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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Limited vision at night does not necessarily meet the criteria for being homebound; the focus is more on the overall inability to leave home without considerable effort.
B. Being bedridden and requiring assistance to get into a wheelchair could indicate severe mobility issues, but it does not alone determine homebound status.
C. Living alone with children nearby does not impact the assessment of being homebound; it is more about the client's ability to leave the home.
D. Requiring a taxing effort to leave the home for a prescribed event meets the criteria for being homebound, as it demonstrates significant difficulty in leaving the home without considerable effort or assistance.
Correct Answer is B
Explanation
A. Advocacy involves supporting or promoting a cause or policy but does not specifically target changing knowledge, attitudes, or behaviors of a population.
B. Social marketing uses marketing principles to influence behaviors and attitudes in a population, making it effective for changing knowledge, values, and practices.
C. Consultation involves providing expert advice and guidance but does not primarily focus on influencing knowledge or behaviors of a large population.
D. Coalition building focuses on bringing together groups to address issues collectively but is not primarily aimed at changing individual knowledge or behaviors.
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