1. a resident of a skilled nursing facility is receiving chemotherapy to prolong their life. what is one type of care that may be available to this resident?
options: hospice care, palliative care, continuous home care, inpatient respite care

2. which hospice team member mainly provides companionship and a supportive presence to residents?
options: hospice aide, chaplain, social worker, volunteer

3. who must receive hospice bereavement services after the death of a nursing facility resident who received hospice care?
options: all facility residents, anyone identified in the bereavement plan of care, all staff of the facility, anyone who served the resident as a hospice volunteer

4. what member of the hospice interdisciplinary group may best work with the resident or their family on anxiety related to imminent death?
options: rn, volunteer, social worker, physician

5. what is the best way hospice and facility staff can support the family of a resident who is hours to days from death and pushing away food and fluids?
options: suggest starting intravenous fluids, suggest the family express their anxiety to the resident, teach that dehydration will likely cause death, teach that thirst or hunger are unlikely

Question

1. a resident of a skilled nursing facility is receiving chemotherapy to prolong their life. what is one type of care that may be available to this resident?
options: hospice care, palliative care, continuous home care, inpatient respite care

2. which hospice team member mainly provides companionship and a supportive presence to residents?
options: hospice aide, chaplain, social worker, volunteer

3. who must receive hospice bereavement services after the death of a nursing facility resident who received hospice care?
options: all facility residents, anyone identified in the bereavement plan of care, all staff of the facility, anyone who served the resident as a hospice volunteer

4. what member of the hospice interdisciplinary group may best work with the resident or their family on anxiety related to imminent death?
options: rn, volunteer, social worker, physician

5. what is the best way hospice and facility staff can support the family of a resident who is hours to days from death and pushing away food and fluids?
options: suggest starting intravenous fluids, suggest the family express their anxiety to the resident, teach that dehydration will likely cause death, teach that thirst or hunger are unlikely

Accepted Answer

### Question 1
# Brief Explanations:
The resident is receiving chemotherapy to prolong life, and palliative care focuses on providing relief from symptoms and improving quality of life, which is appropriate here as it can support alongside treatments aiming to prolong life. Hospice care is for end - of - life when cure is not sought, continuous home care is more for intensive home - based hospice, and inpatient respite is for short - term relief for caregivers. So palliative care is the right option.
# Answer:
B. Palliative care

### Question 2
# Brief Explanations:
Hospice aides are the members of the hospice team who mainly provide companionship and a supportive presence to residents. Chaplains provide spiritual support, social workers handle social and emotional issues in a broader way, and volunteers have a more varied role but not mainly companionship.
# Answer:
A. Hospice aide

### Question 3
# Brief Explanations:
After the death of a nursing facility resident who received hospice care, all facility residents are not the ones who must receive bereavement services. The bereavement plan of care identifies those who need it, and it's not all staff or just hospice volunteers. So anyone identified in the bereavement plan of care must receive the services.
# Answer:
C. Anyone identified in the bereavement plan of care

### Question 4
# Brief Explanations:
Social workers in the hospice interdisciplinary group are well - equipped to work with residents or their families on anxiety related to imminent death as they deal with the emotional and social aspects of end - of - life situations. RNs focus on medical care, volunteers have a more general role, and physicians focus on medical aspects.
# Answer:
C. Social worker

### Question 5
# Brief Explanations:
When a resident is hours to days from death and pushing away food and fluids, teaching the family that thirst or hunger are unlikely is the best way. Suggesting intravenous fluids or stating them is not appropriate as the body is shutting down, and teaching that dehydration will cause death is incorrect as it's a natural part of the dying process.
# Answer:
D. Teach that thirst or hunger are unlikely

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