The nurse is explaining to the family of a 78-year-old client with advanced cancer the criteria necessary for qualifying for hospice care. Which of the following criteria would the nurse indicate to the family as being a requirement to qualify for hospice care?
Has a family caregiver that lives in the home.
Is to continue to receive chemotherapy medications.
Has a terminal illness unresponsive to drug therapy.
Is expected to live for less than six months.
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Providing medications for pain and discomfort helps manage symptoms but does not directly address skin integrity.
B. Using an air mattress is effective in reducing pressure on bony prominences, thereby preventing pressure ulcers and promoting skin integrity.
C. Applying lotion helps with skin hydration but does not address the pressure that can lead to skin breakdown.
D. Educating family members about turning and repositioning is important but does not provide the physical support needed to reduce pressure on the skin as effectively as an air mattress.
Correct Answer is A
Explanation
A. Telehealth can indeed raise concerns about client confidentiality due to the digital nature of communication, which might be susceptible to breaches or unauthorized access.
B. While telehealth may disadvantage those without access to technology, this is more of a practical issue rather than an ethical concern directly related to the practice itself.
C. Telehealth has the potential to address health inequities by increasing access to care; thus, it is not necessarily true that it will worsen health inequities.
D. The cost of telehealth encounters is a practical concern but does not directly pertain to the ethical issues associated with client care and privacy.
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