A nurse is discussing telehealth with a group of state legislators. Which of the following statements pertinent to homebound clients should the nurse include in the discussion?
"Telehealth can duplicate or replace all of the services provided by a health care institution."
"Telehealth is a supplemental program that fills in gaps in coverage from government-provided health insurance."
"Telehealth helps to cover the cost of prescriptions, medical equipment, and other health care expenditures."
"Telehealth helps clients who have difficulty accessing a physician's office communicate with their primary care providers."
The Correct Answer is D
D. Telehealth can greatly benefit homebound clients or those who have difficulty accessing a physician's office due to various reasons such as mobility issues, geographical distance, or lack of transportation. It allows them to communicate with their primary care providers remotely, facilitating access to necessary healthcare services.
A. Telehealth is particularly beneficial for certain types of consultations, follow-up appointments, monitoring chronic conditions, mental health counseling, and providing education and support. B Telehealth is not necessarily a separate program but rather an alternative mode of delivering healthcare services.
C. Telehealth consultations may result in the issuance of prescriptions or recommendations for medical equipment or services, which would then be subject to the individual's health insurance coverage or out-of-pocket expenses.
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Correct Answer is C
Explanation
A. Late-onset schizophrenia typically presents with symptoms such as hallucinations, delusions, disorganized thinking, and social withdrawal. However, this does not differentiate it from typical schizophrenia.
B. Substance use, including cannabis use, is a known risk factor for the development of schizophrenia, particularly in individuals who are genetically predisposed to the disorder. However, cannabis use as a teenager alone does not necessarily indicate late-onset schizophrenia.
C. Paraphrenia or late onset schizophrenia generally occurs later in life and symptoms persist and intensify as the client ages. Schizophrenia is rarely diagnosed after the age of 40 and is considered late onset if diagnosed after the age of 40.
D. Family history of psychosis or schizophrenia is a significant risk factor for developing schizophrenia, including late-onset schizophrenia. However, having a family member who mirrors the client's behaviors of psychosis is not a specific finding indicative of late-onset schizophrenia.
Correct Answer is D
Explanation
D. Factitious disorder, also known as Munchausen syndrome, is a mental health condition characterized by a pattern of behavior in which an individual deliberately fabricates, exaggerates, or induces physical or psychological symptoms in themselves to assume the role of a patient.
A. This disorder involves preoccupation with having or acquiring a serious illness despite minimal or no somatic symptoms.
B. This disorder involves the presence of neurological symptoms that are incompatible with known neurological conditions and cannot be explained by another medical or mental disorder. C Dissociative amnesia involves the inability to recall important personal information, often related to traumatic or stressful events.
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