A client diagnosed with terminal cancer asks the nurse what the criteria is for hospice care. Which information should the nurse share with the client?
It is for those expected to live less than 6 months.
It is for those needing assistance with pain management.
It is for those having a terminal illness, such as cancer.
It is for those with completion of an advance directive.
The Correct Answer is A
A. It is for those expected to live less than 6 months: Hospice eligibility typically requires a medical prognosis that life expectancy is about six months or less if the disease follows its usual course; this time frame guides enrollment eligibility.
B. It is for those needing assistance with pain management: Pain and symptom management are central services provided by hospice, but eligibility also depends on prognosis and focus on comfort rather than curative treatment.
C. It is for those having a terminal illness, such as cancer: Hospice serves people with terminal illness, but enrollment usually requires both a qualifying diagnosis and the prognostic timeframe rather than diagnosis alone.
D. It is for those with completion of an advance directive: Having an advance directive is helpful for care planning but is not a requirement or primary eligibility criterion for hospice services.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This is normal for patients who are not turning every 2 hours: Prolonged pressure and lack of repositioning increase risk of pressure injury and tissue necrosis. This is a general statement, not a staging classification.
B. Unstageable pressure injury: An unstageable injury is present when full-thickness tissue loss is suspected but the wound base is obscured by slough or eschar, making depth indeterminate -this description fits wounds covered with thick necrotic tissue.
C. Stage I pressure injury: Stage I involves is characterized by intact skin with non-blanchable redness (erythema) of a localized area, usually over a bony prominence.
D. Eschar: Eschar is dead, leathery, often black or brown tissue that adheres to the wound bed; its presence commonly prompts classification as unstageable until the eschar is removed or the base is visible.
Correct Answer is C
Explanation
A. Blood pressure sitting 126/64; blood pressure standing 120/58: The systolic drop is 6 mm Hg and diastolic drop 6 mm Hg -these changes are small and do not meet orthostatic criteria.
B. Blood pressure sitting 140/60; blood pressure standing 138/58: The systolic drop is 2 mm Hg and diastolic drop 2 mm Hg -these minimal changes do not indicate orthostatic hypotension.
C. Blood pressure sitting 130/60; blood pressure standing 100/60: The systolic drop is 30 mm Hg (≥20 mm Hg), which meets the standard definition of orthostatic hypotension and supports that diagnosis.
D. Blood pressure sitting 120/64; blood pressure standing 120/64: No change in blood pressure readings is seen, which does not indicate orthostatic hypotension.
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