The nurse is caring for a client who is discussing being placed on hospice care. Which statement by the client indicates an understanding of hospice care?
"In a few months I will be strong enough to travel to my shore house and go fishing."
"My family will not be permitted to be with me when I die."
1 will be in a hospital room when II die."
" will have pain medication available when I need it."
The Correct Answer is D
D. This statement indicates an understanding of hospice care. Pain management is a crucial component of hospice care, and ensuring that patients have access to effective pain medication and symptom management is a priority. Hospice aims to maximize comfort and quality of life for patients, and providing pain relief is a fundamental aspect of this approach.
A. This statement suggests that the client may not fully understand the purpose of hospice care. Hospice care is generally provided to patients with a terminal illness who have a life expectancy of six months or less. The focus of hospice care is on comfort, quality of life, and symptom management rather than curative treatment. Planning for travel and activities like fishing may not align with the goals of hospice care.
B. This statement indicates a misunderstanding of hospice care. In hospice, patients are typically encouraged to have their loved ones and family members present and involved in their care, especially during the end-of-life period. Hospice care emphasizes emotional support, spiritual care, and the importance of family involvement during the dying process.
C. This statement may or may not indicate an understanding of hospice care, as it depends on the specific hospice setting and individual preferences. While some hospice programs may provide care in a hospital setting, many hospice services are delivered in the patient's home or in a hospice facility. The key aspect of hospice care is to provide comfort and support in a setting that best meets the patient's needs and wishes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hypnotic drugs are primarily used to induce sleep or promote sleepiness. They act on the central nervous system to depress its activity, leading to sedation and ultimately sleep. These drugs are commonly prescribed to treat insomnia or to induce anesthesia for surgical procedures.
B. While some hypnotic drugs can cause a stupor-like state, inducing a state of reduced consciousness or awareness, this is not the primary function of all hypnotic medications. Stupor typically refers to a state of extreme lethargy or mental dullness, which may be induced by certain drugs but is not inherent to the classification of hypnotics.
C. Hypnotic drugs are not primarily intended to affect pain. While some hypnotic medications may have analgesic properties, their primary function is to induce sleep or sedation rather than directly targeting pain relief. Pain relief is typically achieved through the use of analgesic medications such as opioids, NSAIDs, or other pain relievers.
D. Hypnotic drugs do not mimic the state of hypnosis induced by techniques such as hypnotherapy. While both hypnosis and hypnotic drugs can alter consciousness, they work through different mechanisms
Correct Answer is C
Explanation
C. Full compensation typically occurs within 2 to 3 days (approximately 72 hours) after the onset of an acid-base disturbance. During full compensation, the primary acid-base disorder (e.g., respiratory acidosis or alkalosis, metabolic acidosis or alkalosis) is still present, but the compensatory mechanisms have effectively brought the pH, pCO2, and bicarbonate (pHCO3) levels back towards normal range.
A. Full compensation occurs when both the primary disorder (respiratory or metabolic) and the compensatory mechanism (renal or respiratory) are functioning to return the pH towards normal. In this option, while the pO2 is within the normal range, the pH, pCO2, and bicarbonate (pHCO3) are all abnormal, indicating an ongoing imbalance.
B. Full compensation occurs when all components of the ABG are within or approaching normal range, indicating that the body's compensatory mechanisms have effectively counteracted the primary acid- base disturbance. In this option, the bicarbonate (pHCO3) is mentioned as starting to change, indicating incomplete compensation.
D. While the pH is within the normal range, both the pCO2 and pO2 are abnormal, indicating a primary respiratory disturbance. In the case of full compensation, the pH, pCO2, and bicarbonate (pHCO3) levels would all be within or approaching normal range, indicating that the compensatory mechanisms have effectively counteracted the primary acid-base disturbance.
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