A hospice nurse educator is instructing nursing staff on providing fundamental care and comfort for hospice clients. The educator would recognize effective staff if they correctly identify which of the following interventions as essential for comfort and care?

Discussing the side effects of pain medications

Recommending dietary modifications to meet nutritional needs

Educating the client about medication management

Assisting the patient with personal hygiene and grooming

Answer and Explanation

The Correct Answer is D

A. While discussing side effects of pain medications is important, it is not directly related to the fundamental comfort and care provided in hospice settings.
B. Dietary modifications may be relevant, but they are not as essential to immediate comfort and care as other interventions.
C. Educating about medication management is important but focuses more on management rather than immediate comfort.
D. Assisting with personal hygiene and grooming directly addresses the comfort and daily needs of hospice clients, making it an essential intervention for fundamental care and comfort.

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Correct Answer is B

Explanation

A. While refusal to eat can be a normal part of the dying process, dismissing it without addressing the emotional or physical needs of the client and family is not appropriate.
B. Refusing to eat can be part of the natural process of dying and can lead to a sense of peacefulness as the body naturally shuts down. This approach acknowledges the process while supporting the family.
C. Planning a schedule for high-calorie liquids may not be appropriate in the context of end-of-life care, where the focus is often on comfort rather than nutritional intake.
D. Prescribing a feeding tube is typically not recommended in hospice care, where the focus is on comfort and quality of life rather than invasive interventions.

A. Discussing advance directives with the patient to ensure their wishes are documented B. Consulting with the patient's family about their preferences for funeral arrangements C. Encouraging the patient to participate in religious rituals and ceremonies important to their cultural beliefs D. Administering pain medication as prescribed to a terminally ill patient

Correct Answer is C

Explanation

A. While discussing advance directives is important for ensuring patient wishes are documented, it does not specifically address cultural competence in end-of-life care.
B. Consulting about funeral arrangements is important but focuses on post-death logistics rather than the patient’s current end-of-life care preferences.
C. Encouraging participation in religious rituals and ceremonies shows respect and support for the patient’s cultural beliefs, demonstrating cultural competence in providing holistic care.
D. Administering pain medication is a standard practice in end-of-life care and important for comfort but does not specifically address the cultural aspects of the patient’s care.

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A hospice nurse educator is instructing nursing staff on providing fundamental care and comfort for hospice clients. The educator would recognize effective staff if they correctly identify which of the following interventions as essential for comfort and care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

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

Correct Answer is C

Explanation

The nurse is assessing a terminally ill client who is on home hospice care and notes that the client is demonstrating signs of terminal delirium and becoming more unresponsive. Which of the following instructions should the nurse give to the client’s children?

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