A nurse is providing discharge teaching to a client's adult child regarding the client's discharge to home with hospice care. Which of the following statements by the client's adult child indicates an understanding of the teaching?

Rationale: A. This option is incorrect because being enrolled in hospice care does not prevent hospital admission. Clients can be admitted to the hospital if their condition requires urgent medical intervention, although the goal of hospice is to provide comfort care, typically at home or in a hospice facility. B. This option is incorrect because hospice services are generally covered by Medicare, Medicaid, and most private insurance plans. While some out-of-pocket costs may exist, the statement that hospice care is entirely an out-of-pocket expense is inaccurate. C. This option is incorrect because the primary goal of hospice care is to provide comfort, manage symptoms, and improve quality of life rather than to prolong life. Hospice focuses on palliative rather than curative treatment. D. This option is correct because hospice care provides support not only for the client but also for the family. The hospice team offers counseling, education, and assistance with caregiving to ensure the client’s needs are met while helping family members cope with caregiving responsibilities and end-of-life issues. This demonstrates understanding that hospice care is comprehensive and family-centered.