Certified Hospice and Palliative Assistant (CHPNA) Practice Test

What is an essential intervention for patients with dysphagia?

1. Teach family the importance of oral hygiene to prevent complications

2. Encourage high fluid intake for hydration

3. Provide thickened liquids only

4. Limit all solid food consumption

The correct answer is: Teach family the importance of oral hygiene to prevent complications

Teaching family members the importance of oral hygiene to prevent complications is an essential intervention for patients with dysphagia. Patients with dysphagia often have difficulty swallowing, which can lead to an increased risk of aspiration and subsequent respiratory complications, such as pneumonia. Maintaining good oral hygiene helps reduce the buildup of bacteria in the mouth, which can be particularly concerning since these bacteria can enter the lungs if aspiration occurs. In addition to improving oral hygiene, it is critical for caregivers to understand how to assist patients effectively, ensuring they are aware of the risks associated with dysphagia and the importance of regular oral care. This intervention not only fosters a safe environment for the patient but also contributes positively to their overall health and comfort. In contrast, while hydration is important, simply encouraging high fluid intake does not address the specific safety measures necessary when dealing with dysphagia, which often requires modifications in how liquids are presented. Providing thickened liquids can be a part of the management plan, but it is not the only response needed to ensure safety and maintain hygiene. Lastly, limiting all solid food consumption could be overly restrictive without considering the individual needs and capabilities of the patient, as some may still tolerate certain solid foods with appropriate modifications.