A nurse has begun working with a client who would likely benefit ...

[mia]

A nurse has begun working with a client who would likely benefit from home health care. Which of the following variables has the most potential to affect the course of this client's care?
 
  A) Deinstitutionalizat ion
  B) Preferred provider arrangements
  C) Authorization for home care services
  D) Demographic changes

Question 2

A nurse is working with a 70-year-old client who has severe and persistent mental illness. Which of the following statements most likely applies to this client's situation?
 
  A) Supplemental Security Income provides enough money for the person to pay for a home, food, and medication.
  B) Reinstitutionalizat ion may result in the individual being committed to a mental hospital or asylum.
  C) Opportunities to improve finances are limited or nonexistent because this person may lack funds for education, clothing, and transportation.
  D) Medicaid funding for those with mental illness is likely sufficient to optimize the client's care.

[ghepp]

Answer to Question 1

Ans: C
Feedback:
An individual must meet the criteria for home care services in order for these to be authorized. In the absence of this authorization, the client is unlikely to receive the care he or she needs. Demographic changes, deinstitutionalizat ion, and preferred provider arrangements are less likely to be relevant.

Answer to Question 2

Ans: C
Feedback:
Reliance on Supplemental Security Income (SSI) as the major source of financial support allows little opportunity for choices. The average monthly stipend barely meets their rent payments. Unlike the early institutions that housed those with mental illness in hospitals and asylums, the current reinstitutionalizat ion is in both hospitals and jails. Medicaid funding, although limited in noninstitutional settings, remains the primary source for poor people, including most people with SPMI. The result has been inappropriate admissions to nursing facilities and other institutions so that clients can receive appropriate care. Opportunities to improve finances are limited or nonexistent because these people lack funds for education, clothing, and transportation.