A primary care nurse is assessing a patient with advanced heart failure who is experiencing frequent hospitalizations and worsening symptoms despite optimal management. Which action by the nurse best demonstrates an understanding of recommending the patient for palliative care services?
Referring the patient to a cardiologist for a second opinion on treatment options.
Scheduling the patient for additional diagnostic tests to evaluate the progression of the heart failure.
Discussing with the patient and family the benefits of palliative care in managing symptoms and improving quality of life.
Educating the patient about the importance of adhering to prescribed medications
The Correct Answer is C
A. Referring to a cardiologist may be appropriate for treatment options, but it does not address the broader goals of palliative care focused on quality of life and symptom management.
B. Additional diagnostic tests focus on disease progression but do not address the supportive care needs that palliative care can provide.
C. Discussing palliative care with the patient and family aligns with the goal of improving quality of life and managing symptoms, which is central to palliative care services.
D. Medication adherence is important but does not encompass the comprehensive approach of palliative care, which includes symptom management and support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Health disparities can easily result in health inequities that disadvantage certain populations." This is correct. Health disparities contribute to health inequities, meaning that certain populations may experience worse health outcomes due to social, economic, and environmental disadvantages.
B. "Health disparities must be resolved prior to receiving any third-party insurance payments." This is incorrect. Addressing health disparities is not a precondition for insurance payments; rather, it is an ongoing concern for improving health outcomes across different populations.
C. "Identification of health disparities requires major research to determine actions to correct them." This is incorrect. While research is important, identifying health disparities does not necessarily require extensive research; it involves recognizing differences in health outcomes and access to care that can be addressed through targeted interventions.
D. "Federal legislation requires the reduction and eventual elimination of health disparities." This is incorrect. While there are federal initiatives to address health disparities, there is no specific legislation that mandates their elimination; rather, there are guidelines and programs aimed at reducing them.
Correct Answer is B
Explanation
A. A patient with stable chronic hypertension and no recent medication changes may not require immediate telehealth intervention, as their condition is stable.
B. A patient with acute respiratory symptoms and a history of asthma, who is seeking medication adjustment, would benefit from telehealth to address urgent symptoms and adjust treatment promptly.
C. A patient recovering from surgery and needing wound assessment and dressing changes would likely require an in-person visit for accurate assessment and care.
D. A patient recently discharged with a history of congestive heart failure may need in-person follow-up to ensure proper monitoring and management.
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