The family of a client on home hospice care who is nearing the end of life tell the nurse that the client is refusing to eat. Which of the following statements would be appropriate for the nurse to make?

"You don't need to worry about the client as this is a normal sign of dying."

“This can often lead to a sense of peacefulness for the client.”

"Let's try to plan a schedule for giving the client high-calorie liquids.”

“I can get a prescription for a feeding tube if you think this would be okay with the client.”

Answer and Explanation

The Correct Answer is B

A. "You don't need to worry about the client as this is a normal sign of dying." This is not appropriate. While loss of appetite can be a normal part of the dying process, the family may need support and reassurance.
B. “This can often lead to a sense of peacefulness for the client.” This is appropriate. Refusal to eat can be a natural part of the end-of-life process, and it can help the client achieve comfort and a sense of peace.
C. "Let's try to plan a schedule for giving the client high-calorie liquids." This is not appropriate. Forcing or scheduling feeding can be counterproductive and may not align with the client's comfort or preferences at the end of life.
D. “I can get a prescription for a feeding tube if you think this would be okay with the client.” This is not appropriate. At the end of life, a feeding tube may not be in the client's best interest and may not contribute to their comfort. It is important to focus on palliative care rather than invasive interventions.

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Correct Answer is C

Explanation

A. The OASIS is not used by state governments to verify Medicare status; it is used for assessing clients' needs and outcomes.
B. The OASIS is specific to home health care and not designed for all clients receiving any kind of service.
C. The OASIS is crucial for determining Medicare reimbursement rates for home health care services, making accuracy important for financial and care planning.
D. The OASIS is not a framework for assigning healthcare personnel; it is used for assessing patient outcomes and care needs.

A. A 72-year-old client with a leg cast following a motor vehicle collision B. An 86-year-old client with poor vision who lives alone C. An 82-year-old client with terminal lung cancer who is on hospice D. A 78-year-old client who is bedridden following a stroke

Correct Answer is B

Explanation

A. A 72-year-old client with a leg cast may need short-term care or rehabilitation rather than long-term placement in an assisted living community.
B. An 86-year-old client with poor vision who lives alone would benefit from an assisted living community, as these facilities can provide assistance with daily activities and offer safety and social support.
C. An 82-year-old client with terminal lung cancer who is on hospice would be more appropriately placed in a hospice care setting rather than assisted living, as hospice care focuses on end-of-life care.
D. A 78-year-old client who is bedridden following a stroke would require a higher level of care than what is typically provided in an assisted living community and might be better suited for a skilled nursing facility.

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The family of a client on home hospice care who is nearing the end of life tell the nurse that the client is refusing to eat. Which of the following statements would be appropriate for the nurse to make?

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The family of a client on home hospice care who is nearing the end of life tells the nurse that the client is refusing to eat. Which of the following statements is appropriate for the nurse to make?