Public Health Nursing Practice Exam

What larger issue might a hospice case manager identify when many clients lack caregivers at home?

1. Community activism for improved services

2. Community satisfaction with current settings

3. Community deficiencies in service quality and availability

4. Community perceptions of hospice care

The correct answer is: Community deficiencies in service quality and availability

The identification of community deficiencies in service quality and availability reflects a significant concern when hospice case managers observe that many clients lack caregivers at home. This situation highlights a broader systemic issue where the existing support structures in the community are insufficient to meet the needs of patients, which can lead to inadequate care. When individuals in hospice lack caregivers, it often indicates that there are not enough resources—such as trained home health aides or community support services—available to assist families dealing with terminal illnesses. This deficiency can lead to increased stress for patients and their families and negatively affect the quality of hospice care delivered. Addressing such deficiencies becomes crucial for improving the overall health care landscape within the community. It suggests a need for enhanced services, whether through policy changes, increased funding for home healthcare options, or expanded community support programs. By recognizing and acting on these deficiencies, hospice case managers can work towards creating more effective patient-centered care environments that support both patients and their families.