A nurse is providing a skilled nursing service. Which of the following best describes the interven-tion the nurse is performing?
a. Teaching the client and family about medication administration
b. Consulting with other nurses about the care of a client in the home
c. Coordinating services for maximum bene-fit at minimal cost
d. Reviewing nursing assistant charting at the end of each day
ANS: A
Skilled nursing service is the Medicare term that describes the duties of the registered nurse, and refers to the requirement of nursing judgment. Those services involve assessment, teaching, and selected procedures. Teaching the client and family to implement a therapeutic plan, such as tak-ing medications, is an example of a skilled nursing service. Consultation, coordination, and re-view of documentation do not fit the definition of a "skilled nursing service."
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