Certified Hospice and Palliative Assistant (CHPNA) Practice Test

Patients with chronic renal failure become eligible for hospice care under which condition?

1. When their kidneys have fully ceased functioning

2. When they are no longer undergoing dialysis

3. When they have been diagnosed with terminal cancer

4. When they exhibit stage five kidney disease

The correct answer is: When they are no longer undergoing dialysis

A patient with chronic renal failure becomes eligible for hospice care primarily when they are no longer undergoing dialysis. This situation typically indicates that the patient has chosen to discontinue aggressive treatment, signaling a shift towards end-of-life care. Hospice is designed for individuals who are nearing the end of life and focuses on providing comfort and support rather than curative treatment. When patients stop dialysis, it often reflects a change in their treatment goals, moving towards palliative care that prioritizes quality of life and symptom management. This option aligns with the philosophy of hospice care, which is to support patients and their families during the final stages of life without the intent to prolong life through medical intervention. While patients with stage five kidney disease and those with fully ceased kidney function may also qualify for hospice under certain circumstances, it is the choice to discontinue dialysis that directly indicates a patient’s readiness for this type of palliative care. A diagnosis of terminal cancer is not a requirement for hospice eligibility, as hospice services can be appropriate for various terminal illnesses beyond cancer.