A nursing student is caring for a hospitalized client, who stated she cannot afford health care coverage
She heard the Affordable Care Act (ACA) makes it too complicated to get coverage, and it takes too long to complete the online application. She also heard that the plans only paid a fraction of the costs, and she would not be able to continue with her doctor. How should the student respond?
A) "I understand your concern because the health care plans are expensive and have high deductibles. In addition, they are limited in the amount of coverage the plan will provide, and often times the plan does not have your doctor or pharmacy included."
B) "I can give you the Web site for the Health Insurance Market Place. There is a question and answer area and live chat that you can connect with a spokesperson who can answer your questions."
C) "Have you actually tried to use the Health Insurance Market Place, or are you just going by what others have told you?"
D) "The Health Insurance Market Place offers coverage based upon income, and at times it can be free or a minimal amount. I can contact our certified case manager to help you get the coverage you need and help you possibly find coverage that also includes your doctor."
Ans: D
Feedback:
The ACA goal is to provide affordable health insurance access to all Americans. The plan is based upon income, so persons at poverty may receive free or extremely low rates for coverage. There are numerous plans to help best serve the needs of the individual, and health insurance companies sell plans on the Health Insurance Market Place so often times a plan or plans may have the physician and services the client wants to continue. It is best for the nursing student to use the certified case manager who can help the client navigate the Web site and other resources to get the coverage the client needs. Answer A is incorrect because the nursing student is stating a personal opinion, which is incorrect and misleading and does not help the client to gain access to health care insurance. Answer B does not dispel misconceptions that the client has heard and sends the client to a Web site that she already feels confused by. Answer C is judgmental and should never be stated to a client because it would impede communication.
You might also like to view...
A 60-year-old woman complains of muscle weakness, constipation, nausea, and frequent urination, and is displaying bizarre behavior. The woman takes prescribed thiazide diuretics
What statement made by the patient might be an additional cause of her symptoms? a. "I have been working hard to drink plenty of water to prevent dehydration." b. "I should probably tell you I take steroids regularly because of my asthma." c. "I take calcium supplements to prevent osteoporosis and eat lots of dairy foods." d. "I recently quit drinking alcohol. I quit cold turkey and did it all by myself."
A client is receiving treatment for rheumatoid arthritis but states that he is allergic to eggs. What medication would the client not be able to receive?
A) Methotrexate (Rheumatrex) B) Synvisc C) Anakinra (Kineret) D) Prednisone
A patient prescribed an antiseizure drug tells you that his favorite morning drink is grapefruit juice. What is your best action?
a. Call the diet kitchen to order grapefruit juice with the patient's breakfast tray. b. Ask the patient if he would like to have grapefruit juice added to his dinner tray. c. Instruct the patient to drink at least 8 ounces of water with each glass of grapefruit juice. d. Teach the patient to avoid grapefruit juice because it can increase the effects of these drugs.
A nurse works in an acute psychiatric setting and sees clients as they are admitted for inpatient psychiatric care. Many of the clients exhibit paranoid behavior. The most important skill this nurse can utilize for these clients is which of the following?
1. Cognitive skill 2. Interpersonal skill 3. Technical skill 4. Therapeutic skill