The nurse explains to a client with advanced cancer about the differences between hospice and palliative care. Which statement, if made by the client, indicates teaching was effective?

"Palliative care allows aggressive treatment of the disease."

"Palliative care provides better methods of pain control."

"Hospice care is for clients expected to live for a year or more."

"Hospice care is not available if I am in the hospital."

Answer and Explanation

The Correct Answer is B

A. Palliative focuses on relieving symptoms and improving quality of life of patients and not aggressive treatment. This statement reflects an accurate understanding of palliative care.
B. Palliative care focuses on providing relief from the symptoms and stress of a serious illness, with the goal of improving quality of life for both the patient and the family. It is appropriate at any age and at any stage in a serious illness and can be provided alongside curative treatment.
C. Hospice care is typically for clients expected to live six months or less, not a year or more. This statement reflects a misunderstanding of hospice care criteria.
D. Hospice care can be provided in various settings, including hospitals, and is not restricted to home care only. This statement indicates a lack of understanding of the flexibility of hospice care services.

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Correct Answer is D

Explanation

A. Limited vision at night does not necessarily meet the criteria for being homebound; the focus is more on the overall inability to leave home without considerable effort.
B. Being bedridden and requiring assistance to get into a wheelchair could indicate severe mobility issues, but it does not alone determine homebound status.
C. Living alone with children nearby does not impact the assessment of being homebound; it is more about the client's ability to leave the home.
D. Requiring a taxing effort to leave the home for a prescribed event meets the criteria for being homebound, as it demonstrates significant difficulty in leaving the home without considerable effort or assistance.

A. Slippery bathroom surfaces without grab bars B. Clutter-free pathways and floors C. Adequate lighting in hallways and staircases D. Securely fastened area rugs on hardwood floors

Correct Answer is A

Explanation

A. Slippery bathroom surfaces without grab bars are a significant risk factor for falls, as they can lead to slips and lack of support while moving.
B. Clutter-free pathways and floors reduce the risk of tripping hazards, which is beneficial for fall prevention.
C. Adequate lighting helps in reducing the risk of falls by making it easier to see potential hazards.
D. Securely fastened area rugs do not pose a risk; rather, they prevent tripping hazards associated with loose rugs.

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The nurse explains to a client with advanced cancer about the differences between hospice and palliative care. Which statement, if made by the client, indicates teaching was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client to determine if the client meets the criteria for being homebound. Which of the following criteria would the nurse identify as evidence that a client is homebound?

Correct Answer is D

Explanation

A case management nurse is conducting a home assessment for an elderly client who sustained a recent fall. The case management nurse identifies which of the following environmental factors as posing the highest risk for future falls?

Correct Answer is A

Explanation

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