A nurse is admitting a client who has a hip fracture from a recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?
Inform the client's partner that they will be unable to care for the client
Consult case management
Obtain referral for occupational therapy services
Facilitate the client’s discharge to home
The Correct Answer is B
A. Informing the partner they are unable to care for the client without further assessment and support is not appropriate.
B. Consulting case management is crucial to evaluate the home care situation, including the partner’s ability to provide care, and to arrange appropriate resources or support services.
C. Referring for occupational therapy is important for rehabilitation but does not address the overall home care planning or the partner’s capability to provide care.
D. Facilitating discharge to home without assessing the adequacy of home care arrangements could put the client at risk, so consulting case management is a more comprehensive approach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The trend is actually increasing for older adults wishing to be cared for at home rather than decreasing.
B. There is a growing trend for older adults to seek hospice care to manage symptoms and improve quality of life at the end of life.
C. Despite the increase in hospice care, older adults still frequently die in hospitals due to various factors, but this is gradually changing.
D. Trends show that older adults are spending less time in hospitals and more in home-based or hospice care.
Correct Answer is C
Explanation
A. "An individual must qualify for disability insurance under Medicare." This is incorrect as Medicare coverage for hospice care does not depend on disability insurance; it is based on the diagnosis and eligibility for hospice care.
B. "The cost of the home hospice care does involve a copay with Medicare." This is incorrect because Medicare generally covers hospice care with minimal costs, including no copay for hospice care itself, though there may be small charges for some items or services.
C. "The cost of the home hospice care is covered under Medicare Part A." This is correct. Medicare Part A covers hospice care if the client meets eligibility requirements for terminal illness and hospice care.
D. "An individual must have supplemental insurance along with Medicare." This is incorrect as Medicare Part A provides coverage for hospice care, and supplemental insurance is not required for this specific coverage.
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