The nurse is caring for an 88-year-old client with advanced decompensated heart failure who is being considered for hospice home care. The client's family asks the nurse, "Will Medicare cover the cost of the home care service?" Which of the following statements would be appropriate for the nurse to make?

"An individual must qualify for disability insurance under Medicare."

"The cost of the home hospice care does involve a copay with Medicare."

"The cost of the home hospice care is covered under Medicare Part A."

"An individual must have supplemental insurance along with Medicare."

Answer and Explanation

The Correct Answer is C

A. "An individual must qualify for disability insurance under Medicare." This is incorrect as Medicare coverage for hospice care does not depend on disability insurance; it is based on the diagnosis and eligibility for hospice care.
B. "The cost of the home hospice care does involve a copay with Medicare." This is incorrect because Medicare generally covers hospice care with minimal costs, including no copay for hospice care itself, though there may be small charges for some items or services.
C. "The cost of the home hospice care is covered under Medicare Part A." This is correct. Medicare Part A covers hospice care if the client meets eligibility requirements for terminal illness and hospice care.
D. "An individual must have supplemental insurance along with Medicare." This is incorrect as Medicare Part A provides coverage for hospice care, and supplemental insurance is not required for this specific coverage.

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Correct Answer is C

Explanation

A. "Physician and nursing staff." While the physician and nursing staff play a role in providing medical care and guidance, they are not responsible for making decisions about end-of-life care when the client cannot communicate their wishes.
B. "Physician and family." The physician can provide medical recommendations and guidance, but the family members are responsible for making decisions about end-of-life care when there is no advance directive.
C. "Spouse and adult children." This is correct. In the absence of an advance directive, the responsibility for making end-of-life decisions typically falls to the spouse and/or adult children, as they are usually considered the next of kin or legal decision-makers.
D. "Notary and attorney." Notaries and attorneys are not responsible for making medical decisions about end-of-life care. Their role is more related to legal documentation and advice.

A. A client whose income is below the poverty line B. A client who does not have any other kind of health insurance C. A client who is below the age of 18 D. A client who is age 65 or older

Correct Answer is A

Explanation

A. Medicaid provides health insurance primarily to individuals and families with incomes below the poverty line, including low-income adults, children, pregnant women, and individuals with disabilities.
B. Eligibility for Medicaid is based on income and other criteria, not simply the lack of other health insurance.
C. Being below the age of 18 alone does not determine Medicaid eligibility; it is more dependent on income and other eligibility factors.
D. Individuals aged 65 or older are typically eligible for Medicare, not Medicaid, although low-income seniors may qualify for both Medicare and Medicaid depending on their financial situation.

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Naxlex Comprehensive Predictor Exams

The family attorney informed a client's adult children and wife that the client did not have an advance directive after suffering a serious stroke. Who is responsible for EOL (End of Life) measures when the client cannot communicate his or her specific wishes?

Correct Answer is C

Explanation

A nurse is reviewing the records of a group of clients. Which of the following clients should the nurse identify as eligible to receive health insurance under the Medicaid program?

Correct Answer is A

Explanation

A client’s rapid cancer metastasis has prompted a shift from active treatment to palliative care. When planning this client’s care, the nurse should identify:

Which of the following statements would the nurse identify as best defining health promotion?

The nurse is teaching a group of community health nurses about the practice to use when teaching clients about the "Ask Me 3" questions concept. Which question, if stated by the group as part of this concept, would indicate that the group needed additional instruction?

The nurse is applying the Omaha System to categorize client issues observed during home visits with a group of clients. Which of the following problems would the nurse classify under the Psychosocial Domain? (Select all that apply)

The nurse is planning health promotion programs for a community-based health center and is concerned about the health literacy of the community. Which of the factors would the nurse identify as being risk factors for low health literacy? (Select all that Apply)

A community health nurse reviews Healthy People 2030 when considering the health needs that will be addressed in the community. Which goal would the document include?

The nurse is providing postmortem care to a client who is on home hospice care and has just died. What action should the nurse take?