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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Related Questions
Correct Answer is A
Explanation
A. Speech-language pathologist
Dysphagia, difficulty swallowing, is a concern that often requires the expertise of a speech-language pathologist. Speech-language pathologists specialize in assessing and treating communication and swallowing disorders. They can work with individuals who have had a stroke to improve their swallowing function and reduce the risk of aspiration.
B. Physical therapist
Physical therapists primarily focus on improving mobility, strength, and function. While physical therapists play a crucial role in stroke recovery, they may not be the primary resource for addressing dysphagia.
C. Restorative aide
Restorative aides are often involved in assisting with exercises and activities that aim to restore functional abilities. However, they may not have the specialized training needed for managing dysphagia.
D. Occupational therapist
Occupational therapists focus on helping individuals regain skills needed for daily living activities. While they may be involved in aspects of stroke recovery, addressing dysphagia typically falls within the scope of a speech-language pathologist's expertise.
Correct Answer is D
Explanation
A. Notify spiritual support personnel about a client who requests a visit.
While spiritual support is essential for some patients, it is not the priority in this situation where the focus is on physical and functional recovery after hip arthroplasty.
B. Ask social services to inform a client about community support organizations.
Community support organizations are valuable, but the immediate concern for a post-hip arthroplasty patient is more about the physical and rehabilitation aspects.
C. Request a dietitian consult for a client who asks for information about a vegan diet.
Dietary concerns are important, but in the context of post-hip arthroplasty, the primary focus is on activity restrictions and rehabilitation.
D. Inform the physical therapist of activity restrictions for a client following a hip arthroplasty.
This is the priority action. After a hip arthroplasty, restrictions on certain activities and the need for rehabilitation and physical therapy are crucial for the patient's recovery and prevention of complications.
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