A hospice nurse is planning care for a patient who is near death.
Which of the following actions should the nurse include in the patient’s plan of care to promote the patient’s comfort?

Turn the patient every 4 hours.

Elevate the head of the patient’s bed.

Offer the patient ice chips.

Provide oral care to the patient every 6 hours.

Answer and Explanation

The Correct Answer is B

The correct answer is Choice B

Choice A rationale: Turning the patient every 4 hours may prevent pressure ulcers, but it can cause discomfort for a near-death patient. Less frequent repositioning might be more suitable for maintaining comfort during the end-of-life stage.

Choice B rationale: Elevating the head of the patient's bed can help ease breathing difficulties by reducing the pressure on the diaphragm and enhancing lung expansion. This position promotes comfort and reduces the work of breathing, which is beneficial for near-death patients.

Choice C rationale: Offering the patient ice chips can provide temporary relief from dry mouth, but it may not be the most effective measure for ensuring comfort. Adequate hydration and regular oral care are generally more beneficial for maintaining patient comfort.

Choice D rationale: Providing oral care every 6 hours might not be frequent enough to ensure comfort. More frequent oral care, such as every 2 hours, helps maintain moisture in the mouth, reduces discomfort, and prevents infections, enhancing the patient's overall comfort

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Correct Answer is C

Explanation

Choice A rationale

While it’s true that some healthcare providers may bill clients directly for a predetermined percentage of the cost of services, this is not typically how health maintenance organizations (HMOs) operate. In an HMO, the provider usually has a contract with the HMO and receives payment directly from the HMO, not the client.

Choice B rationale

This choice describes a type of cost-sharing arrangement known as coinsurance, where the client pays a percentage of the total costs for each service provided. However, this is more characteristic of certain types of insurance plans, such as preferred provider organizations (PPOs), rather than HMOs.

Choice C rationale

This is the correct answer. In an HMO, the provider typically receives a fixed sum from the HMO on a monthly or yearly basis, regardless of the number of services rendered. This payment structure is known as capitation.

Choice D rationale

This choice describes a fee-for-service payment structure, where the client pays the provider directly for each individual service rendered. While this was a common payment method in the past, it is not typically used by HMOs. In an HMO, the provider usually receives payment directly from the HMO, not from the client.

A. “They decrease the potential for receiving palliative care.”. B. “They help to uphold the ethical principle of veracity.”. C. “They ease the difficult decisions faced by those involved in my care.”. D. “They detail my doctor’s decisions about my end-of-life care.”.

Correct Answer is C

Explanation

Choice A rationale

Advance directives do not decrease the potential for receiving palliative care. In fact, they can help ensure that a person’s wishes for end-of-life care, including the desire for palliative care, are respected.

Choice B rationale

While advance directives can help uphold the ethical principle of veracity by ensuring that a person’s true wishes for their care are known and respected, this is not their primary purpose. The main purpose of advance directives is to guide decision-making when a person is unable to make or communicate their own healthcare decisions.

Choice C rationale

This statement accurately reflects the purpose of advance directives. Advance directives ease the difficult decisions faced by those involved in a person’s care by providing clear guidance on the person’s wishes for their healthcare.

Choice D rationale

This statement is not accurate. Advance directives do not detail a doctor’s decisions about a person’s end-of-life care. Instead, they provide guidance on the person’s own wishes for their care.

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A hospice nurse is planning care for a patient who is near death. Which of the following actions should the nurse include in the patient’s plan of care to promote the patient’s comfort?

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A hospice nurse is planning care for a patient who is near death.
Which of the following actions should the nurse include in the patient’s plan of care to promote the patient’s comfort?