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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Telehealth can indeed raise concerns about client confidentiality due to the digital nature of communication, which might be susceptible to breaches or unauthorized access.
B. While telehealth may disadvantage those without access to technology, this is more of a practical issue rather than an ethical concern directly related to the practice itself.
C. Telehealth has the potential to address health inequities by increasing access to care; thus, it is not necessarily true that it will worsen health inequities.
D. The cost of telehealth encounters is a practical concern but does not directly pertain to the ethical issues associated with client care and privacy.
Correct Answer is A
Explanation
A. Pediatric palliative care services are appropriate for a 6-year-old with acute myelocytic leukemia, as the condition is serious and may benefit from symptom management and support.
B. A 5-month-old infant postoperative for cleft lip repair would typically not need palliative care unless complications arise, as this is a common procedure with expected recovery.
C. While cystic fibrosis is a serious condition, it does not automatically qualify for palliative care unless there are severe complications or end-of-life issues.
D. A 1-month-old infant with a ventricular septal defect may require specialized cardiology care but does not automatically need palliative care unless the condition is severe or life-threatening.
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