A nurse is collaborating with social services in the discharge planning for a young adult client who is below the poverty income level and will require home V therapy. Which of the following resources should the nurse recommend? (Select all that apply.)
Respite care
Adult day care
Medicare Part A
Medicaid
Food Stamps
Correct Answer : D,E
Rationale:
A. Respite care: Respite care is designed to temporarily relieve caregivers of people with chronic conditions, typically elderly or disabled clients. It is not suitable for a young adult needing home IV therapy unless there is a primary caregiver experiencing burnout, which is not indicated in this scenario.
B. Adult day care: Adult day care services are intended for older adults who need supervision and social interaction during daytime hours. This service is not relevant for a young adult receiving home-based IV therapy, which requires in-home clinical support rather than daytime supervision outside the home.
C. Medicare Part A: Medicare Part A covers hospital stays, skilled nursing, and limited home health services but is generally for individuals over 65 or those with qualifying disabilities. A young adult living in poverty without a qualifying disability would not typically be eligible for this benefit.
D. Medicaid: Medicaid provides comprehensive health coverage for low-income individuals of all ages and is often used to fund home healthcare services, including IV therapy. It is a key resource for ensuring this client receives needed care at home.
E. Food Stamps: The Supplemental Nutrition Assistance Program (SNAP), commonly known as Food Stamps, helps low-income individuals afford adequate nutrition. This support is crucial for clients below the poverty level, especially while recovering and managing ongoing healthcare needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. "Check your pulse rate for 30 seconds at different times throughout the day.": Clients with pacemakers should check their pulse daily at the same time and for a full minute to ensure the pacemaker is functioning properly. Shorter durations and inconsistent timing may lead to inaccurate assessments.
B. "Limit strenuous physical activity for 8 weeks.” Limiting physical activity, especially involving the upper body, is essential to allow the pacemaker leads to secure in the myocardium. Strain or vigorous movement during the healing phase can displace the leads or disrupt healing.
C. "Remain at least 3 feet away when watching television”: Modern televisions do not emit electromagnetic interference that would affect pacemaker function. There is no need for such distancing, making this instruction inaccurate and unnecessarily restrictive.
D. "Expect to have intermittent, prolonged hiccups.” Persistent hiccups could indicate pacemaker lead displacement or diaphragmatic stimulation and should be reported immediately. They are not an expected or normal finding after pacemaker implantation.
Correct Answer is A
Explanation
Rationale:
A. "Can you talk about what was happening with your partner at home?": This open-ended question encourages the partner to express emotions and provide context, which helps build trust and gather relevant information. It’s a therapeutic response that validates the partner’s experience without judgment or assumptions.
B. "Why do you think your partner's symptoms are progressing so quickly?” This question may come off as accusatory or put the partner on the defensive. "Why" questions can create a sense of blame or pressure, which is not conducive to a supportive therapeutic environment.
C. "You should make sure your partner takes the prescribed medication”: This directive may be perceived as dismissive and does not acknowledge the partner’s emotional distress. While medication adherence is important, this is not the most therapeutic or empathetic initial response.
D. "You did the right thing by bringing your partner in for treatment”: While affirming the decision is supportive, this response closes the conversation and doesn’t invite the partner to explore their concerns or emotions further, limiting therapeutic dialogue.
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