Which of the following clients would be appropriate for the nurse to recommend for pediatric palliative care services?
6-year-old child with acute myelocytic leukemia
5-month-old infant postoperative following a cleft lip repair
5-year-old child with cystic fibrosis
1-month-old infant with a ventricular septal defect
The Correct Answer is A
A. Pediatric palliative care services are appropriate for a 6-year-old with acute myelocytic leukemia, as the condition is serious and may benefit from symptom management and support.
B. A 5-month-old infant postoperative for cleft lip repair would typically not need palliative care unless complications arise, as this is a common procedure with expected recovery.
C. While cystic fibrosis is a serious condition, it does not automatically qualify for palliative care unless there are severe complications or end-of-life issues.
D. A 1-month-old infant with a ventricular septal defect may require specialized cardiology care but does not automatically need palliative care unless the condition is severe or life-threatening.
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Correct Answer is B
Explanation
A. While palliative care aims to keep clients comfortable, this aspect is not unique to palliative care and can be part of other types of medical care.
B. Palliative care can be provided alongside curative or life-prolonging treatments, which is a unique feature of the specialty, as it focuses on improving quality of life without excluding other treatments.
C. Palliative care is not limited to cases with no other effective measures; it is intended to enhance comfort and quality of life alongside other treatments.
D. Palliative care is not restricted to a specific time frame or to recuperation from illness; it is a comprehensive approach to managing symptoms and improving quality of life throughout the course of serious illness.
Correct Answer is C
Explanation
A. A health care proxy form does not provide information about financial resources; it is used to designate someone to make health care decisions on the client's behalf if they are unable to do so.
B. The health care proxy form is not a requirement for hospital admission, and this response does not accurately represent its purpose.
C. This response is appropriate as it emphasizes the client's right to make decisions about their own health care and ensures that their preferences are known and respected.
D. While having a health care proxy may ease concerns about family involvement, its primary purpose is to ensure that health care decisions are made according to the client's wishes.
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