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Certified Hospice and Palliative Nursing Assistant Practice Test

CHPNA exam Format | Course Contents | Course Outline | exam Syllabus | exam Objectives

- Assist with Hygiene
- routine personal care
- bathing
- shaving
- oral care
- personal odor control
- colostomy
- perineal
- wounds
- skin care
- Assist with Grooming
- hair care
- nail care
- cleaning
- filing
- foot care
- soaking
- cleaning
- hearing aids and eyeglasses
- dressing and undressing (clothing and accessories)
- Assist with Ambulation/Mobility
- foster/maintain independence
- use of durable medical equipment (DME)
- walker
- mechanical lift
- positioning
- exercise and range of motion
- transfers
- prevention of falls
- Assist with Toileting
- bowel and bladder training
- scheduled toileting
- catheter care
- ostomy care
- adaptive equipment
- raised toilet seat
- bedside commode
- Nutrition/Hydration
- support patient decision not to eat/drink
- feed patient safely
- offer fluids/foods according to patient’s choice and comfort
- observe and report issues related to tube feeding and IV hydration
- Observe and Report on Patient Condition
- patient status in relation to the documented diagnosis
- level of pain (e.g.- on a 0-10 scale)
- changes in level- type- and location in pain
- nonverbal cues
- effectiveness and side effects of medications
- Facilitate Non-Drug Treatment for Symptoms
- therapeutic support
- meditation
- music
- massage
- deep breathing
- diversional/recreational activities
- hot/cold compresses
- repositioning
- Maintain Infection Control
- universal/standard precautions
- biohazardous waste disposal
- sharps
- fluids
- isolation techniques
- Provide and Maintain Best Possible Environment to Support Patient
- personal environment
- familiar objects
- pictures
- homelike
- death in patient’s place of choice
- care according to the patient’s preferred schedule
- safety
- fall precautions
- prevention of hazards
- storage and use of oxygen
- privacy storage and use)
- Identify Changes in Physical Status
- activity level
- vital signs and weight changes
- skin impairment
- breakdown
- rash
- itching
- injury
- elimination habits
- swallowing ability
- nausea/vomiting
- edema and ascites
- signs of impending death
- seizure activity
- Identify Changes in Mental Status
- confusion
- responsiveness
- emotional change
- anxiety
- fear
- depression
- agitation
- terminal restlessness
- Identify Changes in Functional Status
- mobility
- weakness
- sleepiness
- fatigue
- appetite
- Identify Changes in Respiratory Status
- effectiveness of interventions
- nebulizers
- inhalers
- oxygen therapy
- air circulation
- change in breathing patterns
- cough
- apnea
- increased secretions
- Psychosocial/Spiritual Care of the Patient and Family/ Caregivers
- Spiritual Care
- identify spiritual issues
- guilt
- estrangement
- meaning of life
- honor and support individual spiritual beliefs
- enable spiritual practices
- sacraments
- prayer
- arrange transport services
- provide patient and family/caregivers support with letting go
- Respect Differences and Maintain Neutral Attitude
- race- ethnicity- and cultural background
- religious/spiritual preference
- sexual preference
- age
- social and economic circumstances
- treatment choices
- advance directives
- holistic approach
- veterans
- gender identity
- criminal background
- Identify and Assist Patient and Family/Caregiver Needs
- Education
- signs and symptoms of end-of-life
- agency/community services
- grief and loss
- infection control practices
- nutrition/hydration (including unique needs as the patient declines)
- personal care techniques and comfort measures
- Patient and Family/Caregiver Support
- respite (including volunteer support)
- companionship and compassion
- advocacy for patient and family/caregivers
- reframing hope (patient’s expectations)
- end of life concerns
- Assure Dignity and Honor Patient and Family/Caregiver
- allow closure time for loved ones
- bereavement resources
- support groups
- literature
- post-mortem care
- care of body
- care of room
- allow for cultural or spiritual practices at time of death
- Assist with Communication Between Patient- Family/Caregivers- and Care Providers
- barriers to communication
- active listening
- adaptive communication devices (e.g.- word boards)
- use of interpreters
- Provide Support for Changes in Body Image
- physical appearance
- weight change
- hair loss
- amputation
- elimination changes
- ostomies
- incontinence
