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,Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf
a) Continuous care 1. A nurse is providing in-home hospice care to a terminally ill client. The client
experiences a medical crisis requiring monitoring and medication administration.
Pg. 373 Which level of hospice care would the nurse implement?
Continuous care is provided in the home for a) Continuous care
management of medical crisis. Routine home care would b) General inpatient care
be used to provide the usual services to a client, such as c) Inpatient respite care
nursing care, medical social services, counseling, home d) Routine home care
health aide/homemaker services, and various therapies.
Inpatient respite care would be used for a 5-day stay to
provide relief for family caregivers. General inpatient
care is used for symptom management that cannot be
provided in the home.
Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf
,Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf
c) "I just want to see my daughter graduate from college. 2. A nurse is assessing a terminally ill female client. Which client statement
That's all" indicates that the client is in the bargaining stage of dying?
Pg. 384 a) "I can't believe this. I'm going to get a second opinion"
b) "I don't know how my husband is going to manage things when I'm gone"
Bargaining is manifested by pleading for more time to c) "I just want to see my daughter graduate from college. That's all"
reach an important goal. This is reflected in the client's d) "Why is this happening to me. I've led a good life. Why is God punishing me?"
statement about wanting to see her daughter's college
graduation. The statement about going to get a second
opinion reflects denial. The statement about why reflects
anger. The statement about not knowing how the
husband will manage reflects the depression stage.
b) Clients and families view hospice care as giving up 3. Medicare and Medicaid hospice benefit criteria allow clients with a life
expectancy of 6 months or less to be admitted to hospice. However, the median
Pg. 372-373 length of stay in a hospice program is just 21.3 days. Which reason explains the
underuse of hospice care services?
Clients often equate hospice with giving up and are
reluctant to accept hospice care. Lack of fully a) Lack of Medicare/Medicaid funding for hospice
credentialed and trained hospice nurses is not a barrier b) Clients and families view hospice care as giving up
to hospice care. Lack of Medicare funding and lack of c) Difficulty obtaining Medicare certification for hospice services
certification for hospice service providers have not been d) Lack of fully credentialed and trained hospice nurses
documented as barriers to access of hospice services.
Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf
, Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf
Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf
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,Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf
a) Continuous care 1. A nurse is providing in-home hospice care to a terminally ill client. The client
experiences a medical crisis requiring monitoring and medication administration.
Pg. 373 Which level of hospice care would the nurse implement?
Continuous care is provided in the home for a) Continuous care
management of medical crisis. Routine home care would b) General inpatient care
be used to provide the usual services to a client, such as c) Inpatient respite care
nursing care, medical social services, counseling, home d) Routine home care
health aide/homemaker services, and various therapies.
Inpatient respite care would be used for a 5-day stay to
provide relief for family caregivers. General inpatient
care is used for symptom management that cannot be
provided in the home.
Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf
,Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf
c) "I just want to see my daughter graduate from college. 2. A nurse is assessing a terminally ill female client. Which client statement
That's all" indicates that the client is in the bargaining stage of dying?
Pg. 384 a) "I can't believe this. I'm going to get a second opinion"
b) "I don't know how my husband is going to manage things when I'm gone"
Bargaining is manifested by pleading for more time to c) "I just want to see my daughter graduate from college. That's all"
reach an important goal. This is reflected in the client's d) "Why is this happening to me. I've led a good life. Why is God punishing me?"
statement about wanting to see her daughter's college
graduation. The statement about going to get a second
opinion reflects denial. The statement about why reflects
anger. The statement about not knowing how the
husband will manage reflects the depression stage.
b) Clients and families view hospice care as giving up 3. Medicare and Medicaid hospice benefit criteria allow clients with a life
expectancy of 6 months or less to be admitted to hospice. However, the median
Pg. 372-373 length of stay in a hospice program is just 21.3 days. Which reason explains the
underuse of hospice care services?
Clients often equate hospice with giving up and are
reluctant to accept hospice care. Lack of fully a) Lack of Medicare/Medicaid funding for hospice
credentialed and trained hospice nurses is not a barrier b) Clients and families view hospice care as giving up
to hospice care. Lack of Medicare funding and lack of c) Difficulty obtaining Medicare certification for hospice services
certification for hospice service providers have not been d) Lack of fully credentialed and trained hospice nurses
documented as barriers to access of hospice services.
Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf
, Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf
Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf Ch 13_ Palliative and End-of-Life Care.pdf
