A 66-year-old client is retiring and will no longer have health insurance through a place of employment. Which agency should the client be referred to by the employee health nurse for health insurance needs?

Women, Infant, and Children program.

Consolidated Omnibus Budget Reconciliation Act provisions.

Medicare.

Medicaid.

Answer and Explanation

The Correct Answer is C

A) Women, Infant, and Children program:
The Women, Infant, and Children (WIC) program provides nutritional assistance to low-income pregnant women, new mothers, and young children. It is not designed for general health insurance needs and is not applicable to a 66-year-old retiring from employment.

B) Consolidated Omnibus Budget Reconciliation Act provisions:
The Consolidated Omnibus Budget Reconciliation Act (COBRA) allows employees and their families to continue their health insurance coverage for a limited period after leaving employment. While COBRA can provide temporary coverage, it may not be the most appropriate long-term solution for a retiree who will likely need ongoing health insurance coverage beyond the COBRA continuation period.

C) Medicare:
Medicare is a federal health insurance program specifically designed for individuals aged 65 and older. Since the client is 66 years old and retiring, Medicare is the most appropriate agency to refer to for health insurance needs. Medicare provides comprehensive health coverage for seniors and is suited to their age group.

D) Medicaid:
Medicaid provides health coverage for low-income individuals and families, including some older adults with limited income and resources. However, for a 66-year-old client who is retiring and is likely eligible for Medicare, Medicaid may not be the primary insurance option unless the client has specific low-income needs that qualify them for additional assistance. Medicare is the primary program for seniors.

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Correct Answer is A

Explanation

A) Gather information about the client's recent exposure to pesticides:
This action is the highest priority because the symptoms described—dizziness, headaches, abdominal cramps, and difficulty breathing—are consistent with pesticide poisoning, which is a common risk for migrant farm workers. Gathering information about recent pesticide exposure will help in identifying if this is the cause of the client's symptoms and guide appropriate treatment or intervention.

B) Obtain a blood sample to assess for possible lead paint exposure:
While lead exposure could be a concern, particularly in older mobile homes, the symptoms described are more immediately suggestive of pesticide poisoning. Prioritizing assessment related to pesticide exposure is more relevant to the client's current symptoms.

C) Ask about the length of his workday and frequency of rest breaks:
While understanding work conditions is important for overall health, the acute symptoms the client is experiencing are more directly linked to chemical exposure. Addressing the potential for pesticide exposure is a more urgent concern.

D) Determine the number and age of persons living in the mobile home:
This information is useful for understanding the living conditions but does not directly address the acute symptoms the client is experiencing. The priority is to identify potential causes of the symptoms, such as pesticide exposure.

A. Provide dorm teaching sessions about the need to finish prescribed antibiotic doses. B. Encourage incoming freshmen to obtain the meningococcal polysaccharide vaccine prior to dorm living. C. Require documentation from incoming freshmen that Haemphilus influenza type b (Hib) vaccinations are current. D. Develop a clinic protocol for the prophylactic use of isoniazid for positive reactors.

Correct Answer is B

Explanation

A) Provide dorm teaching sessions about the need to finish prescribed antibiotic doses:
While educating about antibiotic adherence is important, it is not specifically targeted to meningococcal meningitis. This intervention is more relevant to managing infections rather than preventing meningococcal meningitis, which is primarily preventable through vaccination.

B) Encourage incoming freshmen to obtain the meningococcal polysaccharide vaccine prior to dorm living:
Meningococcal meningitis is a significant risk in college environments due to close living conditions. The meningococcal polysaccharide vaccine is effective in preventing the disease. Encouraging incoming freshmen to receive this vaccine before starting dorm life directly addresses the prevention of meningococcal meningitis and is the most effective measure for reducing incidence in this high-risk population.

C) Require documentation from incoming freshmen that Haemophilus influenza type b (Hib) vaccinations are current:
While Hib vaccinations are important for preventing certain bacterial infections, they are not specifically related to meningococcal meningitis. The Hib vaccine is not a primary prevention method for meningococcal disease, making this measure less relevant for addressing meningococcal meningitis.

D) Develop a clinic protocol for the prophylactic use of isoniazid for positive reactors:
Isoniazid is used for tuberculosis prophylaxis, not for preventing meningococcal meningitis. Developing a protocol for isoniazid would not impact the incidence of meningococcal meningitis and is therefore not relevant to this particular prevention goal.

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A 66-year-old client is retiring and will no longer have health insurance through a place of employment. Which agency should the client be referred to by the employee health nurse for health insurance needs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A migrant farm worker who lives in a mobile home with several other workers visits the Migrant Health Care Center. The client reports Increasing episodes of dizziness, headaches, abdominal cramps, and difficulty breathing. Which nursing action has the highest priority?

Correct Answer is A

Explanation

Which measure should the college health clinic nurse implement to reduce the incidence of meningococcal meningitis in college freshmen?

Correct Answer is B

Explanation

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