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 D

Explanation

A) Instruct on technique of "stop, drop & roll" at assembly:
This is a primary prevention intervention aimed at educating students on how to prevent burns in the event of a fire. It does not address a specific identified problem but rather provides general safety education.

B) Involve the parent teacher association (PTA) in a fund raising event for the new gym:
This action focuses on raising funds for a new gym, which is related to school improvement and development rather than addressing an immediate health issue. It does not fall under secondary intervention for an identified problem.

C) Invite 1st grade parents to a "Meet the Teachers" event:
This intervention focuses on fostering relationships between parents and teachers and improving school engagement. While valuable, it does not address a specific health problem that requires secondary intervention.

D) Send letters to parents regarding a recent lice infestation:
This is a secondary prevention intervention aimed at addressing an already identified problem—in this case, a lice infestation. By informing parents, the nurse is helping to manage and control the spread of lice among students, which is a direct response to an identified health issue.

A. Refer to healthcare provider for complete evaluation. B. Send client to the emergency department for treatment. C. Instruct client to apply antibiotic ointment to sores. D. Create a list of foods that promote wound healing.

Correct Answer is A

Explanation

A) Refer to healthcare provider for complete evaluation:
The symptoms described—pale, bluish feet, and sores with poor healing—are indicative of possible peripheral vascular disease, circulatory issues, or other serious conditions that require a thorough medical evaluation. Referring the client to a healthcare provider ensures that a comprehensive assessment can be performed to diagnose the underlying cause and develop an appropriate treatment plan.

B) Send client to the emergency department for treatment:
While the symptoms are concerning, they do not necessarily indicate an immediate emergency requiring urgent care. Referral to a healthcare provider for a complete evaluation is generally more appropriate unless the client exhibits signs of a life-threatening condition or severe infection.

C) Instruct client to apply antibiotic ointment to sores:
Applying antibiotic ointment might help with wound care but does not address the underlying issue that is causing the poor wound healing and the bluish discoloration. Without a complete evaluation, it's uncertain whether antibiotic ointment alone will be sufficient or appropriate.

D) Create a list of foods that promote wound healing:
Although nutrition is important for wound healing, addressing the underlying health issues affecting the client's circulation and skin integrity is more critical. A healthcare provider can offer comprehensive treatment that includes managing the client’s overall health condition, which may involve more than just dietary changes.

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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

The elementary school nurse has identified a problem requiring a secondary intervention. Which intervention should the nurse implement?

Correct Answer is D

Explanation

During a community health screening fair for older adults, the nurse observes a client who has pale, bluish feet, with sores an both lower extremities that are healing poorly. Which intervention should the nurse implement?

Correct Answer is A

Explanation

Four students come to the school clinic simultaneously, seeking help from the school nurse. In which order of priority should the nurse provide care to these students? (Arrange the client with the highest priority first, on top, and lowest priority last, on bottom.)

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

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