A nurse is teaching a client who has a terminal illness about hospice care. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)

I can receive care in the hospital or at home."

"I will need to have private insurance because Medicare does not cover hospice services."

"I can discontinue hospice care whenever I want."

"I will receive care from a variety of interprofessional team members."

"My provider will recommend that I enter hospice care when I have 1 year left to live."

Answer and Explanation

Correct Answer : A,C,D

A. Hospice care can be provided in various settings, including hospitals and homes.
B. Medicare covers hospice services, so private insurance for hospice care is not necessary.
C. Patients have the right to discontinue hospice care at any time.
D. Hospice care involves a team approach, including different healthcare professionals.
E. The statement about the provider recommending hospice care with 1 year left to live is incorrect; hospice care can be recommended based on other criteria, not necessarily a specific timeframe.

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Correct Answer is B

Explanation

A. Providing oral care every 6 hours is important for hygiene but may not directly enhance comfort as consistently as other interventions.
B. Elevating the head of the bed can promote better breathing and reduce discomfort, particularly if the client has difficulty breathing.
C. Offering ice chips can provide some comfort but is less comprehensive in addressing overall comfort than elevating the bed.
D. Turning the client every 4 hours helps prevent pressure ulcers but does not directly promote immediate comfort.

A. The client has declined additional life-prolonging treatments. B. The client requires inpatient care due to lack of a caregiver. C. The client has documentation stating he has less than 12 months to live. D. The client's insurance provides coverage for palliative care. E. None F. None

Correct Answer is A

Explanation

A. The client has declined additional life-prolonging treatments: Hospice care is appropriate for clients who have decided to forego aggressive treatments aimed at curing their illness and instead focus on comfort care and symptom management.

B. The client requires inpatient care due to lack of a caregiver: While hospice care can be provided in various settings, including inpatient facilities, the lack of a caregiver alone does not qualify a client for hospice care.

C. The client has documentation stating he has less than 12 months to live: Hospice care is typically provided to clients with a life expectancy of 6 months or less, as certified by a healthcare provider. The 12-month timeframe is incorrect.

D. The client's insurance provides coverage for palliative care: While insurance coverage is important, it is not a qualifying criterion. Hospice care focuses on palliative care, but the client's decision to stop life-prolonging treatments is the primary qualification.

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A nurse is teaching a client who has a terminal illness about hospice care. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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