- catheters
- loss of independence
- Provide Support for Changes in Mental Status
- memory
- medication-related altered mental status
- depression
- anxiety
- post-traumatic stress disorder
- Observe and Report Threats to Patient and Family/Caregiver Safety
- physical abuse
- neglect
- substance abuse
- caregiver’s inability to provide care
- suicidal ideation
- encourage patient and family/caregiver involvement in the plan of care
- provide input to team members in carrying out the plan of care
- provide support and communication during changes in levels of care and across care settings
- assisted living
- hospitalization
- respite
- recognize and report change in family/caregiver dynamics
- review death with the team
- Ethics- Roles- and Responsibilities
- identify and respond to ethical issues
- confidentiality
- honest communication
- maintain boundaries
- within job description
- with patient/family/caregivers
- assist in resolving work-related conflicts
- maintain accurate and timely documentation according to the patient’s plan of care
- identify risks to personal safety (e.g.- firearms in the home)
- serve as a mentor/trainer for new staff
- participate on committees- professional organizations-
- performance-improvement projects
- maintain continuing education confidentiality- honest communication
- promote hospice and palliative care in the community
- practice self-care (e.g.- stress management)

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Nursing
CHPNA
HPCC Certified Hospice and Palliative Nursing Assistant
https://killexams.com/pass4sure/exam-detail/CHPNA
BELOW ARE SOME demo QUESTIONS.
Question: 913
A patient receiving palliative care expresses frustration over persistent itching that disrupts their sleep.
Which of the following factors should you assess that may contribute to this symptom?
A. The patient's dietary intake and hydration status
B. The patient's mobility level during the day
C. The medications the patient is currently taking
D. The patient's family support system
Answer: C
Explanation: Many medications, especially opioids and certain antihistamines, can cause itching as a side
effect. Assessing medication use is crucial.
Question: 914
When assisting a patient who uses eyeglasses, which of the following best practices should be
emphasized to ensure optimal visual function?
A. Allow the patient to wear their eyeglasses only during specific activities
B. Regularly check the fit and condition of the eyeglasses, including lens clarity
C. Assume that the patient knows how to care for their eyeglasses
D. Store the eyeglasses in a drawer to prevent damage
Answer: B
Explanation: Regularly checking the fit and condition of eyeglasses ensures that patients can effectively
use them for optimal visual function.
Question: 915
You notice that a colleague is consistently late in completing necessary documentation. What is the best
way to address this issue as a supportive peer?
A. Publicly criticize them in front of the team
B. Speak to them privately about the importance of timely documentation and offer assistance
C. Report them to a supervisor immediately
D. Ignore the issue, as it is not your responsibility
Answer: B
Explanation: Speaking privately shows support and encourages improvement without creating a negative
atmosphere among the team.
Question: 916
In situations where a patient is hesitant to engage in spiritual discussions due to prior negative
experiences, what is the best approach for the hospice assistant?
A. Forcing the patient to confront their feelings about spirituality
B. Respecting their boundaries and offering support in other areas
C. Encouraging them to talk about spirituality to heal
D. Ignoring the Topic to focus solely on physical care
Answer: B
Explanation: Respecting the patient�s boundaries and offering support in other areas shows sensitivity to
their experiences and promotes trust.
Question: 917
A nursing assistant is tasked with creating a homelike environment for a patient nearing the end of life.
Which of the following strategies best supports this goal?
A. Involving family members in decorating the room with personal items
B. Arranging the patient�s room with hospital equipment only
C. Keeping the room as sterile as possible to prevent infection
D. Limiting visitors to reduce noise and disruption
Answer: A
Explanation: Involving family members in decorating the room with personal items helps create a
comfortable, familiar environment that can enhance the patient�s emotional well-being.
