A client is advised to undergo genetic testing. The client says, "How will I afford to pay for this?" Which nursing response is best?
1. "I'm sure your insurance company will cover it. Most of them do."
2. "We will work with your insurance company to explain why you need genetic testing."
3. "Genetic studies are not very expensive now."
4. "Payment will be an issue between you and your insurance company."
2
Rationale 1: Genetic testing is not covered by many insurance companies.
Rationale 2: The health care provider who is competent in genetics and genomics understands the problems of reimbursement and payment. One of the nursing competencies is collaborating with insurance providers/payers to facilitate reimbursement.
Rationale 3: Genetic studies can be very expensive.
Rationale 4: The nurse competent in genetics and genomics will collaborate with insurance companies and payers.
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When evaluating information accessed over the Internet, an important question the nurse should teach the patient to ask is what?
A) Is the information anecdotal? B) Where has this information been obtained? C) Is this information paid for by the drug company? D) How many patients have had input into the information?
Which strategy for change relies on social orientation as its power base?
a. rational-empirical c. normative-reeducative b. power-coercive d. systems thinking
The major reason for not crushing a sustained-release capsule is that, if crushed, the coated beads of the drugs could possibly result in:
1. Disintegration 2. Toxicity 3. Malabsorption 4. Deterioration
The use of critical thinking skills during the assessment phase of the nursing process ensures that the nurse
a. Completes a comprehensive database. b. Identifies pertinent nursing diagnoses. c. Intervenes based on patient goals and priorities of care. d. Determines whether outcomes have been achieved.