A client who is at least 65 years of age is asking the nurse how ...

[jjjetplane]

A client who is at least 65 years of age is asking the nurse how he will afford his hospitalization, which has now been extended, involving extremely expensive drugs. The best response by the nurse is:
 
  1. Don't worry. I'm sure everything will work out OK.
  2. You need to focus on recovering, not worrying about finances.
  3. Much of your care will be covered by Medicare.
  4. I'll have someone from the business office come and talk to you about your bill.

Question 2

Principles recommended by the Institute of Medicine to address the problem of insurance coverage include which of the following? (Select all that apply.)
 
  1. Health coverage should be for everyone.
  2. Families and individuals should have coverage they can afford.
  3. Coverage should be provided by private companies.
  4. Health coverage should be ongoing and uninterrupted.
  5. Hospitals should be financed through taxation.

[sabina576]

Answer to Question 1

Correct Answer: 3
Rationale 1: Ignoring the client's concerns by telling him not to worry is not therapeutic communication and does little, if anything, to confront the client's concerns.
Rationale 2: Ignoring the client's concerns by telling him not to worry is not therapeutic communication and does little, if anything, to confront the client's concerns.
Rationale 3: The Medicare amendment to the Social Security Act provided a national and state health insurance program for older adults. By the mid-1970s, virtually everyone over 65 years of age was protected by hospital insurance under Part A. In 1988, Congress expanded Medicare to include extremely expensive hospital care, catastrophic care, and expensive drugs.
Rationale 4: Giving the concern to the business office is merely passing the buck. Nurses should have some knowledge about the payment sources of their clients, especially those who have automatic coverage with Medicare because of their age.

Answer to Question 2

Correct Answer: 1,2,4
Rationale 1: Between 2001 and 2004, the Institute of Medicine issued six research reports identifying the scope of the problem of the underinsured in America. They recommended principles for addressing this problem with health coverage should be for everyonebeing one of them
Rationale 2: Between 2001 and 2004, the Institute of Medicine issued six research reports identifying the scope of the problem of the underinsured in America. They recommended principles for addressing this problemwith individuals and families need to have coverage they can afford being one of them
Rationale 3: Between 2001 and 2004, the Institute of Medicine issued six research reports identifying the scope of the problem of the underinsured in America. They recommended principles for addressing this problembut coverage should be provided by private companies is not aong them.
Rationale 4: Between 2001 and 2004, the Institute of Medicine issued research reports identifying the scope of the problem of the underinsured in America. They recommended five principles for addressing this problemwith health coverage should be ongoing/uninterruptiblebeing among them.
Rationale 5: The Canada Health Act in 1984 provided financing for hospitals through taxation.