Question: 918
When considering the unique nutritional and hydration needs of a patient as they decline, which of the
following approaches is most appropriate for ensuring comfort while respecting the patient�s preferences?
A. Forcing fluids to prevent dehydration
B. Restricting all food and fluids to avoid choking
C. Disregarding the patient�s appetite and providing high-calorie meals
D. Offering small, frequent sips of preferred fluids and soft foods
Answer: D
Explanation: Offering small, frequent sips of preferred fluids and soft foods respects the patient's
preferences and promotes comfort while addressing the unique challenges of declining nutritional intake.
Question: 919
What is the most appropriate action for a nursing assistant when a family expresses guilt about their
loved one�s condition?
A. Reassuring them that their feelings are unfounded
B. Ignoring their feelings to keep the focus on the patient
C. Encouraging open discussion about their feelings and providing support resources
D. Suggesting they seek professional counseling without further discussion
Answer: C
Explanation: Encouraging discussion allows family members to process their feelings and fosters a
supportive environment.
Question: 920
In a hospice setting, which of the following is the most important consideration when helping a patient
remain in their place of choice?
A. The physical layout of the home
B. The opinions of healthcare providers on the best place for care
C. The financial implications of home care versus facility care
D. The patient's emotional and psychological comfort
Answer: D
Explanation: Prioritizing the patient's emotional and psychological comfort is crucial in supporting their
wishes for end-of-life care.
Question: 921
You are caring for a patient who is displaying emotional changes, specifically increased anxiety and fear
about dying. Which intervention would best support the patient in this situation?
A. Avoid discussing their fears to prevent distress
B. Suggest they focus on their physical health instead
C. Redirect the conversation to positive topics
D. Provide reassurance and engage in active listening
Answer: D
Explanation: Providing reassurance and engaging in active listening allows the patient to express their
fears and may help alleviate anxiety.
Question: 922
When assessing a patient in hospice care, which of the following is the most crucial aspect to consider
when identifying the needs of both the patient and their family members or caregivers, particularly in
relation to emotional support during the end-of-life process?
A. The financial status of the family
B. The patient's medical history only
C. The patient's cultural background and beliefs
D. The presence of family members during visits
Answer: C
Explanation: Understanding the patient's cultural background and beliefs is essential as it significantly
influences their emotional needs and preferences during end-of-life care. This knowledge helps tailor
support and interventions that align with their values.
Question: 923
During a change of shift report, what is the most critical information a nursing assistant should provide
regarding a patient�s exact decline in health?
A. A summary of changes in symptoms, emotional state, and any family concerns expressed
B. Only the medical diagnosis and treatment plan
C. Personal opinions about the patient's care
D. Information that is not relevant to the patient's current condition
Answer: A
Explanation: Providing a comprehensive summary ensures continuity of care and informs the incoming
staff about the patient's overall status.
Question: 924
A patient with a history of substance use disorder is receiving pain management for a terminal condition.
Which of the following is the most important consideration for the nursing assistant in this case?
A. The patient may exaggerate pain levels to obtain more medication.
B. The patient should be treated with the same pain management protocols as others.
C. The patient should avoid all opioid medications regardless of pain levels.
D. The potential for addiction must be balanced with the need for adequate pain control.
Answer: D
Explanation: It is essential to balance the potential for addiction with the need for effective pain
management in patients with a history of substance use disorder.
Question: 925
How should a nursing assistant handle a situation where a family member is visibly upset and conflicts
arise regarding the care plan for a dying patient?
A. Ignore the conflict to avoid escalating emotions further.
B. Take sides to maintain harmony among family members.
C. Acknowledge the family member�s feelings, facilitate a discussion to address their concerns, and
involve the healthcare team as needed.
D. Suggest that the family member leave the room to avoid disrupting care.
Answer: C
Explanation: Acknowledging feelings and facilitating communication helps resolve conflicts and ensures
that the family feels heard and supported in the care process.
