A nurse is admitting a client who has a hip fracture from a recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?

Inform the client's partner that they will be unable to care for the client

Consult case management

Obtain referral for occupational therapy services

Facilitate the client’s discharge to home

Answer and Explanation

The Correct Answer is B

A. Informing the partner they are unable to care for the client without further assessment and support is not appropriate.
B. Consulting case management is crucial to evaluate the home care situation, including the partner’s ability to provide care, and to arrange appropriate resources or support services.
C. Referring for occupational therapy is important for rehabilitation but does not address the overall home care planning or the partner’s capability to provide care.
D. Facilitating discharge to home without assessing the adequacy of home care arrangements could put the client at risk, so consulting case management is a more comprehensive approach.

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Correct Answer is A

Explanation

A. The belief that accepting end-of-life care represents a medical failure can prevent individuals from seeking quality care, as it may lead to reluctance or denial of appropriate palliative and hospice care services.
B. Receiving unemployment insurance does not directly relate to the barriers of seeking end-of-life care; it pertains more to financial assistance rather than care quality issues.
C. Inability to provide appropriate home care is a logistical challenge but not necessarily a major barrier to seeking quality end-of-life care, as other options like hospice care can be utilized.
D. Distrust in the medical community can be a barrier to seeking care, but the statement about accepting end-of-life care as a failure more directly addresses a significant barrier to accessing appropriate care.

A. Husband of the dying wife B. The dying wife C. Hospice staff D. A priest

Correct Answer is B

Explanation

A. While the husband is deeply involved in the care, he may not fully know the wife’s preferences for end-of-life care.
B. The dying wife is the most reliable source of her own preferences for end-of-life care, as she can directly communicate her wishes.
C. Hospice staff can provide guidance and support but are not the primary source of the patient’s personal preferences.
D. A priest may offer spiritual guidance but does not have the authority to determine the individual’s personal end-of-life care preferences.

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A nurse is admitting a client who has a hip fracture from a recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a group of staff nurses about perspectives on death and dying. Which of the following statements would the nurse identify as being a major barrier to seeking quality end-of-life care for individuals?

Correct Answer is A

Explanation

While caring for his dying wife, the husband states that his wife is a devout Roman Catholic, but he is a Baptist. Who is considered the most reliable source of preferences concerning end-of-life (EOL) care for his dying wife?

Correct Answer is B

Explanation

The nurse is providing postmortem care to a client who is on home hospice care and has just died. What action should the nurse take?

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

The nurse is discussing palliative care with a client who has stage 3 lung cancer. Which aspect of palliative care would the nurse explain is unique to the specialty?

The nurse is reviewing a health care proxy form with a client. The client asks the nurse, "Why should I have this?" Which of the following responses would be appropriate for the nurse to make?

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?

The nurse is assessing a client to determine if the client meets the criteria for being homebound. Which of the following criteria would the nurse identify as evidence that a client is homebound?

The nurse is planning health promotion programs for a community-based health center and is concerned about the health literacy of the community. Which of the factors would the nurse identify as being risk factors for low health literacy? (Select all that Apply)

A primary care office nurse is assessing clients for suitability for a telehealth visit. Which client would the nurse prioritize for a telehealth appointment?