Which of the following factors would the nurse identify as reflecting the current trend in caring for terminally ill older adults?

Decreasing number of older adults express a desire to be cared for in the home.

Increasing number of older adults are seeking hospice care at the end of life.

Older adults still die more often in hospitals than at home.

Older adults are spending more time in the hospital in the weeks leading up to end of life.

Answer and Explanation

The Correct Answer is B

A. The trend is actually increasing for older adults wishing to be cared for at home rather than decreasing.
B. There is a growing trend for older adults to seek hospice care to manage symptoms and improve quality of life at the end of life.
C. Despite the increase in hospice care, older adults still frequently die in hospitals due to various factors, but this is gradually changing.
D. Trends show that older adults are spending less time in hospitals and more in home-based or hospice care.

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Correct Answer is ["B","D","E"]

Explanation

A. Attending support groups generally helps to prevent relapse by providing social support and accountability, rather than preceding a relapse.
B. Decreased motivation is a common factor that can lead to relapse, as it often reduces an individual's commitment to maintaining behavior changes.
C. Planning a strategy is a proactive measure that helps in relapse prevention and does not typically precede a relapse.
D. A negative emotional state can trigger or contribute to a relapse by influencing a person's coping mechanisms and decision-making.
E. Stressful situations are known triggers for relapse, as they can overwhelm an individual and lead to reverting to previous behaviors as a coping mechanism.

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. "You don't need to worry about the client as this is a normal sign of dying." This is not appropriate. While loss of appetite can be a normal part of the dying process, the family may need support and reassurance.
B. “This can often lead to a sense of peacefulness for the client.” This is appropriate. Refusal to eat can be a natural part of the end-of-life process, and it can help the client achieve comfort and a sense of peace.
C. "Let's try to plan a schedule for giving the client high-calorie liquids." This is not appropriate. Forcing or scheduling feeding can be counterproductive and may not align with the client's comfort or preferences at the end of life.
D. “I can get a prescription for a feeding tube if you think this would be okay with the client.” This is not appropriate. At the end of life, a feeding tube may not be in the client's best interest and may not contribute to their comfort. It is important to focus on palliative care rather than invasive interventions.

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Which of the following factors would the nurse identify as reflecting the current trend in caring for terminally ill older adults?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

According to the relapse prevention model, which of the following circumstances often precede a relapse? (Select all that apply)

Correct Answer is ["B","D","E"]

Explanation

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

Correct Answer is B

Explanation

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