A nurse is providing teaching to a client about directives regarding end-of-life care. Which of the following information should the nurse include in the teaching?
The living will is a legally binding contract between the client and the provider.
The client can choose a non-family member as the designated power of attorney.
The client's family has the authority to revoke the do-not-resuscitate order at any time.
The client can verbally choose a health care proxy if two nurses witness the designation.
The Correct Answer is B
The client can choose a non-family member as the designated power of attorney. A durable power of attorney for healthcare is a legal document that designates a person to make healthcare decisions on behalf of the client if they become unable to do so. The client can choose any competent adult as their designated power of attorney, not just a family member. The living will is a legal document that outlines a client's wishes for end-of-life care, but it is not a contract between the client and provider. The family does not have the authority to revoke a do-not-resuscitate order at any time, and the client cannot verbally choose a health care proxy.
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Correct Answer is B
Explanation
Answer is b. The provider is paid a fixed sum for the client on a monthly or yearly basis.
A health maintenance organization (HMO) is a type of health insurance that contracts with a network of providers and facilities to offer care at a discounted rate. The HMO pays the provider a fixed sum for each client, regardless of the services they use. This is called capitation³. The HMO also requires the client to have a primary care provider who coordinates their care and makes referrals to specialists².
a. This statement is wrong because it describes a co-payment, which is a fixed amount that the client pays for each service. Co-payments are usually low in HMOs, but they are not the main payment structure².
c. This statement is wrong because it describes a fee-for-service health care insurance program, which is the opposite of an HMO. In a fee-for-service program, the client pays the insurer for each service they use, and the insurer reimburses the provider. This gives the client more freedom to choose their provider, but it also increases the cost of health care¹.
d. This statement is wrong because it describes a co-insurance, which is a percentage of the total cost that the client pays for each service. Co-insurance is more common in preferred provider organizations (PPOs), which are another type of health insurance that offer more flexibility than HMOs, but also higher premiums
Correct Answer is D
Explanation
Children with leukemia are at risk for developing oral mucositis, which is inflammation and ulceration of the oral mucosa due to the destruction of rapidly dividing cells by chemotherapy. Inspecting the child's mouth for sores and providing appropriate mouth care is essential to prevent infection and to maintain hydration and nutrition. Riding a bicycle is not recommended for a child with leukemia because of the risk of falls and injuries, and the measles, mumps, and rubella vaccine is contraindicated for children with leukemia who are receiving chemotherapy. Measuring the temperature orally or axillary is a safe and accurate method for monitoring the child's temperature.
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