A case manager is performing discharge planning for a client who experienced a traumatic leg amputation and has a new prosthesis. Which of the following assessments should the nurse identify as the priority?
Collaborate with a prosthetist to teach the client about care of the prosthesis.
Determine whether the client is eligible to go to a skilled nursing facility.
Evaluate the client's home environment.
Ask whether the client's insurance will cover home health services.
The Correct Answer is C
The correct answer is Choice C because, "Evaluate the client's home environment." Since the client has a new prosthesis, the priority is to evaluate the client's home environment for safety and accessibility. Collaborating with a prosthetist to teach the client about care of the prosthesis (Choice A is wrong because) is important, but not the priority at this stage. Determining eligibility for a skilled nursing facility (Choice B is wrong because) and asking about insurance coverage for home health services (Choice D is wrong because) are important considerations, but not the priority assessment in this situation.
Choice A is wrong because: Collaborating with a prosthetist to teach the client about care of the prosthesis is important, but not the priority at this stage.
Choice B is wrong because: Determining whether the client is eligible to go to a skilled nursing facility is an important consideration, but not the priority assessment in this situation.
Choice D is wrong because: Asking about insurance coverage for home health services is an important consideration, but not the priority assessment in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is Choice A because, "The provider is paid a fixed sum for the client on a monthly or yearly basis." A health maintenance organization (HMO) provides a fixed payment to the provider for the client on a monthly or yearly basis.
Choice B is wrong because, "The provider bills the client directly for a predetermined percentage of the cost of services," is not the correct answer. This is an example of a fee-forservice payment structure, not an HMO payment structure.
Choice C is wrong because, "The client is participating in a fee-for-service health care insurance program," is not the correct answer. This is not an HMO payment structure.
Choice D is wrong because, "The client pays the insurer a percentage of the total costs for each service rendered by the provider," is not the correct answer. This is an example of a preferred provider organization payment structure, not an HMO payment structure.
Explanation: An HMO provides a fixed payment to the provider for the client on a
monthly or yearly basis. The provider billing the client directly for a
predetermined percentage of the cost of services, the client participating in a feefor-service health care insurance program, and the client paying the insurer a percentage of the total costs for each service rendered by the provider are not examples of HMO payment structures.
Correct Answer is D
Explanation
The correct answer is choice D, the children. The epidemiological triangle is a model that helps in identifying and analyzing the causative factors of disease outbreaks. It consists of three elements: host, agent, and environment. In this case, the children are the host, as they are the ones who have contracted the disease. The virus (choice C) is the agent, as it is the causative factor of the disease. The school (choice A) and vaccine (choice B) are not the host or agent, but rather part of the environment. The school may be a setting where the outbreak occurred, while the vaccine is a preventive measure but is not directly involved in causing or treating the disease. Therefore, the correct answer is choice D, the children.
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