The nurse is assessing a client to determine if the client meets the criteria for being homebound. Which of the following criteria would the nurse identify as evidence that a client is homebound?
Has limited vision at night when out of the home
Is bedridden and requires assistance to get into a wheelchair
Lives alone in a private residence with children about 5 miles away
Would require a taxing effort to leave the home for a prescribed event
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Has a family caregiver that lives in the home." This is not a requirement for hospice care. While having a caregiver can be beneficial, it is not a criterion for qualifying for hospice.
B. "Is to continue to receive chemotherapy medications." This is incorrect. Hospice care is generally for individuals who are no longer seeking curative treatments, such as chemotherapy, and are instead focusing on comfort and quality of life.
C. "Has a terminal illness unresponsive to drug therapy." While a terminal illness is a criterion, the key point for hospice eligibility is the prognosis of life expectancy rather than the response to drug therapy alone.
D. "Is expected to live for less than six months." This is correct. Hospice care is intended for patients with a terminal illness who are expected to have a prognosis of six months or less if the illness follows its usual course.
Correct Answer is B
Explanation
A. While willingness to participate is important, it is not the primary concern compared to the client’s ability to understand and learn the material.
B. Assessing the client’s readiness and ability to learn is crucial for tailoring the education effectively and ensuring that the client can understand and apply the information.
C. Previous knowledge and interest are relevant but secondary to ensuring that the client is ready and able to learn the material.
D. Understanding the client's language proficiency is important, but it is part of assessing the ability to learn rather than a standalone priority.
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