A nurse is discussing the plan of care for a school-age child who was recently diagnosed with diabetes mellitus with the child's parents. The family of three is living on a tight budget because the father's business has been closed due to the COVID-19 lockdown. Which of the following factors requires attention from the nurse?
The elementary school is closed and students are learning remotely.
The power company has issued a lenient notice for back payment of debt.
The family may not be able to see preferred providers due to increased health insurance costs.
The family enrolled in the Supplemental Nutrition Assistance Program to receive extra food benefits.
The Correct Answer is C
Choice A Reason:
The closure of the elementary school and the shift to remote learning is a significant change for the child and family. However, it does not directly impact the child's diabetes management. The nurse should be aware of this change as it may affect the child's routine and stress levels, but it is not the primary concern in managing diabetes.
Choice B Reason:
The lenient notice from the power company regarding back payment of debt is a relief for the family, but it does not directly affect the child's diabetes care. While financial stability is important, the immediate concern for the nurse is ensuring the child has access to necessary medical care and supplies.
Choice C Reason:
The family may not be able to see preferred providers due to increased health insurance costs. This is a critical issue because access to preferred healthcare providers is essential for managing the child's diabetes effectively. Consistent care from knowledgeable providers ensures proper monitoring, education, and adjustments to the child's treatment plan. Without access to these providers, the child's health could be compromised.
Choice D Reason:
Enrollment in the Supplemental Nutrition Assistance Program (SNAP) to receive extra food benefits is beneficial for the family's overall nutrition. However, it does not directly address the specific needs related to managing diabetes. While good nutrition is important, the primary concern is ensuring access to specialized medical care.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
The lack of government-provided health insurance is a general issue that can affect both rural and urban populations. While it is a significant concern, it is not specific to rural communities. Government-provided health insurance programs, such as Medicaid and Medicare, are available to eligible individuals regardless of their location.
Choice B Reason:
The financial risk that is typical of underinsured clients is another broad issue affecting many individuals, both in rural and urban settings. Underinsurance can lead to significant out-of-pocket expenses and financial strain, but it is not unique to rural areas. This issue is more related to the overall health insurance market and coverage policies.
Choice C Reason:
Limited availability of managed care insurance can be a problem in rural areas due to fewer healthcare providers and facilities participating in managed care networks. However, this issue is not as critical as the direct access to primary care providers. Managed care insurance availability can vary widely, but the core issue in rural areas is often the physical presence of healthcare services.
Choice D Reason:
Limited access to primary care providers is a significant disadvantage specific to rural communities. Rural areas often face shortages of healthcare professionals, including primary care providers, which can lead to longer travel distances for medical care, longer wait times for appointments, and overall reduced access to essential health services. This lack of access can result in delayed diagnoses and treatment, poorer health outcomes, and increased reliance on emergency services for primary care needs.
Correct Answer is B
Explanation
Choice A Reason:
A client who has health insurance but requires a supplemental policy is not typically eligible for Medicaid based solely on this need. Medicaid is designed to provide health coverage for individuals with low income and limited resources. While supplemental policies can help cover additional costs, they do not qualify someone for Medicaid.
Choice B Reason:
A client whose income is below the poverty line is eligible for Medicaid. Medicaid is a means-tested program that provides health coverage to low-income individuals and families. Eligibility is primarily based on income and, in some cases, other factors such as disability or family status. This choice aligns with the primary eligibility criteria for Medicaid.
Choice C Reason:
A client who has health insurance from their job but is recently unemployed may qualify for Medicaid if their income falls below the eligibility threshold. However, the key factor is the income level, not the employment status alone. If the client's income remains above the poverty line despite unemployment, they may not qualify for Medicaid.
Choice D Reason:
A client who is a young adult between the ages of 18 to 25 does not automatically qualify for Medicaid based on age alone. Eligibility for Medicaid is primarily determined by income and other specific criteria. While some young adults may qualify under certain circumstances, age alone is not a determining factor.
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