report changes in the plan of care designed by the team
c. To confirm the ongoing reimbursement
d. To plan for changes in the scope of care
ANS: D
No changes should be made to the patient’s plan of care without first discussing it with the
entire family. The family should be involved in planning the changes in the scope of care.
DIF: Cognitive Level: Application REF: 1209 OBJ: 1
TOP: Hospice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity
9. The patient informs the hospice nurse, “I’m not sold on this hospice thing. I’m not looking for
Jesus, I’m just dying.” What would be the most therapeutic response by the nurse?
a. “Spiritualism is as you define it.”
b. “Rejecting the spiritual aN ecR
spU t oSfIyN
ouGrsTeB . CayOnMot be in your best interest.”
lfm
c. “Hospice service is about how to make your remaining time meaningful.”
d. “Based on what you say, hospice service may not answer your needs.”
ANS: C
The holistic approach of hospice pertains to the total patient care including physical,
emotional, social, economic, and spiritual needs of the patient with no particular emphasis on
any one of those aspects.
DIF: Cognitive Level: Analysis REF: 1206 | 1207 OBJ: 1
TOP: Hospice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity
10. What is the role of the hospice medical director?
a. To design and direct the plan of care
b. To evaluate the appropriateness of the care
c. To function as mediator between the team and the attending health care provider
d. To take the place of the patient’s attending health care provider
ANS: C
The medical director is a mediator between the interdisciplinary team and the attending health
care provider. The interdisciplinary team designs the plan of care. The primary team, along
with the interdisciplinary team, evaluates the appropriateness of care. The medical director
does not take the place of the attending health care provider, but instead acts as a consultant
for the attending health care provider.
NURSINGTB.COM
FOUNDATIONS AND ADULT
HEALTH NURSING
8th Edition
By Kim Cooper, Kelly Gosnell
FROM CHAPTER
40-58
,Chapter 40: Hospice Care
Test Bank for Foundations and Adult Health Nursing 8th Edition Kim Cooper Kelly Gosnell
MULTIPLE CHOICE
1. What is the overall objective of hospice service?
a. Relieve symptoms of terminal disease.
b. Educate the patient about the process of death.
c. Keep the patient comfortable as death approaches.
d. Relieve the family of the stress of death.
ANS: C
Hospice is a philosophy of care that provides support and comfort to patients who are dying.
DIF: Cognitive Level: Comprehension REF: 1204 OBJ: 1
TOP: Hospice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
2. Who was responsible for renewing the hospice philosophy in the 1960s?
a. Cicely Saunders
b. Lillian Wald
c. Dorothea Dix
d. Florence Nightingale
ANS: A
The idea of hospice is originated in Europe. Dame Cicely Saunders renewed the idea of
hospice in the 1960s. NURSINGTB.COM
DIF: Cognitive Level: Knowledge REF: 1204 OBJ: 1
TOP: Hospice KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
3. The hospice nurse clarifies that hospice service is initiated when what type of treatment is no
longer effective?
a. Proactive
b. Palliative
c. Alternative
d. Curative
ANS: D
Hospice care is appropriate when curative treatment is no longer effective. Hospice service is
palliative, proactive, and an alternative to curative treatment.
DIF: Cognitive Level: Comprehension REF: 1206 OBJ: 2
TOP: Hospice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
4. The nurse differentiates between curative and palliative care. What is true of curative
treatment?
a. Curative treatment is centered on symptom control.
b. Curative treatment is focused on prolonging life.
c. Curative treatment is not concerned with dying.
NURSINGTB.COM
, d. Curative treatment is the only care covered by health insurance.
ANS: B
Curative treatment is aggressive care that aims to cure disease and prolong life. Palliative care
is not curative in nature and is centered on symptom control. Both types of care are typically
covered by health insurance.
DIF: Cognitive Level: Application REF: 1206 OBJ: 2
TOP: Hospice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
5. Because the family is confused about the meaning of palliative care, the hospice nurse needs
to explain the focus of care. What is the focus of palliative care?
a. An aggressive approach to prolong life
b. A protocol of pain relief
c. A form of organized care, which relieves the family of responsibility
d. An integrated service of support for alleviation of symptoms
ANS: D
Palliative care is not curative but is an integrated plan designed to relieve pain and control
symptoms. The goal is not to prolong life. While pain relief may be one aspect of hospice
care, it is not what treatment is centered upon. The family is not relieved of their
responsibility.
DIF: Cognitive Level: Analysis REF: 1205-1206 OBJ: 2
TOP: Hospice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
N R I G B. C M
6. The hospice nurse explains th a U S Nlif yTforadmOis sion to a hospice, the attending health
t to qua
care provider must certify that the patient has a life expectancy of fewer than how many
months?
a. 2 months
b. 3 months
c. 4 months
d. 6 months
ANS: D
The patient must meet certain criteria to be admitted to hospice, such as a prognosis of 6
months or fewer to live.
DIF: Cognitive Level: Comprehension REF: 1206 OBJ: 3
TOP: Hospice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
7. The hospice nurse requests that the patient designate a primary caregiver for himself. What is
true of the primary caregiver?
a. Must be a relative.
b. Has complete control over the patient’s care.
c. Assumes ongoing responsibility for health maintenance of the patient.
d. Must have power of attorney.
ANS: C
NURSINGTB.COM
, A primary caregiver is one who assumes responsibility for health maintenance and therapy. It
is not necessary that the primary caregiver be a relative. The primary caregiver does not have
complete control over the patient’s care, and it is not necessary for the primary caregiver to
have power of attorney.
DIF: Cognitive Level: Application REF: 1207 OBJ: 3
TOP: Hospice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
8. Why is it important for the hospice nurse to provide time to confer with the patient and
family?
a. To show concern
b. To report changes in the plan of care designed by the team
c. To confirm the ongoing reimbursement
d. To plan for changes in the scope of care
ANS: D
No changes should be made to the patient’s plan of care without first discussing it with the
entire family. The family should be involved in planning the changes in the scope of care.
DIF: Cognitive Level: Application REF: 1209 OBJ: 1
TOP: Hospice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity
9. The patient informs the hospice nurse, “I’m not sold on this hospice thing. I’m not looking for
Jesus, I’m just dying.” What would be the most therapeutic response by the nurse?
a. “Spiritualism is as you define it.”
b. “Rejecting the spiritual aN ecR
spU t oSfIyN
ouGrsTeB . CayOnMot be in your best interest.”
lfm
c. “Hospice service is about how to make your remaining time meaningful.”
d. “Based on what you say, hospice service may not answer your needs.”
ANS: C
The holistic approach of hospice pertains to the total patient care including physical,
emotional, social, economic, and spiritual needs of the patient with no particular emphasis on
any one of those aspects.
DIF: Cognitive Level: Analysis REF: 1206 | 1207 OBJ: 1
TOP: Hospice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity
10. What is the role of the hospice medical director?
a. To design and direct the plan of care
b. To evaluate the appropriateness of the care
c. To function as mediator between the team and the attending health care provider
d. To take the place of the patient’s attending health care provider
ANS: C
The medical director is a mediator between the interdisciplinary team and the attending health
care provider. The interdisciplinary team designs the plan of care. The primary team, along
with the interdisciplinary team, evaluates the appropriateness of care. The medical director
does not take the place of the attending health care provider, but instead acts as a consultant
for the attending health care provider.
NURSINGTB.COM
