A primary care nurse is assessing a patient with advanced heart failure who is experiencing frequent hospitalizations and worsening symptoms despite optimal management. Which action by the nurse best demonstrates an understanding of recommending the patient for palliative care services?

Referring the patient to a cardiologist for a second opinion on treatment options.

Scheduling the patient for additional diagnostic tests to evaluate the progression of the heart failure.

Discussing with the patient and family the benefits of palliative care in managing symptoms and improving quality of life.

Educating the patient about the importance of adhering to prescribed medications

Answer and Explanation

The Correct Answer is C

A. Referring to a cardiologist may be appropriate for treatment options, but it does not address the broader goals of palliative care focused on quality of life and symptom management.
B. Additional diagnostic tests focus on disease progression but do not address the supportive care needs that palliative care can provide.
C. Discussing palliative care with the patient and family aligns with the goal of improving quality of life and managing symptoms, which is central to palliative care services.
D. Medication adherence is important but does not encompass the comprehensive approach of palliative care, which includes symptom management and support.

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Correct Answer is ["A","C","D"]

Explanation

A. In Catholicism, the sacrament of Anointing of the Sick is often performed by a priest to prepare the individual spiritually for the afterlife, making this statement accurate.
B. Protestants do not typically have a practice of blessing with holy water in preparation for death; this practice is more specific to other Christian denominations.
C. Muslims do believe in an afterlife and it is common practice to position the deceased facing Mecca, reflecting respect for their religious traditions.
D. In Buddhism, healthcare decisions are often guided by family members, reflecting the importance of family in making decisions, though practices may vary by specific Buddhist traditions.
E. Judaism generally supports organ donation as a mitzvah, or good deed, rather than as preparation for the afterlife. This statement might not fully capture Jewish perspectives on organ donation.

A. Discussing the side effects of pain medications B. Recommending dietary modifications to meet nutritional needs C. Educating the client about medication management D. Assisting the patient with personal hygiene and grooming

Correct Answer is D

Explanation

A. While discussing side effects of pain medications is important, it is not directly related to the fundamental comfort and care provided in hospice settings.
B. Dietary modifications may be relevant, but they are not as essential to immediate comfort and care as other interventions.
C. Educating about medication management is important but focuses more on management rather than immediate comfort.
D. Assisting with personal hygiene and grooming directly addresses the comfort and daily needs of hospice clients, making it an essential intervention for fundamental care and comfort.

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A primary care nurse is assessing a patient with advanced heart failure who is experiencing frequent hospitalizations and worsening symptoms despite optimal management. Which action by the nurse best demonstrates an understanding of recommending the patient for palliative care services?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a group of staff nurses about the significance of respecting religious beliefs when providing care to clients nearing the end of life. Which of the following statements would the nurse incorporate? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

A hospice nurse educator is instructing nursing staff on providing fundamental care and comfort for hospice clients. The educator would recognize effective staff if they correctly identify which of the following interventions as essential for comfort and care?

Correct Answer is D

Explanation

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