In reviewing an older adult's insurance history, you find that he is on Medicaid. What do you know that Medicaid is used for?

It provides monetary benefits to American citizens and legal residents to prevent their dependency on their families

It provides a minimum level of economic support.

It is designed to help the states defray the expenses for the poor.

It is meant to provide insurance coverage for medical care to the older adult and disabled populations, regardless of their financial situations

Answer and Explanation

The Correct Answer is D

A. It provides monetary benefits to American citizens and legal residents to prevent their dependency on their families.

Explanation: Medicaid primarily provides health coverage rather than direct monetary benefits. Its focus is on ensuring access to medical care for those in need.

B. It provides a minimum level of economic support.

Explanation: While Medicaid may indirectly support individuals by covering medical expenses, its primary purpose is to provide health insurance coverage, not economic support in a general sense.

C. It is designed to help the states defray the expenses for the poor.

Explanation: This option describes the collaborative nature of Medicaid, where both federal and state governments contribute to funding. However, the primary goal is to provide health coverage to eligible individuals rather than defraying general expenses for the poor.

D. It is meant to provide insurance coverage for medical care to the older adult and disabled populations, regardless of their financial situations.

Explanation: Medicaid is a joint federal and state program that provides health coverage for certain individuals and families with low incomes, including older adults and people with disabilities. It is designed to assist individuals who may not have the financial means to afford necessary medical care. Medicaid covers a broad range of medical services, and eligibility is determined based on income, household size, and other factors.

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Correct Answer is C

Explanation

A. Provide a urinal and drinking water.

Explanation: While providing a urinal and drinking water is important for the client's comfort and hydration, it may not directly address the risk of falls in this situation.

B. Call for someone to bring the sign.

Explanation: Bringing a fall risk sign is a secondary measure and not as immediate as instructing the client to use the call bell. The priority is to ensure the client's safety by addressing the need for assistance promptly.

C. Instruct the client to use the call bell for help.

Explanation: Instructing the client to use the call bell for help is a crucial intervention to ensure that the client can request assistance when needed. Promptly responding to the call bell allows healthcare providers to assist the client with activities such as getting out of bed, using the bathroom, or reaching personal items without the risk of falls. Educating and encouraging clients to use the call bell empowers them to seek assistance and promotes their safety.

D. Ensure he can reach his personal items.

Explanation: Ensuring the client can reach personal items is part of providing a comfortable environment but may not prevent falls. The critical factor in fall prevention is promoting communication and the ability to request assistance in a timely manner.

A. Constipation B. Poor solid food intake C. Poor liquid intake D. Diarrhea

Correct Answer is A

Explanation

A. Constipation.

Explanation: Constipation is a common side effect of opioid medications like morphine. Older adults, particularly those on bed rest or with reduced mobility, are already at an increased risk of constipation. Morphine further contributes to this risk by slowing down bowel motility. Preventive measures such as promoting adequate hydration, encouraging fiber intake, and considering stool softeners can help prevent constipation in this scenario.

B. Poor solid food intake.

Explanation: While monitoring and addressing poor solid food intake are important for overall nutritional status, it may not be the immediate priority related to morphine use and postoperative care.

C. Poor liquid intake.

Explanation: Ensuring adequate fluid intake is important for overall hydration, but constipation is a more specific and immediate concern associated with opioid use.

D. Diarrhea.

Explanation: Diarrhea is not a common side effect of morphine and is less likely to be the priority for preventive care in this situation. Constipation is a more anticipated concern when opioids are prescribed.

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In reviewing an older adult's insurance history, you find that he is on Medicaid. What do you know that Medicaid is used for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

An older adult who is on bed rest after surgery is prescribed morphine for pain. Which of the following is the nurse's priority for preventive care?

Correct Answer is A

Explanation

As a nurse caring for a cognitively impaired older adult client, you need to observe for which of the following? (Select all that apply.)

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The nurse wants to suggest exercise program options for an older client who is recovering losing her balance and falling. Which nursing intervention is suitable for this older adult?

Which of the following assessments should be included in a post fall prevention assessment of an older adult? (Select all that apply.)

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