A nurse is teaching a client who has a terminal illness about hospice care.
Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.).

Choice A, This action is crucial for preventing the spread of MRSA, which is commonly found in wounds and can be transmitted through contact with contaminated dressings. Double-bagging ensures that the contaminated material is securely contained, reducing the risk of transmission.

Choice B, Removing fresh flowers is a general precaution often taken in hospital settings to reduce the risk of infections for immunocompromised patients. However, it is not specifically necessary for managing MRSA in a home environment unless the client has a significantly weakened immune system and is at risk for opportunistic infections..

Choice C,HEPA filters are used to improve air quality by removing particulates, allergens, and some pathogens. However, MRSA is typically spread through direct contact or contaminated surfaces, not through the air, so this measure is not specifically effective for MRSA prevention.

Choice D,MRSA is primarily spread through direct contact with infected wounds or contaminated surfaces, rather than through respiratory droplets. Therefore, wearing a mask within 3 feet of the client is not typically required for MRSA unless the client has a respiratory infection with MRSA. The focus should be on contact precautions rather than droplet precautions.

The correct answers are A. “I can discontinue hospice care whenever I want.”, B. “I can receive care in the hospital or at home.”, and D. “I will receive care from a variety of interprofessional team members.”

Choice A rationale:

Clients have the right to discontinue hospice care at any time if they choose to pursue curative treatments or if their condition improves.

Choice B rationale:

Hospice care can be provided in various settings, including the client’s home, a hospital, a nursing home, or a hospice facility.

Choice C rationale:

This statement is incorrect. Medicare does cover hospice services for eligible patients, so private insurance is not necessary.

Choice D rationale:

Hospice care involves a multidisciplinary team approach, including doctors, nurses, social workers, chaplains, and other professionals to address the holistic needs of the patient.

Choice E rationale:

Hospice care is typically recommended when a patient is expected to have six months or less to live, not one year.