A terminally ill patient and his family have requested hospice care. The nurse clarifies hospice care philosophy as:

excluding hospital care.

helping the patient dies easily and quickly at home.

supporting assisted suicide if that is the patients wish.

focusing on symptom management and comfort care.

Answer and Explanation

The Correct Answer is D

A. Hospice care does not exclude hospital care entirely. While the primary focus is on providing care in the patient's preferred setting, whether it be at home, in a nursing facility, or in a hospital, hospice services can extend to these settings as needed.

B. Hospice care does aim to provide comfort and support to patients at the end of life, but it does not focus on hastening death. Instead, it emphasizes enhancing the quality of life and ensuring comfort during the dying process, whether at home or in another setting chosen by the patient.

C. Hospice does not support assisted suicide or euthanasia. Its primary goal is to provide holistic care and support to patients and their families during the end-of-life period while upholding the patient's dignity and autonomy.

D. Hospice philosophy emphasizes symptom management and comfort care as its primary focus. The goal is to enhance the quality of life for terminally ill patients by addressing physical, emotional, and spiritual needs while supporting both the patient and their family through the dying process.

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Correct Answer is A

Explanation

A. "I am hoping this will help relieve my discomfort": This statement reflects an understanding of the palliative nature of the care the client is receiving. The client acknowledges the goal of palliative care, which is focused on symptom management and improving quality of life rather than curative treatment. By expressing hope for relief from discomfort, the client demonstrates acceptance of the prognosis and is aligning with the goals of palliative care.

B. "This is not working, and I plan to stop treatment" : This statement suggests frustration with the current treatment but does not necessarily indicate acceptance of the prognosis. The client may still be seeking alternative treatments or may not fully understand the terminal nature of their condition.

C. "This is making me stronger every day": This statement implies a belief in the effectiveness of the treatment and a focus on improvement rather than acceptance of the prognosis. It does not address the client's understanding of their condition or prognosis.

D. "I am thinking of getting a second opinion": This statement indicates that the client is considering alternative perspectives on their diagnosis and treatment plan. While seeking a second opinion is a valid decision, it does not necessarily reflect acceptance of the prognosis. It suggests a desire for further information or clarification rather than a recognition of the terminal nature of the illness.

A. "l can now eat whatever I want. It will be dialyzed out of my system." B. "l know that renal failure runs in my family and I can prevent it." C. "l just can't believe that my whole life is going to be ruined by dialysis." D. "l know that I will get a kidney transplant. I am a good candidate."

Correct Answer is C

Explanation

A. "I can now eat whatever I want. It will be dialyzed out of my system.": This statement reflects a lack of understanding about the dietary restrictions and lifestyle changes necessary with chronic renal failure rather than anticipatory grief.

B. "I know that renal failure runs in my family and I can prevent it.": This statement suggests a focus on prevention and may not indicate anticipatory grief. It reflects the client's awareness of their family history and their belief in their ability to take preventive measures.

C. "I just can't believe that my whole life is going to be ruined by dialysis.": This statement expresses a sense of disbelief and distress about the impact of dialysis on the client's life. It suggests that the client is already grieving the perceived loss of their previous way of life, indicating anticipatory grief.

D. "I know that I will get a kidney transplant. I am a good candidate.": This statement reflects hope and optimism about the possibility of a kidney transplant, which may not align with anticipatory grief. It indicates the client's understanding of treatment options and a positive outlook for the future.

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A terminally ill patient and his family have requested hospice care. The nurse clarifies hospice care philosophy as:

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?

Correct Answer is A

Explanation

A nurse is caring for a client who has a new diagnosis of chronic renal failure. The nurse should recognize which of the following client statements as an indication of anticipatory grief?

Correct Answer is C

Explanation

A 33-year-old patient has been told that her disease is terminal. The patient is crying and states, "l will just be a dependent drain on my family. I hate being a burden to them." The nurse can best respond:

The emotional feeling of pain and loss is known as

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When the nurse notes an increase in the level of daily function in the terminal patient, the nurse assesses that this patient has reached Kübler Ross's level of:

A nurse is providing palliative care to a client who is receiving hospice care and is approaching death. Which of the following actions should the nurse take? (Select all that apply.)

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A hospice nurse is caring for a client who is approaching death and has fecal incontinence. Which of the following actions should the nurse take?