A nurse is assessing a group of clients for hospice services. The nurse should recommend hospice care for which of the following clients?
A client who has diabetes mellitus and is having difficulty self-administering insulin because of poor eye sight
A client who has terminal cancer and needs assistance with pain management
A client who has dementia and needs help with activities of daily living
A client who is recovering from a stroke and needs someone to provide care while his spouse is at work
The Correct Answer is B
Rationale:
A. A client who has diabetes mellitus and is having difficulty self-administering insulin because of poor eyesight may need home health services but not necessarily hospice care unless they are terminally ill.
B. A client who has terminal cancer and needs assistance with pain management is appropriate for hospice care, which focuses on comfort and end-of-life care.
C. A client who has dementia and needs help with activities of daily living might benefit from long-term care or home care services but not necessarily hospice unless they are in the terminal stages.
D. A client who is recovering from a stroke and needs someone to provide care while his spouse is at work requires supportive care rather than hospice care.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. A red rash is concerning but not typically an immediate life-threatening condition compared to other options.
B. Severe flank pain may indicate a serious condition but is not as immediately critical as a life-threatening injury.
C. Multiple fractures can be serious but are generally less urgent compared to critical injuries involving major arteries.
D. A punctured femoral artery is a life-threatening emergency requiring immediate intervention to prevent massive blood loss and ensure survival.
Correct Answer is A
Explanation
Rationale:
A. The physiologic status of the clients is the most critical factor in assigning tasks, ensuring that clients with more complex needs receive appropriate care.
B. Social relationships are secondary to patient safety and quality of care.
C. Personal comfort level should not influence assignment decisions; patient care needs are the priority.
D. Assigning the most experienced nurse to complex clients is appropriate, but it should be based on client needs rather than just experience alone.
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