The nurse is discussing the use of artificial nutrition with the family of a client who is unable to take oral nutrition and is approaching end-of-life. Which of the statements would be appropriate for the nurse to include in the discussion about the use of artificial nutrition in dying clients?

It has limited if any impact on the client's comfort level.

It can lower the incidence of infection when a client is bedridden.

It can improve the client's metabolism and blood circulation.

It can alleviate hunger that clients have when unable to have any oral feedings.

Answer and Explanation

The Correct Answer is A

A. Artificial nutrition often has limited impact on comfort at the end of life and may not contribute to the client's overall well-being. It is generally focused on sustaining life rather than improving comfort.
B. Artificial nutrition does not significantly lower the incidence of infection in bedridden clients. Proper infection control practices are more relevant in preventing infections.
C. Artificial nutrition is unlikely to significantly improve metabolism or blood circulation in dying clients, as the focus is typically on managing symptoms and comfort.
D. Alleviating hunger is not usually a primary goal of artificial nutrition in end-of-life care. The primary focus is often on comfort rather than addressing hunger.

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Correct Answer is A

Explanation

A. The belief that accepting end-of-life care represents a medical failure can prevent individuals from seeking quality care, as it may lead to reluctance or denial of appropriate palliative and hospice care services.
B. Receiving unemployment insurance does not directly relate to the barriers of seeking end-of-life care; it pertains more to financial assistance rather than care quality issues.
C. Inability to provide appropriate home care is a logistical challenge but not necessarily a major barrier to seeking quality end-of-life care, as other options like hospice care can be utilized.
D. Distrust in the medical community can be a barrier to seeking care, but the statement about accepting end-of-life care as a failure more directly addresses a significant barrier to accessing appropriate care.

A. "Telehealth helps to cover the cost of prescriptions, medical equipment, and other health care expenditures." B. "Telehealth helps clients who have difficulty accessing a physician's office communicate with their primary care providers." C. "Telehealth can duplicate or replace all of the services provided by a health care institution." D. "Telehealth is a supplemental program that fills in gaps in coverage from government-provided health insurance."

Correct Answer is B

Explanation

A. Telehealth does not directly cover the cost of prescriptions, medical equipment, or other health care expenditures; it focuses on providing access to care.
B. Telehealth is beneficial for homebound clients as it facilitates communication with primary care providers, overcoming barriers to accessing in-person care.
C. Telehealth cannot replace all services provided by health care institutions; it complements but does not duplicate every aspect of in-person care.
D. Telehealth is not specifically a supplemental program for gaps in insurance coverage but rather a mode of delivering care that can enhance access.

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The nurse is discussing the use of artificial nutrition with the family of a client who is unable to take oral nutrition and is approaching end-of-life. Which of the statements would be appropriate for the nurse to include in the discussion about the use of artificial nutrition in dying clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a group of staff nurses about perspectives on death and dying. Which of the following statements would the nurse identify as being a major barrier to seeking quality end-of-life care for individuals?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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