A gerontological nurse is helping a potential home health client acquire the supplies that will be needed once the client is discharged from acute care. When considering these supplies, what should the nurse recall?

1. Medicare will cover supplies, but only with a physician's written order.
2. Between insurance supplements and Medicare, the older client shouldn't have any difficulty with coverage.
3. Most clients in this age group live on a fixed income, and supplies used should be as economical as possible.
4. Clients have to be responsible for their own supplies.


Correct Answer: 3
Rationale 1: Assuming that all supplies are covered by Medicare when ordered by a physician is erroneous.
Rationale 2: Assuming that all supplies are covered by Medicare and/or supplemental insurance is erroneous.
Rationale 3: The financial needs of this age group vary considerably, and problems with income are related to low retirement benefits, lack of pension plans, and increasing length of retirement years. Nurses should be aware of the costs of health care and use supplies that are as economical as possible.
Rationale 4: The nurse should assist the client to apply for whatever assistance programs are available.

Nursing

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