A nurse is admitting a client who has a hip fracture from a recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?

Inform the client's partner that they will be unable to care for the client

Consult case management

Obtain referral for occupational therapy services

Facilitate the client’s discharge to home

Answer and Explanation

The Correct Answer is B

A. Informing the partner they are unable to care for the client without further assessment and support is not appropriate.
B. Consulting case management is crucial to evaluate the home care situation, including the partner’s ability to provide care, and to arrange appropriate resources or support services.
C. Referring for occupational therapy is important for rehabilitation but does not address the overall home care planning or the partner’s capability to provide care.
D. Facilitating discharge to home without assessing the adequacy of home care arrangements could put the client at risk, so consulting case management is a more comprehensive approach.

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Correct Answer is ["A","B","C","D"]

Explanation

A. Collaborating with a health care provider is essential in palliative care for integrating medical treatments and addressing the overall care plan.
B. A nutritionist is important for managing dietary needs and ensuring nutritional support in palliative care.
C. A social worker assists with psychosocial issues, resource needs, and family support, which are crucial in palliative care.
D. A chaplain provides spiritual care and support, addressing the emotional and spiritual needs of patients and families in palliative settings.
E. A registrar, while important for administrative functions, is not directly involved in patient care and would not be a primary collaborator in interprofessional rounds for palliative care.

A. Husband of the dying wife B. The dying wife C. Hospice staff D. A priest

Correct Answer is B

Explanation

A. While the husband is deeply involved in the care, he may not fully know the wife’s preferences for end-of-life care.
B. The dying wife is the most reliable source of her own preferences for end-of-life care, as she can directly communicate her wishes.
C. Hospice staff can provide guidance and support but are not the primary source of the patient’s personal preferences.
D. A priest may offer spiritual guidance but does not have the authority to determine the individual’s personal end-of-life care preferences.

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A nurse is admitting a client who has a hip fracture from a recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?

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A palliative care nurse is preparing to participate in interprofessional rounds. Which of the following members of the interprofessional team should the nurse plan to collaborate with?

Correct Answer is ["A","B","C","D"]

Explanation

While caring for his dying wife, the husband states that his wife is a devout Roman Catholic, but he is a Baptist. Who is considered the most reliable source of preferences concerning end-of-life (EOL) care for his dying wife?

Correct Answer is B

Explanation

A nurse is providing education about Medicaid to a client who is pregnant and cannot pay for medical insurance. The nurse should recognize that which of the following statements by the client indicates an understanding of the teaching?

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Which of the following best describes the focus of school health initiatives that aim to empower individuals by addressing various determinants of health and well-being?

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The nurse is assessing a terminally ill client who is on home hospice care and notes that the client is demonstrating signs of terminal delirium and becoming more unresponsive. Which of the following instructions should the nurse give to the client’s children?