A nurse is providing discharge teaching to a client's adult child regarding the client's discharge to home with hospice care. Which of the following statements by the client's adult child indicates an understanding of the teaching?

"Once my father is home with hospice, he can no longer be admitted to the hospital."

"I understand that hospice services are out-of-pocket expenses for the family."

"Participating in a hospice program should enable my father to live longer."

"The hospice team will provide services for the entire family, not just my father."

Answer and Explanation

The Correct Answer is D

Rationale:

A. This option is incorrect because being enrolled in hospice care does not prevent hospital admission. Clients can be admitted to the hospital if their condition requires urgent medical intervention, although the goal of hospice is to provide comfort care, typically at home or in a hospice facility.

B. This option is incorrect because hospice services are generally covered by Medicare, Medicaid, and most private insurance plans. While some out-of-pocket costs may exist, the statement that hospice care is entirely an out-of-pocket expense is inaccurate.

C. This option is incorrect because the primary goal of hospice care is to provide comfort, manage symptoms, and improve quality of life rather than to prolong life. Hospice focuses on palliative rather than curative treatment.

D. This option is correct because hospice care provides support not only for the client but also for the family. The hospice team offers counseling, education, and assistance with caregiving to ensure the client’s needs are met while helping family members cope with caregiving responsibilities and end-of-life issues. This demonstrates understanding that hospice care is comprehensive and family-centered.

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Correct Answer is ["A","B","C"]

Explanation

Rationale:

A. This option is correct because all significant changes in the client’s condition, including the sudden deterioration and intubation, must be documented accurately in the EMR. Thorough documentation ensures continuity of care, legal protection, and communication among the interprofessional team.

B. This option is correct because the client’s sudden deterioration and need for mechanical ventilation require immediate revision of the care plan. Updates should include new interventions, monitoring requirements, and goals relevant to the client’s current status, ensuring safe and appropriate care.

C. This option is correct because a negative variance occurs when the client’s actual progress deviates from the expected outcomes outlined in the critical pathway. The client’s sudden respiratory failure represents a deviation that should be recorded to guide future care planning and quality improvement.

D. This option is incorrect because the critical pathway should not be discontinued; it remains a guide for expected outcomes. Instead, variances should be documented, and the pathway adjusted as appropriate.

E. This option is incorrect because the client is acutely unstable and requires ongoing intensive care. Discharge summary documentation is premature and not relevant at this point.

A. Occupational therapy B. Physical therapist C. Audiologist D. Respiratory therapist E. Speech-language pathologist

Correct Answer is ["A","B","E"]

Explanation

Rationale:

A. This option is correct because occupational therapists help clients with hemiparesis regain independence in activities of daily living (ADLs), such as dressing, grooming, and feeding. They provide adaptive techniques and devices to compensate for functional deficits caused by the stroke.

B. This option is correct because physical therapists focus on improving mobility, balance, and strength. For a client with hemiparesis, physical therapy can help restore functional movement, prevent contractures, and maintain joint flexibility, all of which support performing ADLs safely.

C. This option is incorrect because an audiologist evaluates and manages hearing disorders. While important for communication, an audiologist does not directly assist with ADLs or stroke-related motor deficits.

D. This option is incorrect because a respiratory therapist focuses on managing breathing and pulmonary function. Although they may be involved if the client has respiratory complications, they do not directly assist with ADLs or swallowing deficits.

E. This option is correct because a speech-language pathologist addresses dysphagia (swallowing difficulties) and communication deficits following a stroke. They provide strategies and exercises to improve safe eating and drinking, which directly affects the client’s ability to perform self-feeding as part of ADLs.

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A nurse is providing discharge teaching to a client's adult child regarding the client's discharge to home with hospice care. Which of the following statements by the client's adult child indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is participating in the care of a client as a member of the interprofessional team. Which of the following actions should the nurse take? Select all that apply.

Correct Answer is ["A","B","C"]

Explanation

A nurse is planning care for a client who has hemiparesis and dysphagia following a stroke. The nurse should collaborate with which of the following members of the interprofessional team to assist the client with managing ADLs? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

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