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 D

Explanation

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.

A. The client makes frequent eye contact during the teaching, B. The client demonstrates what they learned during the teaching. C. The client nods their head and smiles during the teaching. D. The client wears their glasses and hearing aids during the teaching.

Correct Answer is B

Explanation

A. The client makes frequent eye contact during the teaching.

Explanation: While eye contact can be a positive non-verbal communication cue, it does not directly indicate understanding. Some individuals may maintain eye contact without necessarily comprehending the content.

B. The client demonstrates what they learned during the teaching.

Explanation: The most reliable indicator that a client understands the teaching is their ability to demonstrate what they have learned. This involves actively applying the information or skills taught during the teaching session. It ensures that the client has not only received information but has also comprehended and can apply it appropriately.

C. The client nods their head and smiles during the teaching.

Explanation: Nodding and smiling can be positive signs of engagement, but they do not guarantee comprehension or retention of information. Individuals may nod or smile as a social response without fully understanding the content.

D. The client wears their glasses and hearing aids during the teaching.

Explanation: Wearing glasses and hearing aids indicates sensory readiness and may facilitate the client's ability to receive information. However, it does not confirm understanding. The client could still wear these devices without fully grasping the taught material.

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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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