A case management nurse is arranging discharges for several clients. Which of the following interventions would the nurse recognize as suitable for non-skilled care?
Evaluating self-administration of insulin in a 68-year-old client with newly diagnosed diabetes mellitus
Auscultating lung sounds in a 76-year-old client with decompensated heart failure taking a diuretic
Monitoring blood pressure in an 86-year-old client with hypertension recently started on a new antihypertensive
Changing a dry dressing on a 78-year-old client with poor vision who had sustained a laceration on the lower leg
The Correct Answer is D
A. Evaluating self-administration of insulin involves assessing a client's ability to manage their medication, which requires skilled nursing assessment and education.
B. Auscultating lung sounds is a skilled nursing task involving clinical assessment of respiratory status.
C. Monitoring blood pressure is a skilled nursing task that requires clinical assessment, especially when adjusting medications.
D. Changing a dry dressing is considered non-skilled care as it primarily involves routine care and does not require advanced clinical skills. This task is appropriate for a non-skilled caregiver.
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Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is A
Explanation
A. Telehealth can indeed raise concerns about client confidentiality due to the digital nature of communication, which might be susceptible to breaches or unauthorized access.
B. While telehealth may disadvantage those without access to technology, this is more of a practical issue rather than an ethical concern directly related to the practice itself.
C. Telehealth has the potential to address health inequities by increasing access to care; thus, it is not necessarily true that it will worsen health inequities.
D. The cost of telehealth encounters is a practical concern but does not directly pertain to the ethical issues associated with client care and privacy.
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