A 68-year-old client is concerned about paying for extended hospitalization and expensive medications to treat his health problem. What should the nurse respond to this client?
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."
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.
You might also like to view...
The nurse and UAP are making an occupied bed together. Which action by the nurse is incorrect?
a. The nurse asks and assists the patient to turn toward the UAP and loosens the fitted sheet and rolls it in toward the patient. b. The nurse rolls dirty linens to the side then places the linens on the floor while finishing. c. The nurse tucks the clean bottom sheet under the cleaner underside of the dirty linens. d. The nurse wears gloves to remove dirty linens.
The nurse should recognize a patient's risk for impaired immune function if the patient has undergone surgical removal of which of the following?
A) Thyroid gland B) Spleen C) Kidney D) Pancreas
What is a conceptual model?
a. A model made up of constructs, between which a relationship may or may not exist b. A set of highly abstract, related constructs c. An integrated set of defined concepts, existence statements, and relational statements that can be used to describe, explain, predict, or control that phenomenon d. A diagram that expresses the interrelationships of concepts and statements
A patient is diagnosed with hypokalemia. Which medication order would the nurse anticipate?
1. Potassium 40 mEq IV push 2. Potassium 40 mEq added to the next liter of IV fluids 3. Potassium 40 mEq by rectal suppository 4. Potassium 40 mEq IM