Despite the availability of State Children's Health Insurance ...

[james9437]

Despite the availability of State Children's Health Insurance Programs (SCHIPs), many eligible children are not enrolled. The nursing intervention that can best help eligible children become enrolled is:
 
  1. Assessment of the details of the family's income and expenditures.
  2. Case management to limit costly, unnecessary duplication of services.
  3. Advocacy for the child by encouraging the family to investigate its SCHIP eligibility.
  4. Education of the family about the need for keeping regular well-child visit appointments.

Question 2

During a health history interview, a client reveals that her sister has cystic fibrosis and wants to know what chance she has of having a child with the disease.
 
  On which statement concerning autosomal recessive disorders such as cystic fibrosis does the nurse base the response? a. If both parents have siblings who have the disease, there is a 25 percent chance of a child inheriting the disease.
  b. If it is determined that she and her partner are carriers of the disease, there is a 1 in 4 chance each child could have cystic fibrosis.
  c. The only way to determine the hereditary risk is by a thorough examination of each parent's family tree.
  d. No test can tell whether she or her partner are carriers of the disease.

[joechoochoy]

Answer to Question 1

3
Rationale:
1. Financial assessment is more commonly the function of a social worker.
2. The case management activity mentioned will not provide a source of funding, and neither will the educational effort described.
3. In the role of an advocate, a nurse will advance the interests of another by suggesting the family investigate its SCHIP eligibility.
4. The case management activity mentioned will not provide a source of funding, and neither will the educational effort described.
Health Promotion and Maintenance

Answer to Question 2

B
If it is determined that she and her partner are carriers of the disease, there is a 1 in 4 chance each child could have cystic fibrosis.