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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: Home care is the most appropriate resource referral for this client, as they will need skilled nursing care to perform wound care and monitor the healing process. Home care can also provide education and support for the client and their family.

Choice B reason: Assisted living is not a suitable resource referral for this client, as they do not provide skilled nursing care or wound care. Assisted living facilities are designed for clients who need assistance with activities of daily living, but not medical care.

Choice C reason: Long-term care is not a necessary resource referral for this client, as they do not have a chronic or terminal condition that requires 24hour nursing care. Long-term care facilities are intended for clients who are unable to live independently due to physical or cognitive impairments.

Choice D reason: Hospice care is not an appropriate resource referral for this client, as they do not have a terminal illness or a life expectancy of less than six months. Hospice care provides palliative care and comfort measures for clients who are dying and their families.

A. The minimum number of items on the exam is 65. B. The maximum number of items on the exam is 165. C. All 50 states have the same criteria for passing the exam. D. An 80% confidence rule is used for passing the exam.

Correct Answer is D

Explanation

Choice A reason: The minimum number of items on the exam is 65 is not an information that the nurse should identify about the NCLEX exam. This is a false statement that does not reflect the current format of the exam. According to the NCSBN website, the minimum number of items on the NCLEXRN exam is 75, and the minimum number of items on the NCLEXPN exam is 85.
Choice B reason: The maximum number of items on the exam is 165 is not information that the nurse should identify about the NCLEX exam. This is a false statement that does not reflect the current format of the exam. According to the NCSBN website, the maximum number of items on the NCLEXRN exam is 145, and the maximum number of items on the NCLEXPN exam is 205.
Choice C reason: All 50 states have the same criteria for passing the exam is not an information that the nurse should identify about the NCLEX exam. This is a false statement that does not account for the variations in the passing standards among different jurisdictions. According to the NCSBN website, the passing standard for the NCLEXRN exam is 0.2700 logits, and the passing standard for the NCLEXPN exam is 0.1800 logits. However, some jurisdictions may have additional requirements or criteria for licensure or registration, such as education, background checks, or jurisprudence exams.
Choice D reason: An 80% confidence rule is used for passing the exam is information that the nurse should identify about the NCLEX exam. This is a true statement that describes the statistical method that is used to determine the pass or fail status of the candidates. According to the NCSBN website, the NCLEX exam uses a computerized adaptive testing (CAT) model that adjusts the difficulty and the number of the items based on the candidate's ability. The exam ends when the candidate's ability estimate is either above or below the passing standard with at least 80% confidence, or when the maximum or minimum number of items or time is reached.

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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?

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