An older client on Medicare has physical limitations and telephones a local home care agency to schedule a nurse to visit. What should the nurse do first before proceeding with this client's request?
1. Determine homebound status
2. Identify available staff to visit the client
3. Discuss the challenges the client is facing
4. Find out when the client was last hospitalized
1
Rationale 1: To receive payment from Medicare for home care the client must meet the requirement of homebound status.
Rationale 2: Identifying staff can occur once it is determined that the client is homebound.
Rationale 3: The nurse needs to first identify homebound status before identifying the client's needs.
Rationale 4: The client's last hospitalization does not impact homebound status.
Global Rationale: To receive payment from Medicare for home care the client must meet the requirement of homebound status. Identifying staff can occur once it is determined that the client is homebound.The nurse needs to first identify homebound status before identifying the client's needs.The client's last hospitalization does not impact homebound status.
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