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?

A. The nurse can be held liable for the actions of the unlicensed care provider.

In healthcare settings, registered nurses are responsible for delegating tasks to unlicensed care providers within their scope of practice. If a registered nurse directs an unlicensed care provider to perform a task outside of their scope of practice, the nurse can be held liable for any resulting harm to the patient. It's essential for nurses to delegate tasks appropriately and ensure that unlicensed personnel are only assigned tasks that they are trained and authorized to perform.

B. The unlicensed care provider is solely responsible for the inappropriate practice.

While unlicensed care providers must also adhere to their scope of practice, it is ultimately the responsibility of the registered nurse to ensure that tasks are delegated appropriately. If the registered nurse directs the unlicensed care provider to perform tasks beyond their scope, both parties may be held accountable, but the nurse has a higher level of responsibility due to their licensure and authority.

C. Liability rests with the company that owns the healthcare facility.

While the healthcare facility may have some level of responsibility for ensuring appropriate staffing and training, in this scenario, the immediate accountability lies with the registered nurse who directed the unlicensed care provider to perform tasks outside of their scope of practice.

D. In the absence of documented harm to the client, the action is legally permissible.

Performing tasks outside of one's scope of practice is never legally permissible, regardless of whether harm occurs. Nurses and other healthcare providers must adhere to professional standards and regulations regarding delegation and scope of practice to ensure patient safety and quality care.

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.