A community health nurse is teaching a group of older adult clients about hypertension.
The nurse should identify which of the following as a client-related barrier to learning?

The correct answers are A. “I can discontinue hospice care whenever I want.”, B. “I can receive care in the hospital or at home.”, and D. “I will receive care from a variety of interprofessional team members.”

Choice A rationale:

Clients have the right to discontinue hospice care at any time if they choose to pursue curative treatments or if their condition improves.

Choice B rationale:

Hospice care can be provided in various settings, including the client’s home, a hospital, a nursing home, or a hospice facility.

Choice C rationale:

This statement is incorrect. Medicare does cover hospice services for eligible patients, so private insurance is not necessary.

Choice D rationale:

Hospice care involves a multidisciplinary team approach, including doctors, nurses, social workers, chaplains, and other professionals to address the holistic needs of the patient.

Choice E rationale:

Hospice care is typically recommended when a patient is expected to have six months or less to live, not one year.

Before developing a health-screening program for clients who are at risk for hypertension, the nurse should first assess the community’s need for such a program. Conducting a survey to identify the community’s need for hypertension screening is an important first step in this process.

Choice A is not the answer because determining the number of clients referred for treatment of hypertension is not the first step in developing a health screening program.

Choice B is not the answer because researching best practices for the treatment of hypertension is not the first step in developing a health-screening program.

Choice C is not the answer because applying for funding to conduct hypertension screening is not the first step in developing a health-screening program.