A 70-year-old patient tells the nurse, "I can't go to the hospital for treatment, because I have no hospital insurance. My Social Security and my pension pay my living expenses, but I don't have any savings." The nurse's response should be focused on

a. providing information about Medicare.
b. explaining the provisions of Medicaid.
c. exploring the patient's ability to purchase group health insurance.
d. investigating which hospitals provide free care for indigent patients.


ANS: A
It is important to provide information that elderly persons, regardless of income, can receive federal payment for hospital and physician services through Medicare. There is not a clear need to provide information about Medicaid. It's too late to secure group health insurance for this identified health care need. In addition, health insurance companies often refuse payment for treatment of preexisting conditions. Exploring the patient's ability to purchase group health insurance should not be the initial focus.

Nursing

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