What are the most important competing forces that influence health policy for the elderly?
A) Cost containment versus quality of care
B) Acute care versus the burden of chronic disease
C) Private insurance payments versus Medicare support
D) Long-term care at home versus nursing home services
A
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Policy discussions most often pit cost containment (reducing expenditures) against quality of care (which may mean increasing expenditures). Seniors require relatively less acute care than younger patients do; their health problems are more often chronic. Because all persons over age 65 are entitled to health coverage through Medicare, insurance considerations are fewer than with younger patients. And whereas one in four seniors requires nursing home care at some time, nursing home residency is not typically long term.
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The nurse conducting the Rinne test notes that the client hears the bone conduction sound longer than the air conduction sound. Which should the nurse anticipate documenting?
A. Sensorineural hearing loss. B. No hearing loss. C. Possible conductive hearing loss. D. Mixed hearing loss.