Test Bank for Palliative Care Nursing Quality Care to the End of Life 5th Edition by Marianne Matzo, Deborah Sherman
Test Bank for Palliative Care Nursing Quality Care to the End of Life 5th Edition by Marianne Matzo, Deborah Sherman
,Test Bank for Palliative Care Nursing Quality Care to the End of Life 5th Edition by Marianne Matzo,
Deborah Sherman
Palliative Care Nursing Quality Care to the End of Life 5th Edition Matzo
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
Test Bank for Palliative Care Nursing Quality Care to the End of Life 5th Edition by Marianne Matzo,
Deborah Sherman
,Test Bank for Palliative Care Nursing Quality Care to the End of Life 5th Edition by Marianne Matzo,
Deborah Sherman
findings indicated a lack of communication between patients and their providers, particularly
Test Bank for Palliative Care Nursing Quality Care to the End of Life 5th Edition by Marianne Matzo,
Deborah Sherman
, Test Bank for Palliative Care Nursing Quality Care to the End of Life 5th Edition by Marianne Matzo,
Deborah Sherman
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.
Test Bank for Palliative Care Nursing Quality Care to the End of Life 5th Edition by Marianne Matzo,
Deborah Sherman
Test Bank for Palliative Care Nursing Quality Care to the End of Life 5th Edition by Marianne Matzo, Deborah Sherman
,Test Bank for Palliative Care Nursing Quality Care to the End of Life 5th Edition by Marianne Matzo,
Deborah Sherman
Palliative Care Nursing Quality Care to the End of Life 5th Edition Matzo
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
Test Bank for Palliative Care Nursing Quality Care to the End of Life 5th Edition by Marianne Matzo,
Deborah Sherman
,Test Bank for Palliative Care Nursing Quality Care to the End of Life 5th Edition by Marianne Matzo,
Deborah Sherman
findings indicated a lack of communication between patients and their providers, particularly
Test Bank for Palliative Care Nursing Quality Care to the End of Life 5th Edition by Marianne Matzo,
Deborah Sherman
, Test Bank for Palliative Care Nursing Quality Care to the End of Life 5th Edition by Marianne Matzo,
Deborah Sherman
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.
Test Bank for Palliative Care Nursing Quality Care to the End of Life 5th Edition by Marianne Matzo,
Deborah Sherman