Author Question: You are evaluating the plan of care for an older adult who is alcohol-dependent. Which patient ... (Read 109 times)

pepyto · **on:** Jul 11, 2018

You are evaluating the plan of care for an older adult who is alcohol-dependent. Which patient documentation indicates a need for follow-up nursing interventions by the nurse?

a. Client states that he intends to decrease his alcohol consumption.
b. Client arrived at his group session on time and well-groomed.
c. Client stated, I am an alcoholic because I drink 10 beers a day.
d. Client states that he understands that he needs continued treatment.

Question 2

Which of the following statements is true about health care costs for older adults in the United States?

a. Older adults become eligible for full So-cial Security benefits upon reaching the age of 65 years.
b. Medicare, Part A, covers physician visits, whereas Part B covers prescription drugs.
c. Health maintenance organizations (HMOs) can obtain an exemption from Medicare's per capita spending limit.
d. Older adults pay a fixed premium and low out-of-pocket costs in a preferred provider organization (PPO).

fromAlphatoOmega22 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A

Feedback
A Correct. This response indicates that the client continues to feel that his alcohol consumption is under his control. This warrants follow-up nursing interventions because the patient remains at risk high for alcohol abuse.
B Incorrect. Taking pride in his appearance and participating in group activity are positive signs.
C Incorrect. Acknowledging that he has a problem is a positive sign because the older adults cannot be helped until the problem is acknowledged.
D Incorrect. Acknowledging the need for continuing treatment is a positive sign.

Answer to Question 2

C
If an HMO is granted a per capita waiver, it cannot refuse an applicant on the basis of a preex-isting condition. The eligibility age for full Social Security benefits is 66 years of age for persons born after 1937 and 67 years of age for those born in 1960 or later. Medicare, Part A, covers hospitalizations and other inpatient care. Medicare, Part B, which is optional insurance purchased by the beneficiary, covers outpatient services, physician visits, some therapy sessions, and some home health care. Older adults that pay a fixed premium and low out-of-pocket costs is a description of an HMO rather than a PPO.