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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Poor or inadequate lighting is considered an extrinsic risk factor, as it pertains to environmental conditions that contribute to falls.
B. Cognitive impairment is an intrinsic risk factor, as it relates to the individual’s personal health conditions or capabilities that increase their risk of falling.
C. Clutter, throw rugs, and electrical cords are extrinsic risk factors because they involve environmental hazards in the home setting.
D. High-gloss floors are an extrinsic risk factor, as they pertain to the physical characteristics of the home environment that can contribute to falls.
Correct Answer is A
Explanation
A. The ecological model of health care focuses on multiple levels of influence, including individual, interpersonal, organizational, community, and societal factors. A 35-year-old male with a family history of prostate cancer is a primary target because early intervention and prevention strategies can be tailored based on genetic and lifestyle factors.
B. A client with chronic hepatitis A would benefit from management within a clinical setting rather than an ecological model, which is more preventive and community-focused.
C. A client with established diabetes mellitus might be managed through medical treatment and lifestyle changes, which are typically individual-focused rather than ecological.
D. A client with HIV would require specialized care and management, which is more focused on medical and individual needs rather than the broader ecological approach.
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