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1. Community/public health nurses often make vis- o Treatments and medications will
its to client's homes. Home visiting nursing ser- be utilized to control my pain and
vices are offered to new parents, children with increase my comfort.
special needs and their families, older home-
bound adults, and client's discharged home · Interventions will be utilized to
from the hospital who require ongoing care. control pain, to increase comfort,
Palliative and hospice care are often delivered and to improve quality of life and
by nurses working in the community. The goal quality of death for the client and
of palliative and hospice care is to support the family.
client and family through the dying process.
A primary care provider makes a referral to the
nurse. Which statement by the client indicates an
understanding of palliative care?
o All of my treatments and medications will need
to be discontinued.
o I will discontinue any treatments and only take
medications that will help my pain.
o Treatments and medications will be utilized to
control my pain and increase my comfort.
o I will continue the previous course of treatment
with the help of a nurse.
2. During the initial visit, the nurse explains the o The care provided is client and
purpose of palliative and hospice nursing care to family focused.
the client and their family.
· Hospice care is focused on the
client and family.
When talking with the family, what information
should the nurse include? Select all that apply.
o Hospice nurses regard dying as a
, NU371 Week 3 HESI Case Study: Hospice
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o The care provided is client and family focused. normal process.
o Hospice nurses regard dying as a normal
process. · Dying is viewed as a normal
o Bereavement follow-up is provided after the process.
client's death.
o Visitation and respite services are provided by
o Bereavement follow-up is provid-
licensed personnel.
ed after the client's death.
o Interdisciplinary care focuses on symptom
management. · Bereavement care is a component
o Clients are discharged if they are still alive 6 of hospice care.
months after starting hospice.
o Interdisciplinary care focuses on
symptom management.
· Interdisciplinary care is primarily
focused on symptom management.
3. The nurse completes a comprehensive assess- o The problem that the client identi-
ment of the client and family. fies as the first priority, the problem
that most concerns the client.
In conducting a home visit with a new client, · Highest value should be placed on
which problem should the hospice nurse ad- the problem the client identifies as
dress first? the first priority.
o The client's bowel and urinary elimination pat-
tern, which was the priority concern of the refer-
ring provider.
o The problem that the client identifies as the
first priority, the problem that most concerns the
client.
o The client's need for help with activities of daily
, NU371 Week 3 HESI Case Study: Hospice
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living, the primary nursing diagnosis identified
by the nurse.
o The stages of grief the family will face, and any
difficulty with grieving reported by the family.
4. The client tells the nurse that they are worried o Determine if safety equipment is
about falling in the bathroom when bathing or needed for bathing or showering.
showering. The nurse assesses the client's ability
to perform activities of daily living. · Safety is the first priority to pro-
tect the client from injury. The facil-
ity used for bathing and showering
Which action should the nurse take first when should be inspected by the nurse.
addressing the client's fear of falling in the show-
er?
o Schedule unlicensed assistive personnel to vis-
it twice weekly.
o Determine if safety equipment is needed for
bathing or showering.
o Suggest a routine for completing daily hygienic
activities.
o Teach the client's family how to support the
client in the bathtub.
5. After assessing the client's abilities, the nurse o Place hygienic supplies within the
determines that a shower chair is needed. The client's reach when the client is us-
nurse collaborates with the primary healthcare ing the shower chair.
provider to obtain a prescription for durable
medical equipment. The nurse explores with the · This will promote independence
family whether they can assist with the client's and decrease the risk for falls.
care. The nurse offers them referrals to commu-
nity resources and assists them to access public
assistance if the client is eligible for services.