The guardian of a child who has a terminally illness tells a nurse that they want to take their child home. Which of the following responses should the nurse make?

"Your provider will be here later today."

"I can give you information on what that would involve."

"I understand how you feel. I felt the same way when my sibling was terminally ill."

"I think you should speak with social services about your request."

Answer and Explanation

The Correct Answer is B

A. "Your provider will be here later today." Informing the guardian about the provider’s availability does not directly address their request or provide immediate support. While the provider plays a role in discharge planning, the nurse should offer guidance and resources to help the guardian understand the process of taking the child home.

B. "I can give you information on what that would involve." Acknowledging the guardian’s request and offering relevant information demonstrates support and facilitates informed decision-making. Providing education on home care, hospice options, and necessary resources ensures that the guardian is prepared for the transition while maintaining open communication.

C. "I understand how you feel. I felt the same way when my sibling was terminally ill." Sharing personal experiences shifts the focus away from the guardian’s concerns and may not be appropriate in a professional setting. While empathy is essential, the response should remain patient-centered and focused on providing relevant information and support.

D. "I think you should speak with social services about your request." Referring the guardian to social services may be part of the process, but immediately redirecting the conversation does not acknowledge their concerns. The nurse should first provide direct information and reassurance before involving additional support services as needed.

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Correct Answer is D

Explanation

A. "Hospice care focuses on disease treatment and rehabilitation": Hospice care prioritizes comfort and symptom management rather than curative treatments or rehabilitation. The focus is on improving quality of life for clients with terminal illnesses.

B. "The provider will coordinate your health care needs while in hospice": Hospice care is typically managed by an interdisciplinary team, including nurses, social workers, chaplains, and other specialists, rather than being solely coordinated by a provider. The team collaboratively addresses the client's needs.

C. "You must choose a home caregiver before being admitted into a hospice facility": Hospice care can be provided in various settings, including the client’s home, a dedicated hospice facility, or a hospital. While a home caregiver may be helpful for in-home care, it is not a requirement for admission into a hospice program.

D. "Hospice care continues to help families with grief after a death occurs": Bereavement support is a key component of hospice care, offering counseling, resources, and support groups to help families cope with loss after the client’s passing.

A. Loud volume of the television set B. Wall-to-wall carpet in the living room C. Low chairs without armrests D. Use of indirect lighting

Correct Answer is C

Explanation

A. Loud volume of the television set. While a loud television may indicate hearing impairment, it does not pose an immediate safety risk. The nurse should assess the client’s hearing and provide recommendations if needed, but addressing environmental hazards that increase the risk of falls takes priority.

B. Wall-to-wall carpet in the living room. Unlike loose rugs, wall-to-wall carpeting reduces the risk of tripping and slipping. It provides better traction for walking, making it a safer flooring option for older adults compared to hard surfaces or throw rugs.

C. Low chairs without armrests. Low chairs make it difficult for older adults to stand up, increasing the risk of falls. The absence of armrests further reduces stability and support when rising from a seated position. Recommending higher chairs with armrests can enhance mobility and prevent injuries.

D. Use of indirect lighting. Soft, indirect lighting can help reduce glare and improve comfort, but it may not necessarily create safety concerns. However, inadequate lighting in critical areas, such as hallways or staircases, should be assessed to prevent falls.

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The guardian of a child who has a terminally illness tells a nurse that they want to take their child home. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

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