A nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures?

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.

The nurse should determine how the adolescent's health has affected family roles and responsibilities to identify areas where the family may need assistance. Directing the conversation solely to the parents or focusing on the adolescent's future career plans is not appropriate as it may exclude the adolescent from the discussion. Asking another family to attend the meeting is not necessary unless the family requests it.