A nurse is reinforcing teaching with a client who has a terminal illness and is considering palliative care services. Which of the following statements by the client indicates an understanding?
"This service assists with making me comfortable during my illness."
"This service provides my caregiver the opportunity to take time for themselves."
"I will need to go to a skilled facility to receive these services."
"I will receive help with managing my meals with this service."
The Correct Answer is A
Choice A reason: This statement indicates an understanding of palliative care services, as they aim to improve the quality of life of people with serious or life altering illnesses by providing symptom relief, emotional support, and spiritual care.
Choice B reason: This statement does not indicate an understanding of palliative care services, as they do not directly provide respite care for caregivers. However, palliative care services may help caregivers cope with the stress and burden of caring for a terminally ill person, and may refer them to other resources that can offer respite care.
Choice C reason: This statement does not indicate an understanding of palliative care services, as they do not require the person to go to a skilled facility. Palliative care services can be provided in various settings, such as hospitals, nursing homes, outpatient clinics, or at home.
Choice D reason: This statement does not indicate an understanding of palliative care services, as they do not provide meal management for the person. However, palliative care services may include nutritionists who can offer dietary advice and guidance for the person, and may coordinate with other services that can help with meal preparation and delivery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This statement does not demonstrate health literacy by the client, but rather a need for more health education. Health literacy is the ability to obtain, process, and understand basic health information and services needed to make appropriate health decisions. Requesting further information to improve their health indicates that the client may lack some knowledge or skills related to their condition.
Choice B reason: This statement demonstrates health literacy by the client, as it shows that they have learned and applied an important selfcare behavior for diabetes management. Taking blood glucose daily is a way to monitor and control blood sugar levels, which can prevent or delay complications of diabetes.
Choice C reason: This statement does not demonstrate health literacy by the client, but rather a need for more communication with their provider. Health literacy is not only about acquiring information, but also about using it effectively to make informed decisions. Asking to speak with their provider suggests that the client may have some questions or concerns that need to be addressed.
Choice D reason: This statement does not demonstrate health literacy by the client, but rather a need for more nutritional guidance. Health literacy is not only about understanding information, but also about acting on it to improve health outcomes. Requesting to speak with a nutritionist implies that the client may need some assistance with planning and following a healthy diet for diabetes.
Correct Answer is A
Explanation
Choice A reason: A sentinel event is a serious adverse event that results in death, permanent harm, or severe temporary harm to a patient. Administering incompatible blood products to a client is a sentinel event because it can cause fatal hemolytic reactions.
Choice B reason: Administering client medications 30 minutes late is not a sentinel event, unless it leads to a serious adverse outcome for the patient. Medication errors are common and preventable, and they should be reported and analyzed to improve patient safety.
Choice C reason: Documenting vital signs at the wrong time in the client’s electronic health record is not a sentinel event, unless it leads to a serious adverse outcome for the patient. Documentation errors are also common and preventable, and they should be corrected and avoided to ensure accurate and timely information.
Choice D reason: Administering a prescribed sedative to a client for insomnia is not a sentinel event, unless it leads to a serious adverse outcome for the patient. Sedatives are commonly used to treat insomnia, and they should be prescribed and administered with caution and monitoring⁵.
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