The family of a patient with end-stage dementia has become dissatisfied with the care provided by the current hospice. After a care conference, the family decides to change to another hospice in the area. The current hospice should

During the course of chemotherapy, a patient reports inability to complete activities of daily living due to fatigue, weakness, and dyspnea on exertion. On room air, pulse oxygen is 96% at rest and 95% after activity. Which of the following is the nurse's BEST intervention?

A palliative patient with multiple myeloma is now exhibiting symptoms of confusion, lethargy, anorexia, and constipation. Which of the following is the BEST nursing action?

An older adult hospice patient describes going on a trip to meet their mother. The patient is MOST likely experiencing

A patient with end-stage congestive heart failure is being aggressively treated with multiple cardiac medications. When asked what their goals of care are, they reply I want to stop all of my medication and be allowed to die in peace. Neither the family nor the cardiologist support the patient's decision. Which of the following is the nurse's BEST action?

What behavior indicates the need for clinician training on positive coping skills?

A bedbound older adult patient is found alone at home. It is evident that medication doses have been missed and the patient is in pain. As the nurse completes the assessment, the patient's daughter arrives. The nurse should FIRST

A patient with lung cancer always rates pain more than 5 out of 10. The caregiver states, I do not want to give the morphine, because it will stop their breathing. Which of the following is the nurse's BEST response?

When accounting for volunteer service hours, a Medicare-certified hospice program should report

If a patient requires costly palliative treatments, which of the following is the MOST appropriate action for the hospice-admitting nurse to take?

An LVN/LPN on the hospice continuous care team has provided care and made changes to the plan of care without collaborating with the supervisory RN on two recent occasions. The RN's MOST appropriate initial course of action is to

Nursing supervision of a nursing assistant in the home should routinely include evaluation of

A new home hospice patient has an infected leg wound requiring daily dressing changes. The family is committed to taking care of the patient at home, but admit to being sleep deprived. The nurse's INITIAL conversation with the family should include a discussion about

Which of the following is MOST significant in determining a prognosis and hospice eligibility for a patient with end-stage lung disease?

The primary purpose of a symptom management algorithm is to

A patient with a stomach tumor describes the abdominal pain as pressure with cramping, and also reports right suprascapular pain. The types of pain described are

A patient has intractable pain. The continuous IV morphine has been titrated to 100 mg/hour. Which of the following side effects is MOST likely to appear at this dose?

Which of the following represents an appropriate example of the World Health Organization Analgesic Ladder for Cancer Pain Management?

The MOST desired outcome of an organization's quality improvement plan is to

Which of the following is MOST significant in determining a prognosis and hospice eligibility for a patient with end-stage lung disease?

Within the last week, a terminally ill patient has become restless, forgetful, and incoherent. The caregiver reports that the patient often moans loudly at night, despite the use of morphine. Which of the following should the nurse do FIRST?

Acetaminophen may be inadvisable in patients with a history of

A patient with an implanted cardiac defibrillator (ICD) and a diagnosis of end-stage heart failure is considering enrolling in hospice. The patient would like to know if the ICD must be turned off upon enrollment. The ICD

A hospice patient with metastatic ovarian cancer is on a continuous morphine infusion at 100 mg/hour with a bolus of 30 mg every 15 minutes as needed. During assessment, the nurse notices somnolence, abdominal distention, decreased bowel sounds, and involuntary jerking movements of the upper extremities. The nurse should obtain an order for

Which of the following is caused by irritation of the phrenic nerve?

A patient with advanced prostate cancer has been referred for hospice services. The physician explains to the patient that their disease is now end-stage, but the patient believes the Lord has healed them. At the admission visit, the patient is experiencing progressive weakness and anorexia. Which of the following should the nurse do?

A caregiver reports insomnia and increasing irritability when caring for the patient. During interdisciplinary team review, which of the following levels of care is MOST appropriate for the patient?

Weight loss, temporal wasting, and fatigue are characteristic of

After the death of a favorite patient, a nurse may facilitate a family's closure by

A hospice patient with ALS lives at home with their partner. The nurse was notified that the partner was just admitted to the hospital with signs of a stroke. The patient is unable to be at home unassisted. The nurse arranges for aides to stay with the patient until arrangements can be made for admission into a nursing home. This is an example of:

A male patient has been diagnosed with advanced breast carcinoma. As the carcinoma progresses, the hospice nurse should be aware of the possibility for:

When can a patient change hospice agencies per regulatory guidelines?

A home hospice patient with cancer, who is on a ventilator for an unrelated previous spinal cord injury, recently told their nurse that they wish to visit their family at their home, 3 hours away. Which of the following ways can the nurse BEST facilitate the patient's wishes?

A terminally ill hospice patient has uncontrolled nausea and vomiting. Which of the following is the nurse's MOST appropriate initial recommendation?

Radiation therapy is MOST likely to be a treatment option for a patient with

A patient with prostate cancer has been ambulatory and able to perform most self-care. Their appetite has been fair in the past week, and opioids and laxatives were increased due to symptom changes. Upon arrival at the home, the hospice nurse finds that the patient is confused. Which of the following are MOST pertinent to the nurse's assessment?

Upon election of the Medicare Hospice Benefit, the hospice provides medications, supplies, and equipment

Which of the following adjuvant medications is helpful in the control of episodic burning pain?

A 16 French catheter with a 30 ml balloon was inserted in a patient for urinary retention, secondary to prostate cancer. The catheter is draining well, but the patient is experiencing bladder spasms. Which of the following should be the nurse's FIRST intervention?

A patient rates their pain as 0 on a scale of 0 to 10, but the nurse observes them grimacing with guarded movement. When the nurse questions the patient's pain rating, they respond, I'm just fine. There is nothing you can do anyway. Which of the following is the MOST important consideration for the nurse?

Which of the following is an undesirable effect of nonsteroidal anti-inflammatory drugs?

A hospice agency asks an RN case manager to become a member of the Quality Assessment Performance Improvement committee and to present the outcome of the Performance Improvement Plan at the next all-staff meeting. This is an example of

A patient with Parkinson's disease is unsteady on their feet and falls repeatedly. Their partner is uncertain how to help them. To ensure patient safety, the nurse should FIRST

A patient with amyotrophic lateral sclerosis becomes aphasic. Which of the following should the nurse expect?

Which of the following is the MOST common complication related to percutaneous epidural catheters?

A hospice patient's pain has stabilized while in an inpatient unit (IPU). The patient will be transferred back home under routine home care services. The nurse's FIRST responsibility is to

Which of the following medications is MOST effective for bone pain when combined with nonsteroidal anti-inflammatories?

In a patient with end-stage renal disease, a nurse should suspect hyperkalemia when the patient is observed to be