An older adult client who was a veteran of World War II has just died. His widowed wife did not work and does not have sufficient funds to afford supplemental Medicare insurance. You would recommend which one of the following?

TRICARE for Life

Medicaid

Medicare Part D

Supplemental Security Income

Answer and Explanation

The Correct Answer is B

A. TRICARE for Life.
Explanation: TRICARE for Life is a health insurance program for military retirees and their dependents. While it may be relevant for veterans, it is not typically available to widowed spouses, especially if they did not serve in the military themselves.

B. Medicaid.
Explanation: Medicaid is a state and federally funded program that provides health coverage to individuals with limited income and resources. In many states, Medicaid can assist in covering the costs not covered by Medicare, including premiums, deductibles, and other out-of-pocket expenses. Eligibility criteria for Medicaid vary by state, but it often considers income, assets, and medical needs.

C. Medicare Part D.
Explanation: Medicare Part D is the prescription drug coverage program for Medicare beneficiaries. It is not a substitute for supplemental insurance to cover other healthcare costs, and it focuses specifically on prescription medications.

D. Supplemental Security Income (SSI).
Explanation: SSI is a needs-based program that provides financial assistance to elderly or disabled individuals with limited income and resources. While it can assist with income support, it is not a health insurance program and may not directly cover healthcare costs. Medicaid is often coupled with SSI to provide comprehensive coverage.

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

Explanation

A. Making refreshment stations readily available

Explanation: Making refreshment stations readily available can encourage individuals with dementia to access snacks and beverages independently. This can help ensure a consistent intake of calories and nutrients throughout the day.

B. Caloric supplements with the meals

Explanation: Caloric supplements can provide additional nutrients and energy, especially if the client has difficulty consuming an adequate amount of food during meals. Consultation with a healthcare professional is recommended to determine the appropriate type and amount of supplements.

C. Providing feeding assistance

Explanation: Offering feeding assistance, such as help with cutting food into manageable pieces or providing cueing and encouragement during meals, can support individuals with dementia in maintaining proper nutrition.

D. Optimal social supports

Explanation: Optimal social supports, including family members, caregivers, or support groups, can play a crucial role in monitoring the nutritional status of individuals with dementia. Social interactions during meals can positively impact eating behaviors, and caregivers can provide assistance and encouragement.

A. "As the health care proxy, you are the one who makes the decisions. Let's call your mones doctor. B. "I understand why you are so upset. I don't think she is doing the right thing either. Let us think together how we can change her mind C. You will need to go to court and be declared a guardian" D. "Health care proxies only come into play when the individual can no longer make their own decisions. Your mother is able to make her own decisions. I suggest you talk with her."

Correct Answer is D

Explanation

A. "As the health care proxy, you are the one who makes the decisions. Let's call your mom's doctor."
Explanation: This response inaccurately suggests that the health care proxy has the authority to make decisions even when the client has decision-making capacity. The focus should be on the client's autonomy.

B. "I understand why you are so upset. I don't think she is doing the right thing either. Let us think together how we can change her mind."
Explanation: This response is inappropriate as it involves the nurse expressing a personal opinion and attempting to influence the client's decision. The nurse's role is to support the client's autonomy and facilitate communication between the client and their family.

C. "You will need to go to court and be declared a guardian."
Explanation: Involving the court and seeking guardianship is not warranted when the client has decision-making capacity. This option is not aligned with the principles of respecting the client's autonomy and decision-making capacity.

D. "Health care proxies only come into play when the individual can no longer make their own decisions. Your mother is able to make her own decisions. I suggest you talk with her."
Explanation: In this scenario, the client is cognitively intact and has decision-making capacity. As long as the older adult is able to make their own decisions, the health care proxy's role is not activated. The nurse appropriately advises the daughter to communicate directly with her mother about her concerns and decisions. This respects the autonomy of the client, who has the right to make decisions about their own healthcare as long as they have the capacity to do so.

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An older adult client who was a veteran of World War II has just died. His widowed wife did not work and does not have sufficient funds to afford supplemental Medicare insurance. You would recommend which one of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To prevent malnutrition in older clients with dementia, which of the following would benefit your client? (Select all that apply.)

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

Explanation

Correct Answer is D

Explanation

A nurse is assessing an older adult's nutritional status. The nurse understands that which of the following is the most important indicator for a potential nutritional deficit?

A resident's family member is concerned that the resident is not eating adequately and is at risk for malnutrition. The family member says to a nurse, "I heard that there are drugs that can make my mother eat better. Do you think she should be on one?" What is the best response by the nurse?

The nurse assesses an older adult's cognitive status using a standard assessment instrument. Which of the following are cognitive assessment tools? (Select all that apply.)

Which option is part of a program that addresses bowel incontinence in an older adult client?

What components are included in a person-centered community? (Select all that apply.)

Which is the fundamental difference between Medicare Part A and Medicare Part B?

Which attempt by the family to prevent an older frail adult from falling causes the home health nurse concern?