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. A patient with stable chronic hypertension and no recent medication changes may not require immediate telehealth intervention, as their condition is stable.
B. A patient with acute respiratory symptoms and a history of asthma, who is seeking medication adjustment, would benefit from telehealth to address urgent symptoms and adjust treatment promptly.
C. A patient recovering from surgery and needing wound assessment and dressing changes would likely require an in-person visit for accurate assessment and care.
D. A patient recently discharged with a history of congestive heart failure may need in-person follow-up to ensure proper monitoring and management.
Correct Answer is A
Explanation
A. Artificial nutrition often has limited impact on comfort at the end of life and may not contribute to the client's overall well-being. It is generally focused on sustaining life rather than improving comfort.
B. Artificial nutrition does not significantly lower the incidence of infection in bedridden clients. Proper infection control practices are more relevant in preventing infections.
C. Artificial nutrition is unlikely to significantly improve metabolism or blood circulation in dying clients, as the focus is typically on managing symptoms and comfort.
D. Alleviating hunger is not usually a primary goal of artificial nutrition in end-of-life care. The primary focus is often on comfort rather than addressing hunger.
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