The hospice nurse has provided a presentation to student nurses on barriers to effective end-of-life care. Which statement made by a student indicates that additional teaching is needed?
1. "Most patients have good pain management and are comfortable when they die."
2. "Referrals to hospice or palliative care often aren't made when appropriate."
3. "When a patient is dying, there can be disagreements about the goal of their care."
4. "Healthcare professionals often have difficulty in being honest with patients when a prognosis is poor."
1. "Most patients have good pain management and are comfortable when they die."
Explanation: 1. 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.
2. Referrals to hospice or palliative care are often not made in a timely manner or when appropriate for end-of-life care.
3. There are often disagreements about the goal when providing end-of-life care.
4. Healthcare professionals do have difficulty being honest with patients when discussing a poor prognosis.
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