Medicare is a big issue for the older adult who depends on this medical insurance to pay for his or her hospital bills, medications, and rehabilitation. When talking to your older client about what Medicare will pay for and what it will not, what do you tell your client that Medicare will not cover the cost of?
Semiprivate room
Hospice care
Custodial care
Skilled care
The Correct Answer is C
A. Semiprivate room.
Explanation: Medicare can cover the cost of a semiprivate room during a qualifying hospital stay or skilled nursing facility stay.
B. Hospice care.
Explanation: Medicare provides coverage for hospice care for individuals with a terminal illness and a life expectancy of six months or less.
C. Custodial care.
Explanation: Custodial care, which involves assistance with activities of daily living (ADLs) such as bathing, dressing, and feeding, is generally not covered by Medicare. Medicare primarily covers medically necessary and skilled care, such as hospital stays, certain nursing home stays, hospice care, and some home health care services. Custodial care, which focuses on assistance with routine personal care, is considered non-medical and is typically not covered by Medicare.
D. Skilled care.
Explanation: Medicare covers skilled care, including services provided by healthcare professionals such as nurses and therapists, when deemed medically necessary. Skilled care is typically required to improve or maintain a person's condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Some of the residents are wearing blankets around their shoulders to keep warm.
Explanation: While this indicates that some residents are taking measures to keep warm, it is more of an observation than a documentation of the overall impact of temperature on the health and well-being of all residents.
B. It feels much warmer in the administration wing than out in the client care areas.
Explanation: This statement relates to variations in temperature within the facility but does not directly address the suitability of the overall ambient temperature for the well-being of older adults.
C. An ambient temperature of 62°F is unsuitable for older people because they have impaired thermoregulation.
Explanation: Older adults often have impaired thermoregulation, making them more vulnerable to temperature extremes. A temperature of 62°F may be too cold for older adults, increasing the risk of hypothermia or discomfort. Addressing the potential impact of impaired thermoregulation on older individuals' health and well-being is crucial in maintaining a safe and comfortable environment.
D. It is not fair for older adults to have to deal with an uncomfortable environment.
Explanation: While fairness and comfort are valid considerations, the primary concern should be the potential impact of the ambient temperature on the health and well-being of older adults, especially considering their impaired thermoregulation.
Correct Answer is A
Explanation
A. Ensuring ready access to a toilet or commode.
Explanation: Ensuring ready access to a toilet or commode for the client is a practical measure to address bowel incontinence. This proactive approach allows the client to respond to the urge to defecate promptly, reducing the risk of incontinence episodes.
B. Encouraging the intake of 1 L of water each day.
Explanation: While maintaining adequate hydration is important for overall bowel health, it may not directly address the issue of bowel incontinence.
C. Expecting a rapid and full recovery.
Explanation: The expectation of rapid and full recovery does not constitute a specific intervention for addressing bowel incontinence. The approach to managing bowel incontinence is typically individualized and may involve various strategies depending on the underlying causes.
D. Toileting the client 10 to 15 minutes after meals.
Explanation: Toileting the client after meals is a timing strategy that may help take advantage of the gastrocolic reflex, but it is only one aspect of a comprehensive program for managing bowel incontinence. Other interventions, such as dietary adjustments, exercise, and toileting schedules, may also be considered based on the client's specific needs.
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