Latest PDF of CHPNA: HPCC Certified Hospice and Palliative Nursing Assistant

HPCC Certified Hospice and Palliative Nursing Assistant Practice Test

CHPNA test Format | Course Contents | Course Outline | test Syllabus | test 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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killexams.com Nursing CHPNA
HPCC Certified Hospice and Palliative Nursing Assistant
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BELOW ARE SOME demo QUESTIONS.
Question: 913
of the following factors should you assess that may contribute to this symptom?
patient's dietary intake and hydration status patient's mobility level during the day medications the patient is currently taking patient's family support system
er: C
nation: Many medications, especially opioids and certain antihistamines, can cause itching as Assessing medication use is crucial.
ion: 914
ssisting a patient who uses eyeglasses, which of the following best practices should be sized to ensure optimal visual function?
ow the patient to wear their eyeglasses only during specific activities gularly check the fit and condition of the eyeglasses, including lens clarity ume that the patient knows how to care for their eyeglasses
re the eyeglasses in a drawer to prevent damage er: B
nation: Regularly checking the fit and condition of eyeglasses ensures that patients can effecti
A patient receiving palliative care expresses frustration over persistent itching that disrupts their sleep. Which
1. The
2. The
3. The
4. The Answ
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effect.
Quest
When a empha
1. All
2. Re
3. Ass
4. Sto Answ
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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?
1. Publicly criticize them in front of the team
2. Speak to them privately about the importance of timely documentation and offer assistance
3. Report them to a supervisor immediately
4. 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
cing the patient to confront their feelings about spirituality pecting their boundaries and offering support in other areas couraging them to talk about spirituality to heal
oring the Topic to focus solely on physical care er: B
nation: Respecting the patient�s boundaries and offering support in other areas shows sensitiv xperiences and promotes trust.
ion: 917
ing assistant is tasked with creating a homelike environment for a patient nearing the end of of the following strategies best supports this goal?
olving family members in decorating the room with personal items anging the patient�s room with hospital equipment only
eping the room as sterile as possible to prevent infection miting visitors to reduce noise and disruption
er: A
nation: Involving family members in decorating the room with personal items helps create a rtable, familiar environment that can enhance the patient�s emotional well-being.
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?
1. For
2. Res
3. En
4. Ign Answ
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their e
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Which
1. Inv
2. Arr
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comfo
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?
1. Forcing fluids to prevent dehydration
2. Restricting all food and fluids to avoid choking
3. Disregarding the patient�s appetite and providing high-calorie meals
4. Offering small, frequent sips of preferred fluids and soft foods
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?
assuring them that their feelings are unfounded oring their feelings to keep the focus on the patient
couraging open discussion about their feelings and providing support resources ggesting they seek professional counseling without further discussion
er: C
nation: Encouraging discussion allows family members to process their feelings and fosters a tive environment.
ion: 920
ospice setting, which of the following is the most important consideration when helping a pat in their place of choice?
physical layout of the home
opinions of healthcare providers on the best place for care financial implications of home care versus facility care patient's emotional and psychological comfort
er: D
nation: Prioritizing the patient's emotional and psychological comfort is crucial in supporting for end-of-life care.
Re
Ign
En
Su
Answ Expla
suppor
Quest
In a h ient
remain
1. The
2. The
3. The
4. The Answ
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wishes
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?
1. Avoid discussing their fears to prevent distress
2. Suggest they focus on their physical health instead
3. Redirect the conversation to positive topics
4. 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?
financial status of the family patient's medical history only
patient's cultural background and beliefs presence of family members during visits
er: C
nation: Understanding the patient's cultural background and beliefs is essential as it significa nces their emotional needs and preferences during end-of-life care. This knowledge helps tail
and interventions that align with their values.
ion: 923
a change of shift report, what is the most critical information a nursing assistant should pro ing a patient�s exact decline in health?
ummary of changes in symptoms, emotional state, and any family concerns expressed y the medical diagnosis and treatment plan
sonal opinions about the patient's care
ormation that is not relevant to the patient's current condition er: A
nation: Providing a comprehensive summary ensures continuity of care and informs the inco bout the patient's overall status.
The
The
The
The Answ
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influe or
support
Quest
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regard
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2. Onl
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4. Inf Answ
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staff a
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?
1. The patient may exaggerate pain levels to obtain more medication.
2. The patient should be treated with the same pain management protocols as others.
3. The patient should avoid all opioid medications regardless of pain levels.
4. The potential for addiction must be balanced with the need for adequate pain control.
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?
ore the conflict to avoid escalating emotions further. ke sides to maintain harmony among family members.
knowledge the family member�s feelings, facilitate a discussion to address their concerns, an the healthcare team as needed.
ggest that the family member leave the room to avoid disrupting care. er: C
nation: Acknowledging feelings and facilitating communication helps resolve conflicts and e family feels heard and supported in the care process.
ion: 926
tuation where a patient has expressed a desire for a specific spiritual ritual before death, what the nursing assistant prioritize?
suring that the ritual is performed according to the family�s preferences. ckly completing all medical tasks before the ritual begins.
ggesting a more conventional approach to comfort the patient. cumenting the request but not facilitating it due to time constraints.
er: A
nation: Prioritizing the family's and patient's wishes regarding spiritual rituals honors their be ovides emotional comfort at the end of life.
Ign
Ta
Ac d
involve
Su
Answ
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that the
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In a si should
1. En
2. Qui
3. Su
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and pr
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?
1. Observe their facial expressions and body language
2. Monitor the patient�s vital signs closely
3. Ask the family about the patient�s usual pain level
4. 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?
pathy allows caregivers to connect with patients and families on an emotional level, fosterin mfort.
pathy is less important than delivering clinical care effectively.
pathy should be reserved for family members only, as patients do not need emotional suppor pathy can be detrimental, as it may lead to over-involvement in the patient's emotional state.
er: A
nation: Empathy is crucial in hospice care, as it helps build trust and provides emotional sup cing the overall care experience for patients and families.
ion: 929
essing the needs of a terminally ill patient and their family, which of the following factors sh oritized by nursing assistants to ensure comprehensive care?
patient's previous medical treatments and outcomes.
emotional, spiritual, and practical needs of both the patient and family members. family's ability to provide care without support.
financial resources available for hospice care services.
er: B
nation: Addressing the emotional, spiritual, and practical needs of patients and families ensur care that supports overall well-being.
ion: 930
Em g trust
and co
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Em
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Quest
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be pri
1. The
2. The
3. The
4. The
Answ
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holistic
Quest
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?
1. Increased fluid intake
2. Regular physical activity
3. The use of opioids for pain management
4. 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?
1. Ensuring the patient is kept cool and comfortable
quent application of topical creams
ucating the family on potential causes of the rash er: A
nation: Keeping the patient cool and comfortable can alleviate discomfort associated with a r ally in palliative care.
ion: 932
naging PTSD symptoms, which therapeutic approach is most effective for helping patients pr auma while in hospice care?
oidance of discussing the trauma
using on unrelated life events to distract from trauma ying solely on pharmacological interventions
posure therapy in a controlled environment er: D
nation: Exposure therapy in a controlled environment allows patients to confront and process in a safe context, making it an effective intervention for managing PTSD symptoms.
ion: 933
Regular assessment of the rash for changes
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especi
Quest
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1. Av
2. Foc
3. Rel
4. Ex
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Quest
In a situation where a patient's privacy is compromised during care, what is the most appropriate action for a nursing assistant to take?
1. Discuss the patient�s condition openly in the hallway
2. Ignore the situation as it is not a priority
3. Ensure the patient is covered properly and close the door for privacy
4. 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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