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

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

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

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

"I can discontinue hospice care whenever I want."

Answer and Explanation

Correct Answer : A,D,E

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

This statement is correct. Hospice care typically involves a team of healthcare professionals, including nurses, doctors, social workers, and other specialists, working together to address the physical, emotional, and spiritual needs of the patient.

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

This statement is incorrect. Hospice services are typically covered by Medicare, Medicaid, and most private insurance plans. Patients and families should check their specific coverage, but in general, hospice services are covered by various insurance providers.

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

This statement is incorrect. The specific time frame for entering hospice care is not solely based on having one year left to live. Hospice care is generally appropriate for individuals with a prognosis of six months or less, but it depends on the patient's specific clinical condition and needs. The decision to enter hospice is based on the patient's overall health status, not a specific timeline.

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

This statement is correct. Hospice care can be provided in various settings, including the patient's home, nursing homes, or hospice facilities. The goal is to provide comfort and support wherever the patient feels most comfortable.

E. "I can discontinue hospice care whenever I want."

This statement is correct. Hospice care is based on the patient's choice, and they have the right to discontinue hospice care at any time. It's important for patients to have autonomy and make decisions that align with their preferences and values.

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Correct Answer is C

Explanation

A. "You should not expect any financial assistance for dementia."

This statement may not be accurate, as there are various financial assistance programs and resources available for individuals with dementia and their caregivers. The nurse should provide information about potential financial assistance rather than discouraging the caregiver.

B. "You should not allow anyone else to care for your partner."

Restricting care to only one person may lead to caregiver burnout. It is essential to encourage caregivers to seek support and assistance from others to prevent excessive burden and stress.

C. "You should find a local support group for caregivers."

Explanation: Connecting the caregiver with a local support group for caregivers is a helpful recommendation. Support groups can provide emotional support, share experiences, and offer practical advice on coping with the challenges of caring for someone with dementia. Being part of a support network can reduce feelings of isolation and provide valuable resources for the caregiver.

D. "You should complete all ADLs for your partner."

While assisting with activities of daily living (ADLs) is important, encouraging the caregiver to take on all responsibilities without seeking assistance is not realistic or sustainable. The caregiver should be encouraged to seek help and share caregiving responsibilities with others when needed.

A. Ambulate without the walker for short distances, B. Use 40-watt bulbs in light fixtures. C. Place several small throw rugs on non-carpeted floors. D. Sit on a shower chair while showering.

Correct Answer is D

Explanation

A. Ambulate without the walker for short distances.

Explanation: Given the client's weakness and use of a walker, ambulating without the walker, even for short distances, increases the risk of falls. The walker provides essential support and stability.

B. Use 40-watt bulbs in light fixtures.

Explanation: Adequate lighting is crucial for preventing falls, especially for individuals with mobility challenges. However, using low-wattage bulbs may result in insufficient lighting, increasing the risk of tripping or stumbling. It is recommended to use higher-wattage bulbs for better visibility.

C. Place several small throw rugs on non-carpeted floors.

Explanation: Throw rugs on non-carpeted floors can create tripping hazards, particularly for someone using a walker. They may lead to slips and falls. It is advisable to remove or secure rugs to prevent accidents.

D. Sit on a shower chair while showering.

Explanation: Sitting on a shower chair while showering is a safety measure for individuals with lower extremity weakness, as it provides stability and reduces the risk of falls in the shower. It allows the client to shower while seated, minimizing the need for standing and balancing.

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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.)

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