The nurse is teaching a group of community health nurses about the practice to use when teaching clients about the "Ask Me 3" questions concept. Which question, if stated by the group as part of this concept, would indicate that the group needed additional instruction?

"Why is it important for me to do this?"

"What is my main problem?"

"What medications do I need to take?"

"What do I need to do?"

Answer and Explanation

The Correct Answer is A

A. "Why is it important for me to do this?" is not one of the "Ask Me 3" questions, which focus on understanding the main problem, necessary actions, and medications. This question indicates a misunderstanding of the concept.
B. "What is my main problem?" is a core component of the "Ask Me 3" questions, which aim to clarify the primary issue for the client.
C. "What medications do I need to take?" is also a part of the "Ask Me 3" questions, focusing on understanding medication needs.
D. "What do I need to do?" is another essential question in the "Ask Me 3" concept, helping clients understand the actions they need to take.

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Correct Answer is C

Explanation

A. The OASIS is not used by state governments to verify Medicare status; it is used for assessing clients' needs and outcomes.
B. The OASIS is specific to home health care and not designed for all clients receiving any kind of service.
C. The OASIS is crucial for determining Medicare reimbursement rates for home health care services, making accuracy important for financial and care planning.
D. The OASIS is not a framework for assigning healthcare personnel; it is used for assessing patient outcomes and care needs.

A. "You don't need to worry about the client as this is a normal sign of dying." B. "This can often lead to a sense of peacefulness for the client." C. "Let's try to plan a schedule for giving the client high-calorie liquids." D. "I can get a prescription for a feeding tube if you think this would be okay with the client."

Correct Answer is B

Explanation

A. While refusal to eat can be a normal part of the dying process, it is important to address the family’s concerns and provide comfort, rather than dismissing their worries.
B. Refusing to eat at the end of life can often lead to a sense of peacefulness and is a common part of the dying process. It’s important to reassure the family and focus on comfort.
C. Planning a schedule for high-calorie liquids may not be appropriate or aligned with the client’s comfort and goals of care at the end of life.
D. A feeding tube is generally not indicated in hospice care as it may not contribute to the comfort and quality of life for the client at this stage.

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The nurse is teaching a group of community health nurses about the practice to use when teaching clients about the "Ask Me 3" questions concept. Which question, if stated by the group as part of this concept, would indicate that the group needed additional instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is completing an Outcome and Assessment Information Set (OASIS) for a client who is on Medicare. Which of the following statements would describe the importance of accuracy in completing this form?

Correct Answer is C

Explanation

The family of a client on home hospice care who is nearing the end of life tells the nurse that the client is refusing to eat. Which of the following statements is appropriate for the nurse to make?

Correct Answer is B

Explanation

A case management nurse is arranging discharges for several clients. Which of the following interventions would the nurse recognize as suitable for non-skilled care?

A palliative care nurse is preparing to participate in interprofessional rounds. Which of the following members of the interprofessional team should the nurse plan to collaborate with?

The family of a client on home hospice care who is nearing the end of life tells the nurse that the client is refusing to eat. Which of the following statements is appropriate for the nurse to make?

The nurse is discussing the use of artificial nutrition with the family of a client who is unable to take oral nutrition and is approaching end-of-life. Which of the statements would be appropriate for the nurse to include in the discussion about the use of artificial nutrition in dying clients?

Which nursing action best demonstrates cultural competence in end-of-life care?

The nurse is developing a community health promotion program and identifies the need to understand the impact of health disparities. Which of the following statements would the nurse identify as a crucial factor to consider when developing this program?

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