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

Answer and Explanation

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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Correct Answer is D

Explanation

Rationale:

A. Reviewing preoperative laboratory test results is within the nurse’s responsibilities to ensure that all necessary tests have been completed.

B. Assessing the current health status of the client is an important preoperative task for the nurse.

C. Ensuring a signed surgical consent form is completed is within the nurse’s scope to verify that informed consent has been obtained.

D. Explaining the operative procedure, risks, and benefits is typically the responsibility of the surgeon or provider, not the nurse.

A. Ask other staff nurses about the level of care the specific staff nurse provides. B. Address the concern with the specific staff nurse. C. Recommend the specific staff nurse be transferred to another unit. D. Notify the human resources department about the request.

Correct Answer is B

Explanation

Rationale:

A. Asking other staff nurses does not address the immediate concern of the client and could lead to gossip or unnecessary complications.

B. Addressing the concern with the specific staff nurse directly is appropriate to understand any issues and to see if there is a valid reason for the client’s request.

C. Recommending transfer without understanding the issue could be premature and might not address the root of the problem.

D. Notifying human resources is a step that may be needed later but should not be the first action; the manager should first address the issue with the staff nurse.

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A nurse is assessing a group of clients for hospice services. The nurse should recommend hospice care for which of the following clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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