Question: 926
In a situation where a patient has expressed a desire for a specific spiritual ritual before death, what
should the nursing assistant prioritize?
A. Ensuring that the ritual is performed according to the family�s preferences.
B. Quickly completing all medical tasks before the ritual begins.
C. Suggesting a more conventional approach to comfort the patient.
D. Documenting the request but not facilitating it due to time constraints.
Answer: A
Explanation: Prioritizing the family's and patient's wishes regarding spiritual rituals honors their beliefs
and provides emotional comfort at the end of life.
Question: 927
When observing a patient for changes in their pain level, what is the most effective way to assess their
pain if they are non-verbal?
A. Observe their facial expressions and body language
B. Monitor the patient�s vital signs closely
C. Ask the family about the patient�s usual pain level
D. Assume no pain if they are not communicating
Answer: A
Explanation: Non-verbal cues such as facial expressions, body language, and movements are critical
indicators of pain in non-verbal patients and should be closely monitored.
Question: 928
Which of the following best describes the role of empathy in providing care to hospice patients and their
families?
A. Empathy allows caregivers to connect with patients and families on an emotional level, fostering trust
and comfort.
B. Empathy is less important than delivering clinical care effectively.
C. Empathy should be reserved for family members only, as patients do not need emotional support.
D. Empathy can be detrimental, as it may lead to over-involvement in the patient's emotional state.
Answer: A
Explanation: Empathy is crucial in hospice care, as it helps build trust and provides emotional support,
enhancing the overall care experience for patients and families.
Question: 929
In assessing the needs of a terminally ill patient and their family, which of the following factors should
be prioritized by nursing assistants to ensure comprehensive care?
A. The patient's previous medical treatments and outcomes.
B. The emotional, spiritual, and practical needs of both the patient and family members.
C. The family's ability to provide care without support.
D. The financial resources available for hospice care services.
Answer: B
Explanation: Addressing the emotional, spiritual, and practical needs of patients and families ensures
holistic care that supports overall well-being.
Question: 930
When assessing a patient�s elimination habits, which of the following factors is most likely to contribute
to a significant change in bowel habits in a terminally ill patient?
A. Increased fluid intake
B. Regular physical activity
C. The use of opioids for pain management
D. A high-fiber diet
Answer: C
Explanation: Opioids can cause constipation by slowing bowel motility, which is a common side effect in
patients receiving palliative care. This can lead to significant changes in bowel habits.
Question: 931
A patient nearing the end of life has developed a severe rash that is causing significant discomfort. What
should you prioritize in your care plan for this patient?
A. Ensuring the patient is kept cool and comfortable
B. Regular assessment of the rash for changes
C. Frequent application of topical creams
D. Educating the family on potential causes of the rash
Answer: A
Explanation: Keeping the patient cool and comfortable can alleviate discomfort associated with a rash,
especially in palliative care.
Question: 932
In managing PTSD symptoms, which therapeutic approach is most effective for helping patients process
their trauma while in hospice care?
A. Avoidance of discussing the trauma
B. Focusing on unrelated life events to distract from trauma
C. Relying solely on pharmacological interventions
D. Exposure therapy in a controlled environment
Answer: D
Explanation: Exposure therapy in a controlled environment allows patients to confront and process their
trauma in a safe context, making it an effective intervention for managing PTSD symptoms.
Question: 933
In a situation where a patient's privacy is compromised during care, what is the most appropriate action
for a nursing assistant to take?
A. Discuss the patient�s condition openly in the hallway
B. Ignore the situation as it is not a priority
C. Ensure the patient is covered properly and close the door for privacy
D. Ask family members to leave the room during care
Answer: C
Explanation: Ensuring proper coverage and closing the door respects the patient�s privacy and dignity
during care.
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Certified Hospice and Palliative Nursing Assistant Practice Test

CHPNA exam Format | Course Contents | Course Outline | exam Syllabus | exam Objectives

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