A nursing student volunteers at a homeless shelter that houses 25 ...

[lidoalex]

A nursing student volunteers at a homeless shelter that houses 25 adults. The shelter has a computer connected to the Internet.
 
  A 55-year-old client who dropped out of high school in the ninth grade asked the student what he could do to be able to access health care. The best response is: You can visit:
  A) free clinics in the area; let me give you a list of ones nearby the shelter.
  B) the Health Insurance Market Place; I can help you apply online, if you like.
  C) the Social Security office nearby and you can apply for Medicare.
  D) the local Public board of Health for free immunizations.

Question 2

The diagnosis-related groups (DRGs) method of payment was developed by the federal government in the 1980s. The DRG payment system establishes:
 
  A) a minimum level of health care for every American who experiences illness or injury.
  B) an obligation for citizens to participate in health promotion activities.
  C) shared responsibility for health care between the individuals and the government.
  D) fixed rates for health care treatments using rates that are based on client variables.

[missalyssa26]

Answer to Question 1

Ans: B
Feedback:
The nursing student's best response is to help the client to visit the Health Insurance Market Place online and offer to help him complete the forms, if he needs help. The client is 55 years of age and may have problems reading the computer screen if he does not have reading glasses. The client may have difficulties reading and comprehending what he reads. The client may not be a computer literate. Medicare is a hospital and health care insurance plan for persons 65 years of age and older, so the client does not qualify. Providing free clinics or emergency room services or the free immunizations fragments health care and does not provide essential health prevention and wellness the client needs.

Answer to Question 2

Ans: D
Feedback:
The DRG system of payment takes age, complications, and multiple health problems into consideration and uses the principle of prospective payment to set rates for health care services in advance, rather than after the service has been delivered. The DRG system does not create an obligation for health promotion, a shared responsibility for health, or a national minimum level of care.