Which of the following clients over 65 years of age meets the criteria for Medicare reimbursement for home health nursing?
a. The client who needs assistance with bathing and meal preparation
b. The client who needs assistance with house cleaning and meal preparation
c. The client who needs sitter services because she wanders from home and becomes lost
d. The client whose family members need to learn how to care for his wound
ANS: D
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Case managers are being used by medical facilities and insurance companies at an increasing rate. They are to assist the client in their healthcare without sacrificing needs but still remain within the guidelines of the insurance companies
a. Do you see case managers as beneficial if they have 10 to 20 clients and they address each of their needs by the sickest, most complicated, most needy, then someone who is in need of short-term assistance? b. Can the case managers be at a disadvantage when the insurance companies do not agree with the physician on the client's need for placement or care? Explain. c. Do you foresee an increase in use of case managers with the changes in healthcare in your local area?
The potential exists for a complaint of sexual harassment if a nurse states which of the following? Select all that apply
1. "Would you please help me with one of my female patients? She is uncomfortable asking me to assist her to the restroom." 2. "If I take your patient in Room 203 her pain medication, what are you going to do for me?" 3. "When my patient's physician arrives on the floor, let me know. I would like to make rounds with him." 4. "Could you help me with my patient? She's very large and difficult to get up." 5. "Male nurses never carry their weight. I think they use the fact that a female patient won't let them catheterize them as an excuse so they don't have to put in a Foley catheter."
Travis coined the term wellness to help bring to mind the idea of health as holistic rather than merely the absence of disease or illness. One of the five dimensions of wellness is
1. Physical fitness 2. Advanced age 3. Dementia 4. Cohesiveness
Which strategy could the nurse use to avoid disparity in healthcare delivery?
1. Recognize the cultural issue related to patient care. 2. Request more health plan options. 3. Care for more patients even if quality suffers. 4. Campaign for fixed nurse-patient ratios.