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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Call the local hospital and arrange a referral: A referral does not immediately address the family’s communication needs. The nurse should first attempt to provide care with proper interpretation.
B. Attempt communication using an English-Spanish phrase book: A phrase book is inadequate for complex medical discussions and could lead to miscommunication.
C. Emphatically state, "No hablo Español" (I don't speak Spanish): This response is dismissive and does not help the family receive the care they need.
D. Obtain an interpreter to translate: The best practice is to use a professional interpreter to ensure accurate communication and avoid misunderstandings in medical care.
Correct Answer is A
Explanation
A. Being bitten by an infected mosquito: A vector is an organism (e.g., a mosquito, tick, or flea) that transmits pathogens from one host to another. Mosquitoes transmit diseases like malaria, dengue fever, and Zika virus.
B. A group of partygoers hugging and shaking hands: This describes direct contact transmission, not vector-borne transmission.
C. Disease spreading from infected mother to infant via the placenta: This describes vertical transmission (from mother to child during pregnancy), not vector-borne transmission.
D. Two persons, one of whom is infected, sharing a glass of soda: This describes indirect contact transmission through fomites (contaminated objects), not vector-borne transmission.
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