The hospice nurse has provided a presentation to long-term care nurses on barriers to excellent end-of-life care. Which statement made by a participating nurse indicates that additional teaching is needed?

1. "Most patients have good pain control when they die."
2. "Referrals to hospice or palliative care often aren't made."
3. "When a client is dying, there can be disagreements about the goal of care."
4. "In general, healthcare professionals have difficulty in being honest with patients when discussing a poor prognosis."


1
Rationale: Although not all deaths involve pain and suffering, there are deficiencies in the way end-of-life care is currently provided in the U.S. healthcare system. Barriers include lack of knowledge regarding pain and symptom control.

Nursing

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Which of the following best describes what insurance companies did to decrease their constantly increasing costs? (Select all that apply.)

a. Did not cover any illnesses that were diagnosed before the person (or his or her employer) purchased insurance b. Limited coverage to only certain services, eliminating any that were experimental, nontraditional, or too costly c. Reimbursed only the care that was requested by the patient's primary physician d. Limited providing insurance to companies who hired mainly young, healthy persons e. Required preapproval before expensive services were used f. Ceased coverage on any person who used an exorbitant number of services, whenever possible

Nursing

The area between 4 and 12 feet of a person is commonly referred to as which of the following?

a. Public space b. Social space c. Personal space d. Intimate space

Nursing

A man is diagnosed with terminal kidney failure. His wife demonstrates loss and grief behaviors. What type of loss is the wife experiencing?

A) Maturational loss B) Anticipatory loss C) Dysfunctional grieving D) Bereavement

Nursing

What is the common problem of hydronephrosis, hydroureter, and urethral stricture in kidney function?

a. Dilute urine b. tubular cell damage c. dehydration d. obstruction

Nursing