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

Answer and Explanation

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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Correct Answer is C

Explanation

Rationale:

A. Informing the staff member of her appraisal time for that day prior to change-of-shift report is not ideal as it may disrupt the shift handover process.

B. Scheduling the appraisal interview as early in the shift as possible might not be feasible or considerate, especially if it impacts patient care or the staff member's workflow.

C. Providing the staff member with a copy of the appraisal form in advance is best practice as it allows the staff member to prepare for the discussion and address any concerns or achievements.

D. Providing a chair directly across the desk for the staff member to sit in is not as important as preparing the staff member by sharing the appraisal criteria in advance.

A. An infant who has pertussis and is receiving oxygen via nasal cannula B. An adolescent who was admitted to the unit in sickle cell crisis and is ready for discharge instructions C. A school-age child who has diabetes mellitus and requires blood glucose monitoring D. A toddler who has both arms in casts and needs to be fed his breakfast

Correct Answer is A

Explanation

Rationale:

A. An infant who has pertussis and is receiving oxygen via nasal cannula requires immediate assessment to ensure that the oxygen therapy is adequate and to monitor for any signs of respiratory distress or worsening condition.

B. An adolescent who was admitted to the unit in sickle cell crisis and is ready for discharge instructions does not require immediate assessment as the client is stable enough for discharge planning.

C. A school-age child who has diabetes mellitus and requires blood glucose monitoring should be assessed, but it is less urgent compared to a client with a respiratory condition.

D. A toddler who has both arms in casts and needs to be fed his breakfast needs attention, but this is less critical compared to monitoring a client with a respiratory condition.

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A nurse is assessing a group of clients for hospice services. The nurse should recommend hospice care for which of the following clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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