During a home visit, the client with terminal cancer undergoes ...

[cnetterville]

During a home visit, the client with terminal cancer undergoes respiratory arrest. The client has agreed to a DNR (do not resuscitate) order; however, the spouse tells the nurse to call 911. What action should the nurse take?
 
  1. Assess vital signs.
  2. Call 911.
  3. Start CPR.
  4. Remind the spouse of the client's desires.

Question 2

The nurse would like to admit a client to home health care, but is worried about insurance reimbursement. What client action is causing the nurse to question if home care can be prescribed for this client?
 
  1. Lives with a spouse
  2. Needs skilled care
  3. Needs intermittent care
  4. Drives a car for trips to the barber

[SomethingSomething]

Answer to Question 1

Correct Answer: 4
Rationale 1: Assessment of vital signs does not address the immediate situation.
Rationale 2: In the event of conflict between the client's desires and the family's wishes, the nurse, being the client's primary advocate, ensures that the client's rights and desires are upheld. This is a difficult situation, but the nurse is bound to the client's desires. Calling 911 would not support the client's desires.
Rationale 3: In the event of conflict between the client's desires and the family's wishes, the nurse, being the client's primary advocate, ensures that the client's rights and desires are upheld. This is a difficult situation, but the nurse is bound to the client's desires. Starting CPR would not support the client's desires.
Rationale 4: In the event of conflict between the client's desires and the family's wishes, the nurse, being the client's primary advocate, ensures that the client's rights and desires are upheld. This is a difficult situation, but the nurse is bound to the client's desires.

Answer to Question 2

Correct Answer: 4
Rationale 1: Living with a spouse is allowed for reimbursement by insurance companies.
Rationale 2: Needing skilled care is allowed for reimbursement by insurance companies.
Rationale 3: Needing intermittent care is allowed for reimbursement by insurance companies.
Rationale 4: Clients must meet certain criteria, including homebound status, except for occasional outings. Barber trips are included as occasional outings, but the client is not the driver.