Author Question: Mrs. J's insurance company reimburses for a maximum of four physical therapy sessions annually. At ... (Read 41 times)

cagreen833 · **on:** Jul 11, 2018

Mrs. J's insurance company reimburses for a maximum of four physical therapy sessions annually. At age 62, Mrs. J is recovering slowly from hip surgery, and her nurse believes that additional sessions would enhance Mrs. J's self-care capacity.

Mrs. J cannot afford to pay for additional sessions. Which of the following is the nurse's major ethical concern?
A) Do I increase financial risks for health care institutions by insisting that nonreimbursed therapy be provided?
B) Is the insurance company reimbursing in a manner that threatens my patient's well-being?
C) Have meta-analyses shown that additional therapy sessions are cost-effective?
D) Am I in compliance with the integrity requirement of the Code of Ethics for Nurses of the American Nurses Association?

Question 2

Many older adults suffer from conditions such as colonic diverticula, hiatal hernia, and ulcerations that can cause occult bleeding. Older adults with these conditions should be observed for

a. leukemia.
b. iron deficiency anemia.
c. sickle cell anemia.
d. polycythemia.

medine · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B
Feedback:
The nurse's first priority is quality care for the patient. If an insurance company is reimbursing in a manner that threatens a patient's well-being, the nurse faces a difficult ethical conflict.

Answer to Question 2

B
Blood loss is a major cause of iron deficiency in adults. The major sources of chronic blood loss are from the GI and genitourinary systems.