The nurse is caring for an 88-year-old client with advanced decompensated heart failure who is being considered for hospice home care. The client's family asks the nurse, "Will Medicare cover the cost of the home care service?" Which of the following statements would be appropriate for the nurse to make?

"An individual must qualify for disability insurance under Medicare."

"The cost of the home hospice care does involve a copay with Medicare."

"The cost of the home hospice care is covered under Medicare Part A."

"An individual must have supplemental insurance along with Medicare."

Answer and Explanation

The Correct Answer is C

A. "An individual must qualify for disability insurance under Medicare." This is incorrect as Medicare coverage for hospice care does not depend on disability insurance; it is based on the diagnosis and eligibility for hospice care.
B. "The cost of the home hospice care does involve a copay with Medicare." This is incorrect because Medicare generally covers hospice care with minimal costs, including no copay for hospice care itself, though there may be small charges for some items or services.
C. "The cost of the home hospice care is covered under Medicare Part A." This is correct. Medicare Part A covers hospice care if the client meets eligibility requirements for terminal illness and hospice care.
D. "An individual must have supplemental insurance along with Medicare." This is incorrect as Medicare Part A provides coverage for hospice care, and supplemental insurance is not required for this specific coverage.

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Correct Answer is B

Explanation

A. "You don't need to worry about the client as this is a normal sign of dying." This is not appropriate. While loss of appetite can be a normal part of the dying process, the family may need support and reassurance.
B. “This can often lead to a sense of peacefulness for the client.” This is appropriate. Refusal to eat can be a natural part of the end-of-life process, and it can help the client achieve comfort and a sense of peace.
C. "Let's try to plan a schedule for giving the client high-calorie liquids." This is not appropriate. Forcing or scheduling feeding can be counterproductive and may not align with the client's comfort or preferences at the end of life.
D. “I can get a prescription for a feeding tube if you think this would be okay with the client.” This is not appropriate. At the end of life, a feeding tube may not be in the client's best interest and may not contribute to their comfort. It is important to focus on palliative care rather than invasive interventions.

A. Has limited vision at night when out of the home B. Is bedridden and requires assistance to get into a wheelchair C. Lives alone in a private residence with children about 5 miles away D. Would require a taxing effort to leave the home for a prescribed event

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.

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Naxlex Comprehensive Predictor Exams

The family of a client on home hospice care who is nearing the end of life tell the nurse that the client is refusing to eat. Which of the following statements would be appropriate for the nurse to make?

Correct Answer is B

Explanation

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

Which nursing intervention best promotes skin integrity for hospice patients receiving care in the community?

The nurse is providing postmortem care to a client who is on home hospice care and has just died. What action should the nurse take?

The nurse is engaged in primary prevention in a community health environment. Which of the following strategies would the nurse identify as being an example of primary prevention?

A nurse working in a community health clinic is planning care for a client who recently lost their job and is unable to afford their medications to treat diabetes mellitus. Which of the following actions should the nurse take?

Which scenario best exemplifies social learning theory in nursing practice?

A school nurse is planning preventative care for middle school students. As a school nurse, which action best exemplifies secondary prevention?

The nurse is discussing palliative care with a client who has stage 3 lung cancer. Which aspect of palliative care would the nurse explain is unique to the specialty?

The nurse is teaching a client about general primary prevention strategies. The client is somewhat reluctant and asks, "Why should I know about this?" Which of the following statements would be most appropriate for the nurse to make?