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.)

A. The community adapts to a new state of normalcy.

Explanation: The recovery phase of a disaster involves the community's efforts to rebuild, restore, and adapt to a new normal. During this phase, communities work towards returning to a stable condition and addressing long-term needs. Adapting to a new state of normalcy signifies progress in the recovery process.

B. Survivors are thankful for having survived the disaster.

Thankfulness among survivors can occur in various phases of a disaster, including the immediate aftermath. It is not specific to the recovery phase.

C. Outside responders are working long hours each day.

The involvement of outside responders working long hours is more indicative of the response phase, where immediate actions are taken to address the impact of the disaster.

D. Volunteers are experiencing burnout.

Volunteer burnout may occur during the response phase, especially when the demand for assistance is high. It is not a specific indicator of the recovery phase.

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.