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?
Believing that accepting end-of-life care represents a medical failure
Receiving unemployment insurance for the last year
Having the inability to be able to provide appropriate care in the home
Expressing negative distrust in the medical community
The Correct Answer is A
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.
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Related Questions
Correct Answer is C
Explanation
A. "Physician and nursing staff." While the physician and nursing staff play a role in providing medical care and guidance, they are not responsible for making decisions about end-of-life care when the client cannot communicate their wishes.
B. "Physician and family." The physician can provide medical recommendations and guidance, but the family members are responsible for making decisions about end-of-life care when there is no advance directive.
C. "Spouse and adult children." This is correct. In the absence of an advance directive, the responsibility for making end-of-life decisions typically falls to the spouse and/or adult children, as they are usually considered the next of kin or legal decision-makers.
D. "Notary and attorney." Notaries and attorneys are not responsible for making medical decisions about end-of-life care. Their role is more related to legal documentation and advice.
Correct Answer is A
Explanation
A. The ecological model of health care focuses on multiple levels of influence, including individual, interpersonal, organizational, community, and societal factors. A 35-year-old male with a family history of prostate cancer is a primary target because early intervention and prevention strategies can be tailored based on genetic and lifestyle factors.
B. A client with chronic hepatitis A would benefit from management within a clinical setting rather than an ecological model, which is more preventive and community-focused.
C. A client with established diabetes mellitus might be managed through medical treatment and lifestyle changes, which are typically individual-focused rather than ecological.
D. A client with HIV would require specialized care and management, which is more focused on medical and individual needs rather than the broader ecological approach.
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