While caring for his dying wife, the husband states that his wife is a devout Roman Catholic, but he is a Baptist. Who is considered the most reliable source of preferences concerning end-of-life (EOL) care for his dying wife?
Husband of the dying wife
The dying wife
Hospice staff
A priest
The Correct Answer is B
A. While the husband is deeply involved in the care, he may not fully know the wife’s preferences for end-of-life care.
B. The dying wife is the most reliable source of her own preferences for end-of-life care, as she can directly communicate her wishes.
C. Hospice staff can provide guidance and support but are not the primary source of the patient’s personal preferences.
D. A priest may offer spiritual guidance but does not have the authority to determine the individual’s personal end-of-life care preferences.
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Related Questions
Correct Answer is B
Explanation
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.
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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