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 A
Explanation
A. Pediatric palliative care services are appropriate for a 6-year-old with acute myelocytic leukemia, as the condition is serious and may benefit from symptom management and support.
B. A 5-month-old infant postoperative for cleft lip repair would typically not need palliative care unless complications arise, as this is a common procedure with expected recovery.
C. While cystic fibrosis is a serious condition, it does not automatically qualify for palliative care unless there are severe complications or end-of-life issues.
D. A 1-month-old infant with a ventricular septal defect may require specialized cardiology care but does not automatically need palliative care unless the condition is severe or life-threatening.
Correct Answer is ["A","C","D"]
Explanation
A. Medicare home care services require that the client has skilled care needs, such as nursing or therapy.
B. Living alone is not a Medicare criterion for home care qualification.
C. A defined plan of care is necessary for Medicare home care to ensure that the care provided meets specific needs.
D. Being homebound is a key criterion for qualifying for Medicare home care, meaning the individual is unable to leave the home without significant difficulty.
E. Supplemental insurance is not a criterion for Medicare home care eligibility, though it may cover additional costs.
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