A nurse is employed at a hospice organization.
Which of the following conditions must a patient meet to be eligible for hospice care?
The patient has declined additional life-prolonging treatments.
The patient requires inpatient care due to lack of a caregiver.
The patient’s insurance provides coverage for palliative care.
The patient has documentation stating he has less than 12 months to live.
The Correct Answer is D
Choice A rationale
While it is true that many patients who choose hospice care have declined additional life- prolonging treatments, this is not a requirement for eligibility. Some patients may still pursue certain treatments while receiving hospice care.
Choice B rationale
The need for inpatient care due to lack of a caregiver does not determine eligibility for hospice care. Hospice care can be provided in various settings, including the patient’s home, a hospice facility, or a long-term care facility.
Choice C rationale
While insurance coverage can influence access to hospice care, it is not a condition for medical eligibility. The decision for hospice care is based on the patient’s health status and not on their insurance coverage.
Choice D rationale
This is the correct answer. To be eligible for hospice care, a patient must have a prognosis of six months or less to live if the illness runs its normal course.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
The Local Red Cross chapter is not responsible for reporting cases of Lyme disease to the CDC. The Red Cross is primarily involved in disaster response, blood donation, health and safety training and education, and support to military families.
Choice B rationale
The Hospital infection control department is not responsible for reporting cases of Lyme disease to the CDC. While hospital infection control departments play a crucial role in preventing and controlling infections within healthcare settings, they do not typically report cases of diseases like Lyme disease to national public health agencies.
Choice C rationale
The State health department is responsible for reporting cases of Lyme disease to the CDC. Reports of Lyme disease are routinely collected and verified by state and local health departments in accordance with their legal mandate and surveillance practices. After removal of personal identifiers, selected information on cases is shared with the CDC through the National Notifiable Diseases Surveillance System (NNDSS)4.
Choice D rationale
The Office of the Surgeon General is not responsible for reporting cases of Lyme disease to the CDC. The Office of the Surgeon General provides leadership and coordination of U.S. Public Health Service commissioned corps and communicates the best available scientific information to advance the health of the nation.
Correct Answer is A
Explanation
Choice A rationale
The guardian’s statement about inspecting the child’s mouth for sores indicates an understanding of the teaching. Children with leukemia are at a higher risk for infection due to the chemotherapy drugs used in treatment, which can also kill healthy cells, including white blood cells that fight infection. Sores in the mouth could be a sign of infection, and regular inspection can help detect any issues early. This is a crucial part of managing side effects in children receiving leukemia treatment.
Choice B rationale
The statement about ensuring the child gets a measles, mumps, and rubella vaccine this week is incorrect. Children with leukemia have weakened immune systems due to their disease and treatment, and live vaccines such as the MMR vaccine are generally not recommended. Live
vaccines contain a weakened form of the virus or bacteria they protect against, which could cause serious illness in a child with a weakened immune system.
Choice C rationale
The statement about the child feeling better now that he can ride his bicycle is not necessarily indicative of an understanding of the teaching. While physical activity is important for overall health, children with leukemia may need to limit some activities to reduce the risk of injury and infection. It’s important to balance the child’s activity level with their overall health status and risk of complications.
Choice D rationale
The statement about taking the child’s rectal temperature daily is not necessarily indicative of an understanding of the teaching. While monitoring for fever is important in children with leukemia, as it could be a sign of infection, rectal temperatures are generally not recommended due to the risk of causing injury or introducing bacteria.
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