An 80-year-old woman comes to the community health care facility with a large bag of medications. She tells the nurse she can no longer afford these medications because her only income is Social Security. Which statement is the best response by the nurse?

"These medications are important. Do your best to pay for them."

"Let's go through these medications and see which ones we can delete."

"You can get these medicines at a clinic for free."

"Let's see if we can get some help from Medicare to help you pay for these medications."

Answer and Explanation

The Correct Answer is D

A. "These medications are important. Do your best to pay for them." This dismisses the patient's financial hardship and does not offer assistance or alternatives.

B. "Let's go through these medications and see which ones we can delete." Nurses should not arbitrarily stop medications. Only a healthcare provider (e.g., physician, pharmacist) should determine if any medications can be discontinued or adjusted.

C. "You can get these medicines at a clinic for free." This is misleading because not all clinics offer free medications. The nurse should verify available programs before making such a statement.

D. "Let's see if we can get some help from Medicare to help you pay for these medications." This response provides a realistic solution by exploring financial assistance options, such as Medicare Part D, Medicaid, or other drug assistance programs.

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Correct Answer is A

Explanation

A. A client receives a tetanus booster every 10 years: Primary prevention aims to prevent disease before it occurs. Vaccinations are a classic primary prevention measure.

B. A client with tetanus is given antibiotics and is placed on seizure precautions: This is tertiary prevention, as it focuses on managing an existing disease.

C. A client receives tetanus immunoglobulin after stepping on a nail: Post-exposure prophylaxis (PEP) is a secondary prevention strategy because it prevents disease progression after exposure.

D. A client is screened for a tetanus infection: Screening is secondary prevention, as it focuses on early detection, not prevention.

A. Risk communication B. Tertiary prevention C. Environmental epidemiology D. Environmental justice

Correct Answer is D

Explanation

A. Risk communication: Risk communication involves informing the public about health risks but does not specifically address social inequalities in environmental hazards.

B. Tertiary prevention: Tertiary prevention focuses on managing existing health conditions, not preventing environmental injustices.

C. Environmental epidemiology: Environmental epidemiology studies the relationship between environmental exposures and health outcomes but does not directly advocate against environmental injustice.

D. Environmental justice: Environmental justice focuses on ensuring that all communities, regardless of race or socioeconomic status, receive equal protection from environmental hazards. Opposing the construction of a waste site in a disadvantaged area aligns with this principle.

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An 80-year-old woman comes to the community health care facility with a large bag of medications. She tells the nurse she can no longer afford these medications because her only income is Social Security. Which statement is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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