Author Question: Which patient statements would the nurse evaluate as negatively affecting access to health care? ... (Read 64 times)

mckennatimberlake · **on:** Jul 23, 2018

Which patient statements would the nurse evaluate as negatively affecting access to health care? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

1. An older adult says, If I tell my doctor that I fall frequently, I might have to go to a nursing home.
2. A young adult says, A benefit of my new job is that it pays for my health, dental, and vision insurance.
3. A patient being discharged says, Can you call my prescriptions in to the pharmacy?
4. The patient's new insurance plan requires a 10 copay for office visits.
5. A patient asks to be discharged before noon as he has a 3-hour drive home.

Question 2

A patient expresses concern about becoming addicted to a prescription pain medication ordered postoperatively. What nursing responses are indicated?

1. The dose of your medication is as low as possible.
2. You will only take the medication for a short time.
3. If you follow the suggested schedule, you have little risk of addiction.
4. If you need this medication, you cannot become addicted to it.
5. Take the medication now, and we will worry about addiction later.

ririgirl15 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1,4,5
Rationale 1: The older adult may not reveal a fall history out of concern for loss of independence and a change in living conditions.
Rationale 2: Having a job that pays insurance helps ensure access.
Rationale 3: Being able to call prescriptions in to the pharmacy helps ensure access.
Rationale 4: Even a low cost copay may be difficult for some patients to afford.
Rationale 5: Living long distances from health care sources decreases access.

Global Rationale: The older adult may not reveal a fall history out of concern for loss of independence and a change in living conditions. Even a low cost copay may be difficult for some patients to afford. Living long distances from health care sources decreases access. Having a job that pays insurance helps ensure access. Being able to call prescriptions in to the pharmacy helps ensure access.

Answer to Question 2

1,2,3
Rationale 1: Dose is a factor in risk of addiction. The lowest dose that will produce pain relief should be ordered.
Rationale 2: Limiting the length of use of medication helps to avoid addiction.
Rationale 3: Patients who follow the prescribed use of medications have low risk of addiction.
Rationale 4: It is possible to become addicted to medications based on use when the patient feels the need.
Rationale 5: Ignoring the patient's concern is not therapeutic.

Global Rationale: Dose is a factor in risk of addiction. The lowest dose that will produce pain relief should be ordered. Limiting the length of use of medication helps to avoid addiction. Patients who follow the prescribed use of medications have low risk of addiction. It is possible to become addicted to medications based on use when the patient feels the need. Ignoring the patient's concern is not therapeutic.