You are the nurse caring for an 87-year-old Mexican-American female patient who is in end-stage renal disease
The physician has just been in to see the patient and her family to tell them that nothing more can be done for the patient and that death is not far off. The physician offers to discharge the patient home to hospice care. The patient and family refuse. After the physician leaves, the patient's daughter approaches you and asks what hospice care is. What would this lack of knowledge about hospice care be perceived as?
A) Lack of an American education of the patient and her family
B) A language barrier to hospice care for this patient
C) A barrier to hospice care for this patient
D) Inability to grasp American concepts of health care
Ans: C
Feedback: Historical mistrust of the health care system and unequal access to even basic medical care may underlie the beliefs and attitudes among ethnically diverse populations. In addition, lack of education or knowledge about end-of-life care treatment options and language barriers influence decisions among many socioeconomically disadvantaged groups. The scenario does not indicate whether the patient's family has an American education, whether they are unable to grasp American concepts of health care, or whether they can speak or understand English. This makes options A, B, and D incorrect.
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