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

Explanation

A. "Why is it important for me to do this?" is not one of the "Ask Me 3" questions, which focus on understanding the main problem, necessary actions, and medications. This question indicates a misunderstanding of the concept.
B. "What is my main problem?" is a core component of the "Ask Me 3" questions, which aim to clarify the primary issue for the client.
C. "What medications do I need to take?" is also a part of the "Ask Me 3" questions, focusing on understanding medication needs.
D. "What do I need to do?" is another essential question in the "Ask Me 3" concept, helping clients understand the actions they need to take.

A. Discussing advance directives with the patient to ensure their wishes are documented B. Consulting with the patient's family about their preferences for funeral arrangements C. Encouraging the patient to participate in religious rituals and ceremonies important to their cultural beliefs D. Administering pain medication as prescribed to a terminally ill patient

Correct Answer is C

Explanation

A. While discussing advance directives is important for ensuring patient wishes are documented, it does not specifically address cultural competence in end-of-life care.
B. Consulting about funeral arrangements is important but focuses on post-death logistics rather than the patient’s current end-of-life care preferences.
C. Encouraging participation in religious rituals and ceremonies shows respect and support for the patient’s cultural beliefs, demonstrating cultural competence in providing holistic care.
D. Administering pain medication is a standard practice in end-of-life care and important for comfort but does not specifically address the cultural aspects of the patient’s care.

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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 teaching a group of community health nurses about the practice to use when teaching clients about the "Ask Me 3" questions concept. Which question, if stated by the group as part of this concept, would indicate that the group needed additional instruction?

Correct Answer is A

Explanation

Which nursing action best demonstrates cultural competence in end-of-life care?

Correct Answer is C

Explanation

Which of the following factors would the nurse identify as reflecting the current trend in caring for terminally ill older adults?

Which of the following clients would be appropriate for the nurse to recommend for pediatric palliative care services?

Which scenario demonstrates effective interprofessional care in a community health setting?

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