A nurse manager is discussing social services for older adults during a staff meeting in a long- term acute care (LTAC) facility. Which statement about Medicare made by one of the employees requires correction by the nurse manager?

Medicare covers people under 65-years who have end-stage renal disease.

Low-income people who have Medicare can also qualify for Medicaid.

People who qualify for Medicare will have no out-of-pocket medical expenses.

Medicare is federally-funded health insurance for people 65-years or older.

Answer and Explanation

The Correct Answer is C

A.   Medicare does cover individuals under 65 years old who have end-stage renal disease (ESRD) and meet certain criteria.
B.   There are programs that allow individuals with both Medicare and low income to qualify for Medicaid, which can help cover additional healthcare costs that Medicare may not fully cover.
C.   While Medicare does provide significant coverage for healthcare services, it is not entirely free of out- of-pocket costs. Medicare Part A typically covers hospital stays, skilled nursing facility care, hospice, and some home health care services with no premiums for most people.
D.   Medicare is indeed federally-funded health insurance primarily for individuals aged 65 and older. It also covers certain younger individuals with disabilities and those with ESRD.

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Correct Answer is C

Explanation

A. Involves the use of physical force that may result in bodily injury, pain, or impairment. This option does not fit the scenario described because it does not involve direct physical harm.
B. Involves behaviors such as intimidation, threats, humiliation, and isolation that cause mental or emotional distress. While similar to neglect in some aspects, neglect specifically refers to the failure to provide essential care rather than actively causing psychological harm.
C. Neglect refers to the failure of a caregiver or responsible person to provide the necessary care, assistance, or supervision that is essential to maintain the health and well-being of an elderly person.
D. Involves unauthorized or improper use of an elderly person's financial resources. This option does not apply to the scenario described as it involves financial exploitation rather than the physical or emotional neglect of the resident.

A. Leave the affected area open to air when you are at home. B. Limit ice-pack application to the area to 20 minutes at a time. C. Lubricate the area with an alcohol-based lotion. D. You may use aloe vera gel on the affected skin. E. Clean the area with betadine to prevent infection.

Correct Answer is ["A","D"]

Explanation

A. Allowing the affected skin to be exposed to air can help in promoting healing and preventing further irritation. However, it's essential to ensure the environment is clean and that the area is protected from friction and contamination.
B. Ice packs should be avoided as they can cause further irritation to the radiated skin, and alcohol- based lotions can be drying and may exacerbate skin reactions.

C. Alcohol-based lotions can be drying and irritating to sensitive, radiation-treated skin. It's preferable to use gentle, non-alcohol-based moisturizers or barrier creams that are specifically designed for sensitive skin. These can help soothe the skin and prevent excessive dryness and irritation.
D. Aloe vera gel is known for its soothing and moisturizing properties, which can help alleviate discomfort and promote healing of radiation-damaged skin. It is gentle and generally well-tolerated by most individuals.
E. Betadine (povidone-iodine) can be too harsh for radiation-damaged skin and may further irritate the area. Gentle cleansing with mild soap and water is recommended to keep the area clean and minimize the risk of infection.

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A nurse manager is discussing social services for older adults during a staff meeting in a long- term acute care (LTAC) facility. Which statement about Medicare made by one of the employees requires correction by the nurse manager?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which type of elder mistreatment is demonstrated by a caregiver leaving a nursing home resident alone in his room for long periods at a time with no opportunity for social stimulation?

Correct Answer is C

Explanation

A client who is undergoing external beam radiation for prostate cancer has developed desquamation of the skin in the treatment area. Which of the following statements should the nurse plan to include for this patient? (Select all that apply.)

Correct Answer is ["A","D"]

Explanation

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