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.)
I will receive care from a variety of interprofessional team members."
I will need to have private insurance because Medicare does not cover hospice services."
"My provider will recommend that I enter hospice care when I have 1 year left to live."
I can receive care in the hospital or at home."
"I can discontinue hospice care whenever I want."
Correct Answer : A,D,E
A. "I will receive care from a variety of interprofessional team members."
This statement is correct. Hospice care typically involves a team of healthcare professionals, including nurses, doctors, social workers, and other specialists, working together to address the physical, emotional, and spiritual needs of the patient.
B. "I will need to have private insurance because Medicare does not cover hospice services."
This statement is incorrect. Hospice services are typically covered by Medicare, Medicaid, and most private insurance plans. Patients and families should check their specific coverage, but in general, hospice services are covered by various insurance providers.
C. "My provider will recommend that I enter hospice care when I have 1 year left to live."
This statement is incorrect. The specific time frame for entering hospice care is not solely based on having one year left to live. Hospice care is generally appropriate for individuals with a prognosis of six months or less, but it depends on the patient's specific clinical condition and needs. The decision to enter hospice is based on the patient's overall health status, not a specific timeline.
D. "I can receive care in the hospital or at home."
This statement is correct. Hospice care can be provided in various settings, including the patient's home, nursing homes, or hospice facilities. The goal is to provide comfort and support wherever the patient feels most comfortable.
E. "I can discontinue hospice care whenever I want."
This statement is correct. Hospice care is based on the patient's choice, and they have the right to discontinue hospice care at any time. It's important for patients to have autonomy and make decisions that align with their preferences and values.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Provide education to the community about the manifestations of tuberculosis
While community education is important for awareness, it may not be the most immediate action needed to prevent the spread of tuberculosis. Reporting the case to the public health department allows for targeted interventions, including contact tracing and testing, which are more specific to controlling the spread of the disease.
B. Report the active case to the public health department.
Reporting the active case to the public health department is crucial for initiating appropriate public health measures, such as contact tracing and ensuring that individuals who may have been exposed to tuberculosis receive testing and, if necessary, treatment. This helps in preventing the further spread of the disease within the community.
C. Ensure client adherence to the medication regimen:
Ensuring client adherence to the medication regimen is essential for the individual's treatment but may not directly address the prevention of tuberculosis spread within the community. This action focuses on the individual's care rather than the broader public health perspective.
D. Perform tuberculosis screenings throughout the community:
While community screenings are valuable for early detection, initiating screenings for the entire community may not be the immediate and most efficient response. It's more targeted and effective to identify and test individuals who may have been in close contact with the known active case, as determined through reporting to the public health department.
Correct Answer is C
Explanation
A. Contact the local health department.
Contacting the local health department may be necessary for additional support, but it is not the initial action required in the immediate assessment and management of individuals with symptoms.
B. Notify the parents of the students.
Notifying parents is important, but it is a secondary step. The immediate concern is to assess and address the well-being of the affected students.
C. Establish a triage area.
Explanation: The priority in this situation is to assess and prioritize the individuals who are experiencing symptoms. Establishing a triage area allows the nurse to quickly evaluate the severity of symptoms, identify those in need of immediate attention, and organize the response accordingly.
D. Administer oxygen therapy.
Administering oxygen therapy is a treatment intervention that should be based on individual assessments and may not be the first step. Establishing a triage area allows for a systematic approach to identifying and prioritizing individuals in need of specific interventions, including oxygen therapy.
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