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

Exam Code: ACHPN

Exam Name: Advanced Certified Hospice and Palliative Nurse

Total Questions: 175 multiple-choice questions (each with 4 options, only 1 correct answer). 150 scored questions, 25 unscored pretest questions

Time Allotted: 3.5 hours (210 minutes) to complete the exam.

Passing Criteria: A scaled score of 500 (on a scale of 200–800) is required to pass.



- Nursing Process in Caring for Patients and Families

- Conduct a comprehensive patient exam in the context of serious illness including functional and nutritional status, patient/caregiver knowledge, emotions and coping strategies, support systems, resources/needs, and environmental factors

- Collect patient information (e.g., medical & psychosocial history, spiritual & cultural preferences, comprehensive review of systems, advance care planning documents, medical decision makers)

- Perform a systems-based physical examination

- Identify past and present goals of care and expectations in the context of health beliefs, values, and practices



- Diagnosis and Planning

- Formulate and prioritize differential diagnoses and apply findings to develop the plan of care

- Identify expected outcomes in relation to patient/caregiver goals of care, prognosis, and the improvement of quality of life

- Develop interventions based on patient/caregiver values, goals, and preferences, prognosis, level of care, available resources, and expected risks and benefits

- Establish safe, multimodal pain management plans



- Intervention and Evaluation

- Collaborate with the interdisciplinary team to develop, implement, evaluate, and modify the plan of care based on changing functional status, illness trajectory, care system, and patient/caregiver goals

- Communicate diagnoses, progression of disease, expected prognosis, and plan of care with the patient/caregiver and interdisciplinary health care team

- Recommend strategies to address psychosocial needs (minimize caregiver burden, patient/caregiver vulnerability, coping, bereavement, emotional and spiritual health)

- Implement pharmacologic therapies and facilitate nonpharmacologic interventions (e.g., palliative surgery, procedures, radiation, counseling, psychological therapy, complementary and alternative interventions)

- Facilitate advance care planning and care coordination with inpatient and outpatient teams



- Biomedical, Clinical, and Psychosocial-Behavioral Knowledge

- Explain the disease process and understand evidence-based palliative management for serious diseases and conditions

- Recognize hospice and palliative care emergencies (e.g., spinal cord compression, hemorrhage, seizures, superior vena cava syndrome) and provide evidence-based management

- Identify signs and symptoms associated with serious diseases and conditions and provide evidence-based management

- Understand psychosocial, emotional, and spiritual needs and provide evidence-based management

- Determine prognosis using evidence-based tools and comprehensive patient exam

- Serious Illness, Loss, Dying, Grief, and Bereavement

- Identify common tenets of major religions and cultures in relation to serious illness, dying, and death

- Address issues related to loss, bereavement, grief, and mourning in the context of culture, ethnicity, race, and other factors



- Education and Communication

- Education (Patients, Caregivers, Health Care Communities)

- Establish a therapeutic environment and apply age-appropriate teaching methods tailored to the needs of the patient, family, and other caregivers

- Develop, implement, and evaluate formal and informal education



- Communication

- Analyze own communication (verbal and nonverbal) and possible interpretations

- Recognize and incorporate cultural differences when discussing hospice and palliative care

- Create an environment for effective communication and demonstrate therapeutic presence while maintaining professional boundaries

- Use appropriate principles and techniques to communicate serious news

- Initiate and facilitate conferences among patient, family, caregivers, medical and interdisciplinary team members, and other key stakeholders



- Professionalism

- Promote principles of biomedical ethics

- Address ethical issues related to withholding or withdrawing treatment, and non-beneficial treatment

- Address ethical issues related to palliative sedation, medical aid in dying, and suicide

- Scope, Standards, and Guidelines

- Identify and resolve issues related to scope of practice and practice protocols

- Incorporate national hospice and palliative standards and guidelines into advanced nursing practice

- Leadership and Self-Development

- Share knowledge through publications, presentations, precepting, and mentoring

- Educate local, state, and national organizations, institutions, and individuals about hospice and palliative care (e.g., differentiate palliative care from hospice care)

- Develop practice guidelines to advance hospice and palliative care

- Identify and address burnout, compassion fatigue, and moral distress in self and others



- Systems Issues

- Resource Access, Utilization, and Continuum of Care

- Advocate for timely access to palliative care and hospice services

- Develop hospice and palliative care programs and services

- Identify potential barriers and resources to promote continuity of care across all settings

- Maintain current knowledge of trends in legislation, policy, health care delivery, and reimbursement as they impact hospice and palliative care

- Quality Improvement

- Participate in continuous quality improvement

- Provide value-based, quality care

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