Palliative Care Nursing with quality verified solutions latest update

Palliative Care Nursing with quality verified solutions latest update Which one of the following statements is most accurate when differentiating hospice from palliative care? A) Both palliative care and hospice focus on cure; however, hospice focuses on terminal illnesses, and palliative care focuses on diseases that are more chronic in nature. B) Palliative care consists of comfort and symptom management and is often a part of hospice care. C) Hospice is more of a specific place than a concept of care, whereas palliative care is more of a concept of care. D) Hospice is intended for people who have a projected life expectancy of 6 months or more, and palliative care is intended for people who are actively dying. - B Feedback: Palliative care consists of comfort and symptom management and is often part of hospice care. Neither palliative care nor hospice focuses on cure. Hospice does focus on care of people who are known to be at end of life, and palliative care can be provided to people who have chronic ongoing health conditions even when death is not imminent. Hospice is more of a concept of care than a specific place. Palliative care should be a major focus of care throughout the aging process, regardless of whether death is imminent within 6 months. When describing the philosophy of hospice care to a group of students, which of the following would the instructor include? A) The right to die and euthanasia B) Working with people in their last year of life C) Holistic and family-centered care to terminally ill clients D) Weaving hospice concepts around curative treatment - C Feedback: The philosophy of hospice care includes holistic and family-centered care to terminally ill clients. Hospice care is delivered to terminally ill people with the recognition that death is a human experience. Euthanasia is not part of the care. Hospice care can be initiated after a physician has declared that a person has 6 months or less to live. Hospice care is initiated in the final phase of a person's illness when he or she is not receiving curative treatment. After teaching a group of students about hospice and its view of end-of-life care, which statement by the students indicates a need for additional teaching? A) Care should attend to the body, mind, and spirit. B) Death is not considered a taboo topic. C) Medical technology should be used widely. D) Clients have a right to truthful discussion. - C Feedback: The hospice movement has emphasized four major changes in end-of-life care: (1) care should attend to body, mind, and spirit; (2) death must not be a taboo topic; (3) medical technology should be used with discretion; and (4) clients have a right to truthful discussion and involvement in treatment decisions. A client will receive hospice care under the Medicare Hospice Benefit. The nurse understands that which of the following is true? A) The client denies terminal prognosis. B) The client has a prognosis of at least 6 months of life. C) The client chooses life-extending care. D) The hospice acts as clinical and financial case manager. - D Feedback: The Medicare Hospice Benefit requires that a client, who has a prognosis of 6 months or less, must sign up for the comfort-focused hospice benefit and waive the regular hospice benefit. This mandates that the client acknowledge a terminal prognosis and choose comforting care instead of life-extending care. When this choice is made, the hospice coordinates care in all settings, functioning both as clinical and financial case manager. When describing the role of hospice nurses to a group of students, a hospice nurse identifies which of the following as most important? A) Speaking the truth B) Sustaining oneself C) Encouraging choice D) Strengthening the family - B Feedback: Although speaking the truth, encouraging choice and strengthening the family are key interventions of a hospice nurse, sustaining oneself is the priority. Effective hospice nurses understand that to care for others, they must care for themselves because without a healthy nurse, the client cannot thrive. Which of the following Medicare definitions prevent people who could benefit from home care services from receiving those services, even when it would be most cost effective for the client to receive home care rather than more expensive emergent and inpatient interventions? Select all that apply. A) Home-bound status B) Medical necessity C) Prospective payment D) Skilled nursing - A, B, D Feedback: The entire model for service provision in the home must change to a health care delivery system that continuously serves those living with disabling and terminal illness to maximize well-being at home, anticipate and prevent crises, and minimize