The nurse working in the emergency department is assessing a 43-year-old client with no health insurance who is experiencing the flu. The nurse discusses the need for flu shots with the client, who states, "I cannot afford the shots."
The nurse suggests that the client: 1. Get the shot every year in the emergency department.
2. Find a primary care physician who will give free care.
3. Seek preventive care and health promotion at a community health center.
4. Obtain the flu shot at a local pharmacy.
3. Seek preventive care and health promotion at a community health center.
Rationale:
Community health centers and public health organizations are available for those who are uninsured or underinsured. This provides the client with health promotion and preventive measures as well as treatment when the client is ill. Using the emergency department for preventive care is part of the increased cost of health care. The nurse should not give the client a vague message that they need to find a care provider who gives free care. Rather, the nurse would refer the client to a specific place that can meet the client's needs. Flu shots at pharmacies require payment by the client and are not the solution for those with no insurance and low income.
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