A nurse is employed at a hospice organization.
Which of the following conditions must a patient meet to be eligible for hospice care?
The patient has declined additional life-prolonging treatments.
The patient requires inpatient care due to lack of a caregiver.
The patient’s insurance provides coverage for palliative care.
The patient has documentation stating he has less than 12 months to live.
The Correct Answer is D
Choice A rationale
While it is true that many patients who choose hospice care have declined additional life- prolonging treatments, this is not a requirement for eligibility. Some patients may still pursue certain treatments while receiving hospice care.
Choice B rationale
The need for inpatient care due to lack of a caregiver does not determine eligibility for hospice care. Hospice care can be provided in various settings, including the patient’s home, a hospice facility, or a long-term care facility.
Choice C rationale
While insurance coverage can influence access to hospice care, it is not a condition for medical eligibility. The decision for hospice care is based on the patient’s health status and not on their insurance coverage.
Choice D rationale
This is the correct answer. To be eligible for hospice care, a patient must have a prognosis of six months or less to live if the illness runs its normal course.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
The anthrax vaccine is not ineffective following direct anthrax exposure. In fact, the vaccine is used as a preventive measure for individuals who are at high risk of exposure to anthrax.
However, in the event of widespread public exposure, the vaccine alone may not be sufficient.
Choice B rationale
Ciprofloxacin is a recommended treatment for asymptomatic individuals who were directly exposed to anthrax. It is part of the post-exposure prophylaxis (PEP) for anthrax and is used to prevent the development of the disease.
Choice C rationale
Prophylactic treatment should indeed be provided to clients following exposure to anthrax. However, the duration is not just 10 days. The recommended duration of post-exposure prophylaxis for anthrax is 60 days.
Choice D rationale
Manifestations of anthrax infection do not necessarily appear within 3 days of exposure. The incubation period for anthrax can vary widely, from a few days to several weeks, depending on the type of anthrax (cutaneous, inhalation, or gastrointestinal) and the amount of spores a person is exposed to.
Correct Answer is C
Explanation
Choice A rationale
Requesting a referral for a social worker may be beneficial in some cases, but it is not the most appropriate initial response. The nurse should first seek to understand the client’s feelings and concerns.
Choice B rationale
Discussing the client’s wishes with their provider is important, but it should come after understanding the client’s perspective. The nurse should respect the client’s autonomy and privacy.
Choice C rationale
This is the correct answer. The nurse should ask the client why they do not want to continue treatment. This allows the nurse to understand the client’s perspective, provide emotional support, and ensure that the client is making an informed decision.
Choice D rationale
Instructing the client to change their advance directives first is not the most appropriate initial response. While advance directives are important legal documents that express a client’s wishes for medical treatment, the nurse should first seek to understand the client’s feelings and concerns.
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