Certified Hospice and Palliative Assistant (CHPNA) Practice Test

Which reversible cause can lead to anorexia/cachexia syndrome in end-stage illness?

1. Xerostomia (dry mouth)

2. Chronic pain

3. Depression

4. Malnutrition

The correct answer is: Xerostomia (dry mouth)

Xerostomia, or dry mouth, is indeed a reversible condition that can contribute to anorexia and cachexia syndrome in patients with end-stage illnesses. The sensation of a dry mouth can significantly diminish the desire to eat, making it difficult for patients to consume enough nutrients. This lack of nourishment can lead to cachexia, which is characterized by weight loss, muscle wasting, and weakened immunity, often seen in individuals with chronic illnesses. In contrast, chronic pain can lead to reduced appetite and general malaise, but it is often more complex and not easily reversible. Similarly, depression can profoundly impact appetite and overall motivation to eat, yet it may require more extensive treatment strategies to manage effectively. Malnutrition itself can result from anorexia and is a state that is typically less reversible than xerostomia. Thus, understanding xerostomia's implications highlights the importance of addressing this condition in patients to improve their ability to eat and prevent further deterioration associated with anorexia and cachexia syndrome.