Following a severe hemorrhagic stroke 5 weeks prior, an older adult client is experiencing a protracted decline in health that the care team expects to end in death. After teaching the family about hospice care, the nurse determines that additional teaching is needed when the family identifies which intervention as being included?
Spiritual care in line with the family's belief system.
Surgery to remove plaques from the client's cerebral arteries to prevent future strokes.
Psychosocial support aimed at the family's response to their loved one's imminent death.
A primary focus on the client's quality of life in the time until the client's death
The Correct Answer is B
A. Spiritual care in line with the family's belief system: This option aligns with the principles of hospice care, which emphasize holistic support for both the patient and their family, including addressing spiritual needs. Therefore, this intervention is appropriate and should be included in hospice care.
B. Surgery to remove plaques from the client's cerebral arteries to prevent future strokes: This intervention contradicts the philosophy of hospice care, which prioritizes comfort and quality of life for patients with life-limiting illnesses rather than aggressive treatments aimed at prolonging life or preventing future complications. Therefore, this intervention would not be included in hospice care and indicates a need for further teaching.
C. Psychosocial support aimed at the family's response to their loved one's imminent death: Hospice care recognizes the significant impact of a terminal illness on the patient's family and provides psychosocial support to help them cope with their emotions and prepare for the patient's death. This intervention is consistent with hospice principles and should be included in the care plan.
D. A primary focus on the client's quality of life in the time until the client's death: This is a fundamental aspect of hospice care, which prioritizes the patient's comfort, dignity, and overall well-being during their remaining time. Therefore, this intervention is appropriate and aligns with hospice philosophy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A central focus of adult day care is providing respite for caregivers:
Adult day care centers are designed to offer daytime care and supervision for older adults who may need assistance or supervision due to cognitive or physical impairments. One of the primary goals of adult day care is to provide respite for family caregivers, giving them the opportunity to work, attend to personal matters, or simply take a break from caregiving responsibilities while knowing that their loved one is in a safe and stimulating environment.
B. Older adults can go to a single location for their medical care:
While some adult day care centers may offer limited health-related services such as medication management or basic health monitoring, their primary focus is not to serve as a location for comprehensive medical care. Adult day care centers typically focus on socialization, activities of daily living assistance, and supervision rather than providing medical treatments.
C. Clients, primarily with severe illnesses, typically qualify for this care:
Adult day care services are not exclusively for individuals with severe illnesses. They cater to a range of older adults with varying levels of functional and cognitive abilities. While some clients may have conditions like Alzheimer's disease or other forms of dementia, others may attend for socialization, safety monitoring, or assistance with activities of daily living.
D. The main goal of adult day care is to provide protection for older adults at risk:
While ensuring the safety and well-being of older adults is an important aspect of adult day care, the primary goal is to support both the older adult and their family caregivers. This support includes providing socialization, cognitive stimulation, assistance with activities of daily living, and respite for caregivers.
Correct Answer is C
Explanation
A. Physiological balance and anatomical normalcy: This definition of health focuses solely on the physical aspects of health, emphasizing the absence of disease or abnormalities in the body's structure and functions. While important, it overlooks other dimensions of health, such as psychological, social, and spiritual well-being.
B. Absence of disease and disability: This definition of health defines it primarily as the absence of disease or disability. While the absence of illness is certainly an aspect of health, this definition does not capture the broader concept of health as encompassing multiple dimensions beyond just the physical state.
C. Integration and quality of life: This definition emphasizes the holistic nature of health, recognizing that it involves the integration of physical, psychological, social, and spiritual aspects of well-being. It highlights the importance of overall quality of life and functioning, rather than just the absence of disease.
D. Prevention of disease: This definition focuses on the proactive aspect of health, emphasizing the importance of preventing disease before it occurs. While disease prevention is an essential component of health care, this definition does not fully capture the multidimensional nature of health and well-being.
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