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CHPNA Actual Questions
killexams.com Nursing CHPNA
HPCC Certified Hospice and Palliative Nursing Assistant
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When working with patients of diverse cultural backgrounds, it is important for the Certified Hospice and Palliative Nursing Assistant (CHPNA) to:
Impose their own cultural beliefs on the patient.
Disregard cultural differences and treat all patients the same.
ncourage patients to abandon their cultural practices.
wer: C
anation: The CHPNA should respect and maintain a neutral attitude ding the cultural background of patients. It is essential to recognize a cultural differences, as they influence beliefs, values, and practices
ed to end-of-life care. By acknowledging and respecting cultural diver HPNA can provide culturally sensitive care and ensure that the patie idual needs and preferences are met.
tient expresses feelings of guilt and a sense of estrangement from thei ones. The nursing assistant should
smiss the patient's feelings as irrational.
Maintain a neutral attitude and respect the patient's cultural background.
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encourage the patient to suppress those feelings for the sake of peace.
provide spiritual support and facilitate open communication.
refer the patient to a mental health professional.
Answer: C
ch of the following is an important aspect of patient and family suppor ng the final hours of life?
roviding medical interventions to prolong life. ffering companionship and a comforting presence. nsuring the presence of family members at all times. ncouraging discussions about funeral arrangements.
wer: B
anation: During the final hours of life, a CHPNA can provide crucial ort by offering companionship and a comforting presence. This involv present with the patient, providing emotional support, and creating a eful and supportive environment. It may include holding a patient's ha
Explanation: The nursing assistant should provide spiritual support and facilitate open communication when a patient expresses feelings of guilt and estrangement. Spiritual support involves acknowledging and validating the patient's feelings, providing a non-judgmental and compassionate presence, and creating a safe space for the patient to express their emotions. Facilitating open communication can help the patient explore and address the underlying issues contributing to their feelings of guilt and estrangement, which can promote healing and reconciliation.
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providing gentle reassurance, and being available to address any concerns or needs that arise.
A patient is experiencing grief and loss after the death of a loved one. The nursing assistant should offer
suggest the patient seek support solely from family and friends.
advice on how to suppress and avoid grieving to prevent emotional distress.
distraction techniques to divert the patient's attention from the grief.
anation: The nursing assistant should offer information on cy/community services that provide grief support when a patient is riencing grief and loss after the death of a loved one. Grief can be a plex and challenging emotional process, and patients may benefit from ional support beyond their immediate circle of family and friends. By iding information about available grief support services, the nursing tant helps connect the patient to resources that can provide profession ance, counseling, and group support during their grieving journey.
When providing patient and family support, a CHPNA may offer respite c does respite care involve?
ssisting with personal care and comfort measures.
ffering temporary relief and support to primary caregivers. dvocating for the patient and family's needs.
roviding emotional support and companionship.
information on agency/community services that provide grief support. Answer: D
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Answer: B
are.
Explanation: Respite care involves providing temporary relief and support to primary caregivers. It allows caregivers the opportunity to take a break from their caregiving responsibilities, attend to their own needs, or engage in other activities. By offering respite care, a CHPNA helps alleviate caregiver stress
and burnout, ensuring the well-being of both the patient and the caregiver.
In providing care to patients, it is essential for the nursing assistant to respect differences and maintain a neutral attitude. This includes respecting differences based on:
hnicity, race, and cultural background. ligious/spiritual preference and sexual preference.
ge difference, living conditions, and treatment choices. of the above.
wer: D
anation: The nursing assistant should respect differences and maintain al attitude regarding ethnicity, race, cultural background, religious/spi rence, sexual preference, age difference, living conditions, and treatm ces. Respecting diversity and maintaining a non-judgmental approach amental principles in providing patient-centered care. By acknowledgi onoring the unique characteristics and preferences of each patient, th ng assistant creates an inclusive and supportive care environment.
tient requests to receive sacraments as part of their spiritual practices.
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nursing assistant should
arrange for the patient to receive the requested sacraments.
discourage the patient from engaging in sacramental practices.
educate the patient about the insignificance of sacraments.
ignore the patient's request as it is not relevant to their care.
Answer: A
gements to facilitate their participation in these practices.
is the purpose of reframing hope in the context of hospice and palliat
ncouraging unrealistic expectations about recovery. inimizing the patient's emotional experience.
iscouraging patients from expressing their fears and concerns. hifting the focus from cure to comfort and quality of life.
wer: D
anation: Reframing hope in hospice and palliative care involves shifti ocus from cure to comfort and quality of life. It does not involve uraging unrealistic expectations about recovery. The goal is to help nts and their families find meaning, peace, and fulfillment in the rema
Explanation: The nursing assistant should arrange for the patient to receive the requested sacraments as part of their spiritual practices. Honoring individual spiritual beliefs and enabling spiritual practices is an essential aspect of providing holistic care. If the patient finds meaning and comfort in receiving sacraments, it is important to respect their wishes and make the necessary arran
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time they have together. Reframing hope acknowledges the reality of the situation while emphasizing the importance of finding hope and purpose in each day.
assisting a patient with treatment choices and advance directives?
Making decisions on behalf of the patient without their input.
Ignoring the patient's treatment choices and advance directives.
Educating the patient about treatment options and facilitating informed decision-making.
