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 need to have private insurance because Medicare does not cover hospice services."
"I can receive care in the hospital or at home."
"My provider will recommend that I enter hospice care when I have 1 year left to live."
"I will receive care from a variety of interprofessional team members."
Correct Answer : B,D,E
The correct answers are Choice B, "I can receive care in the hospital or at home," Choice D, "I will receive care from a variety of interprofessional team members," and choice E, "I can discontinue hospice care whenever I want."
The client who has a terminal illness should understand that hospice care can be provided in the hospital or at home, that a variety of interprofessional team members will provide care, and that they can discontinue hospice care whenever they want. These answers are correct because they demonstrate an accurate understanding of hospice care.
Hospice care can be provided in a variety of settings, including the home or a hospital, and typically involves a team of healthcare professionals, such as doctors, nurses, social workers, and spiritual counselors, who work together to address the physical, emotional, and spiritual needs of the client and their family. Hospice care is focused on comfort and quality of life, rather than curative treatment, and clients can choose to discontinue care at any time.
Choice A is wrong because, "I will need to have private insurance because Medicare does not cover hospice services," is incorrect because Medicare does cover hospice services. Hospice care is a covered benefit under Medicare Part A, and most private insurance plans also cover hospice care.
Choice C is wrong because, "My provider will recommend that I enter hospice care when I have 1 year left to live," is incorrect because there is no set time frame for entering hospice care. Hospice care is appropriate for clients with a life expectancy of six months or less, as determined by their physician, but there is no requirement that clients must have one year left to live before entering hospice care.
The correct answers are B, D, and E because they accurately reflect the nature of hospice care and the options available to clients who are receiving this type of care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D because, "Coordinator." The nurse case manager is functioning as a coordinator when arranging for the delivery of medical equipment to the client's home. A coordinator is responsible for organizing and coordinating various aspects of care, including delivery of equipment, scheduling appointments, and communicating with healthcare providers. A consultant (Choice A is wrong because) provides expert advice on a specific topic, while an advocate (Choice B is wrong because) speaks on behalf of the client to ensure their needs are met. A systems allocator
(Choice C is wrong because) is responsible for managing resources and allocating them appropriately.
Choice A is wrong because: A consultant provides expert advice on a specific topic.
Choice B is wrong because: An advocate speaks on behalf of the client to ensure their needs are met.
Choice C is wrong because: A systems allocator is responsible for managing resources and allocating them appropriately.
For Choice A is wrong because, providing expert advice may be part of the nurse case manager's role, but it is not the primary role when arranging for the delivery of medical equipment to the client's home. For Choice B is wrong because, while advocacy is an important aspect of nursing, it is not the correct role for the nurse case manager in this situation. For Choice C is wrong because, a systems allocator is responsible for managing resources at a higher level, such as allocating resources across multiple facilities or organizations.
Correct Answer is D
Explanation
The correct answer is choice D, Scratching or piercing the skin. This behavior is known as self-harm or non-suicidal self-injury, and it is a maladaptive coping mechanism that can result from unmanaged stress or negative emotions. The nurse should identify this behavior as a priority and provide resources for the adolescent to seek professional help, including counseling or therapy.
Choice A, staying up all night playing online video games, can be a form of procrastination or avoidance but does not necessarily indicate a need for immediate intervention.
Choice B, listening to loud music for several hours, can also be a coping mechanism, but it is not necessarily harmful or maladaptive.
Choice C, talking about others on social media, maybe a negative behavior, but it does not indicate a need for immediate intervention unless it leads to cyberbullying or harassment.
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