A nurse case manager is providing discharge planning for a client.
The nurse is functioning in which of the following roles when arranging for the delivery of medical equipment to the client's home?

• A. Use of educational materials in written and video format. This is generally a positive approach, as it caters to different learning styles. Therefore, it's not a barrier.
• B. Reliance on written notes during the teaching session. While notes can be helpful, excessive reliance on them might indicate a lack of confidence or familiarity with the material. This could hinder effective communication and engagement with the family, thus, it is a barrier.
• C. Use of humor to deal with disruptive behavior. Using humor inappropriately, especially in a sensitive situation like teaching about HIV infection control, can be perceived as unprofessional and disrespectful. It can also minimize the seriousness of the topic and create a barrier to learning.
• D. Previous experience teaching, i.e. a teens' course. While experience is generally beneficial, it could be a barrier if the nurse assumes the family's learning needs are the same as teenagers. Furthermore, if the nurse does not adapt their teaching style, and materials to the new audience, it will be a barrier.

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.