A nurse is counseling a client who has advanced-stage lung cancer about the use of palliative care. Which of the following client statements indicates an understanding of the information?
"If I choose palliative care, I can only go to the hospital if I stop breathing."
"I need to stop treatments for my cancer before beginning palliative care."
"If my oncologist recommends palliative care, it means that have about 6 months or less to live."
"The purpose of palliative care is to provide comfort measures for cancer."
The Correct Answer is D
A. "If I choose palliative care, I can only go to the hospital if I stop breathing."
This statement is not accurate. Palliative care can be provided in various settings, including hospitals, and it does not mean the client can only receive care if in a life-threatening situation.
B. "I need to stop treatments for my cancer before beginning palliative care."
Palliative care can be integrated with ongoing curative treatments. It does not require the cessation of cancer treatments.
C. "If my oncologist recommends palliative care, it means that I have about 6 months or less to live."
Palliative care is not synonymous with hospice care, which typically involves end-of-life care for individuals with a prognosis of 6 months or less. Palliative care is appropriate at any stage of a serious illness and can be provided alongside treatments aimed at curing or controlling the disease.
D. "The purpose of palliative care is to provide comfort measures for cancer."
Palliative care focuses on providing relief from the symptoms and stress of a serious illness, such as cancer. It is not limited to end-of-life care and can be initiated alongside curative treatments.
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Correct Answer is D
Explanation
A. "Palliative care will help to postpone my death."
Palliative care is not aimed at curing the underlying disease but rather at enhancing the overall well-being of the individual. While it may alleviate symptoms and improve quality of life, its goal is not to postpone death.
B. "Palliative care is reserved for end of life."
Palliative care is not exclusively for end-of-life situations. It can be provided at any stage of a serious illness, alongside curative treatments.
C. "Palliative care services end for my family upon my death."
Palliative care may extend support to the family even after the individual's death, providing bereavement and grief support services. The statement is not entirely accurate regarding the cessation of all services for the family upon the client's death.
D. "Palliative care aims to improve my quality of life."
Palliative care focuses on improving the quality of life for individuals facing serious, life-limiting illnesses. It addresses physical, emotional, and spiritual needs, aiming to provide comfort and support.
Correct Answer is ["C","D","E"]
Explanation
A. The child's family has an indoor cat that sleeps with the child.
Having an indoor cat is not a direct indicator of child abuse. This is a normal and unrelated aspect of family life.
B. The child spends the weekends with their grandparents.
Spending weekends with grandparents, on its own, does not necessarily indicate a risk for child abuse. Grandparents often play a positive and supportive role in a child's life.
C. One of the child's parents has a history of alcohol use disorder.
A history of alcohol use disorder in a parent can contribute to an increased risk of child abuse. Substance abuse issues can impair judgment and increase the likelihood of neglect or abuse.
D. Neither of the child's parents is financially stable.
Financial instability is a known risk factor for child abuse. Economic stress can contribute to a chaotic home environment, potentially increasing the risk of neglect or abuse.
E. One of the child's parents appears frightened of the other parent.
The fear between parents is concerning and may indicate the presence of domestic violence or an unsafe home environment. Children in households with domestic violence are at a higher risk of abuse or neglect.
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