A nurse case manager is coordinating care for a client.History and physical:
Client has terminal lung cancer and is not expected to live more than 6 months.
Select the 3 community resources the nurse should refer the client
Hospice care
Legal assistance
Respite care
Adult day care
Social worker
Correct Answer : A,C,E
A. Hospice care: This option is correct because hospice care provides comprehensive support and comfort measures for terminally ill patients and their families, focusing on improving quality of life in the final stages of an illness.
B. Legal assistance: While legal assistance may be important for advanced care planning and end-of-life decisions, it may not be among the immediate priorities for a client with terminal lung cancer expected to live less than 6 months.
C. Respite care: Respite care allows caregivers to take a temporary break from their caregiving responsibilities, which can be invaluable for family members caring for a terminally ill loved one, providing them with much-needed rest and support.
D. Adult day care: While adult day care may be beneficial for some clients and their caregivers, it may not be as relevant for a client with terminal lung cancer who may have more immediate needs related to symptom management and end-of-life care.
E. Social worker: In this scenario, involving a client with terminal cancer, a social worker can provide emotional support, assist with accessing community resources, and help with care coordination, making this option appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "I will remove a client's restraints every 2 hours." This is correct. Restraints should be removed every 2 hours (or more frequently, depending on policy) to assess the client's condition, provide comfort, and allow for repositioning and range of motion exercises.
B. "A provider can write a prescription for restraints 'as needed'." This is incorrect. A provider cannot write a prescription for restraints as "as needed" (PRN). A specific, time-limited order is required for each instance of restraint use.
C. "I need to tie the restraint to the part of the bed frame that moves." This is incorrect. Restraints should be tied to a stationary part of the bed frame that does not move. Tying restraints to moving parts (such as side rails) could lead to injury during bed movement.
D. "I should tie the restraints using a square knot." This is incorrect. A square knot is not recommended because it is difficult to untie in emergencies. A quick-release knot should be used to ensure that the restraints can be removed easily and quickly if necessary.
Correct Answer is C
Explanation
A. While vital signs may eventually need to be assessed, reorienting the confused and agitated client takes precedence to ensure their safety and well-being.
B. Offering reassurance to the family may be important, but the immediate priority is addressing the client's agitation and confusion.
C. Reorienting the client to their surroundings is the first step in managing confusion and agitation, as it can help ground them and reduce distress.
D. Medicating the client with alprazolam should not be the first action, especially without a proper assessment and consideration of other interventions to address the underlying cause of the agitation.
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