A nurse is assessing a group of clients for hospice services. The nurse should recommend hospice care for which of the following clients?
A client who has diabetes mellitus and is having difficulty self-administering insulin because of poor eye sight
A client who has terminal cancer and needs assistance with pain management
A client who has dementia and needs help with activities of daily living
A client who is recovering from a stroke and needs someone to provide care while his spouse is at work
The Correct Answer is B
Rationale:
A. A client who has diabetes mellitus and is having difficulty self-administering insulin because of poor eyesight may need home health services but not necessarily hospice care unless they are terminally ill.
B. A client who has terminal cancer and needs assistance with pain management is appropriate for hospice care, which focuses on comfort and end-of-life care.
C. A client who has dementia and needs help with activities of daily living might benefit from long-term care or home care services but not necessarily hospice unless they are in the terminal stages.
D. A client who is recovering from a stroke and needs someone to provide care while his spouse is at work requires supportive care rather than hospice care.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Discussing the LPN's behavior with other nurses could potentially lead to gossip and does not address the core issue.
B. The charge nurse does not have authority to review personnel files; this is handled by management or HR.
C.The most appropriate first step is to investigate the client concerns directly. This provides objective information to determine if further action (coaching, reassignment, reporting to management) is necessary.
D. Reassigning client care to assistive personnel does not address the root cause of the problem and may not be an appropriate or effective solution without further investigation.
Correct Answer is B
Explanation
Rationale:
A. “There are no provider's prescriptions available.” This reflects the Situation (current problem), not background.
B. The B (Background) step of SBAR includes relevant clinical history and context that led to the current situation. Explaining how the client was found provides important background information that helps the provider understand the circumstances surrounding the client’s condition.
C. “The client should be seen by a neurologist.” This is part of the Recommendation step, where the nurse suggests actions or next steps.
D. “The client is disoriented. Pupils are slow to respond to light.” This belongs in the Assessment step, as it describes the nurse’s clinical findings.
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