Discouraging the patient from considering advance directives.
wer: C
anation: A CHPNA plays a crucial role in educating patients about ment choices and advance directives. They should provide informatio
available options, explain the potential benefits and risks, and facilit med decision-making. It is essential to respect the patient's autonomy re they have the necessary information to make choices aligned with t es and preferences.
tient and their family express a need for information about impending
h. The nursing assistant should
fer the patient and family to a grief counselor to address their concern scourage the patient and family from discussing death to maintain ho ithhold information about impending death to protect the patient and
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family from distress.
provide accurate and honest information about the patient's prognosis and what to expect.
Answer: D
information about the patient's prognosis and what to expect when the patient and family express a need for information about impending death. Open and transparent communication is crucial in end-of-life care. By providing the patient and family with the information they seek, the nursing assistant supports their decision-making, helps them prepare emotionally and practically, and fosters a sense of trust and understanding in the care relationship.
tient expresses a desire to pray but is unable to attend religious servic o transportation limitations. The nursing assistant should
scourage the patient from relying on religious practices for comfort. range transport services to enable the patient's participation in religio ces.
ovide alternative spiritual practices that do not require attendance at ious services.
nore the patient's request as it is not within the scope of the nursing tant's role.
wer: B
anation: The nursing assistant should arrange transport services to ena atient's participation in religious services if the patient expresses a des ay but is unable to attend due to transportation limitations. Enabling
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spiritual practices includes addressing barriers that prevent patients from engaging in activities that hold significance to them. By arranging transport services, the nursing assistant supports the patient's spiritual well-being and helps fulfill their desire to participate in religious services.
When providing care to veterans, the nursing assistant should
avoid discussing the patient's military service to prevent emotional distress.
be aware of potential military-related traumas and sensitivities.
prioritize the needs of non-veteran patients over veteran patients.
wer: B
anation: When providing care to veterans, the nursing assistant should aware of potential military-related traumas and sensitivities. Veterans may rienced unique challenges and traumas during their military service, s mbat-related stress, injuries, or loss of comrades. It is important for th
ng assistant to approach their care with sensitivity, understanding, and ect for their military background. Being aware of these potential traum ws the nursing assistant to provide appropriate support and create a saf athetic care environment.
ch of the following topics should a CHPNA address when providing ation to patients and their families?
isregarding the patient's nutritional and hydration needs.
noring the patient's need for information about impending death.
discourage the patient from seeking support from veteran-specific resources.
Ans
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Avoiding discussions about grief and loss.
Energy-saving techniques and universal precautions. Answer: D
Explanation: When providing education, a CHPNA should address various topics to support patients and their families. This includes energy-saving
techniques to help patients conserve their energy and manage fatigue. It also involves educating patients and families about universal precautions to prevent the spread of infections. By addressing these topics, a CHPNA empowers patients and their families with knowledge and skills to enhance their well- being during the end-of-life journey.
should a CHPNA approach the topic of grief and loss with patients a families?
void discussing grief and loss to protect the patient's emotional well-b isregard the unique needs and experiences of patients and their famili ncourage patients and families to suppress their feelings of grief. rovide emotional support and education about the grieving process.
wer: D
anation: When addressing the topic of grief and loss, a CHPNA shoul ide emotional support and education about the grieving process. Grief al response to loss, and acknowledging and validating the patient's an ly's feelings is essential. By offering support, resources, and informati the grieving process, the CHPNA can assist patients and families in gating their emotions and finding healthy ways to cope with their loss.
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What is the role of a CHPNA in addressing end-of-life concerns and advance directives?
Advocating for the patient's preferences and ensuring their wishes are respected.
Disregarding the patient's wishes regarding end-of-life care.
Preventing discussions about end-of-life concerns.
Making decisions regarding advance directives without involving the patient.
anation: The role of a CHPNA includes advocating for the patient's rences and ensuring their wishes regarding end-of-life care arerespect play a crucial role in facilitating discussions about end-of-life concer dvance directives, ensuring that the patient's preferences are docume ommunicated to the healthcare team. By advocating for the patient, t NA helps ensure that the patient's values and goals of care are honore
tient is nearing the end of life and expresses a fear of dying. The nursi tant should provide reassurance and
commend seeking counseling to cope with the fear of dying. vert the patient's attention away from thoughts of death.
ncourage the patient to suppress their fear and focus on positive thoug ve the patient permission to let go and permission to die.
wer: D
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Explanation: The nursing assistant should give the patient permission to let go and permission to die when a patient expresses a fear of dying. The fear of dying is a common emotional response among patients nearing the end of life. Providing reassurance and permission to let go can help alleviate the patient's anxiety and foster a sense of peace and acceptance. By acknowledging the patient's fear and validating their experience, the nursing assistant supports the
patient's emotional and spiritual well-being during this challenging time.
Which of the following is an essential aspect of providing spiritual care to hospice and palliative care patients?
ncouraging patients to avoid discussing spiritual matters. dministering sacraments according to the patient's religious beliefs. isregarding the patient's individual spiritual beliefs.
wer: C
anation: Providing spiritual care involves respecting and honoring the idual spiritual beliefs of hospice and palliative care patients. inistering sacraments according to the patient's religious beliefs is an rtant aspect of meeting their spiritual needs. It demonstrates sensitivit faith and supports their practices and rituals, promoting a sense of co onnection during the end-of-life journey.
Discouraging patients from engaging in prayer or meditation.
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