A nurse manager is providing information to a group of nurses about Medicare. Which of the following information should the nurse manager include?
Pays full costs for any health care service
Receives funding through private insurance
Covers nurse practitioner services
Legally requires enrollment in supplemental insurance plan
The Correct Answer is C
Rationale:
A. Pays full costs for any health care service: Medicare does not cover 100% of all healthcare services. Beneficiaries are usually responsible for deductibles, copayments, and coinsurance. Some services may not be covered at all unless supplemental insurance or Medicare Advantage plans are used.
B. Receives funding through private insurance: Medicare is a federally funded health insurance program, not financed through private insurance. While some beneficiaries may choose Medicare Advantage through private insurers, traditional Medicare is publicly funded.
C. Covers nurse practitioner services: Medicare Part B covers services provided by nurse practitioners, including evaluation, diagnosis, and management of health conditions. These services are reimbursed similarly to those provided by physicians, as long as they meet established billing criteria.
D. Legally requires enrollment in supplemental insurance plan: Enrollment in a supplemental insurance plan, such as Medigap, is optional and not legally required. These plans can help cover out-of-pocket expenses, but beneficiaries are not mandated to purchase them.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Inspect the client's surgical dressing for clear drainage: Monitoring the surgical site is important for identifying CSF leakage or infection, but it is not the top priority. While drainage should be assessed regularly, preserving spinal alignment takes precedence immediately post-op.
B. Log roll the client every 2 hr: Maintaining spinal alignment is the priority following lumbar spinal surgery to prevent injury to the surgical site and spinal cord. Log rolling ensures the spine remains in neutral alignment and reduces strain on healing tissues.
C. Auscultate the client for bowel sounds every shift: Bowel function should be monitored, especially due to anesthesia and immobility, but it is not the most urgent concern compared to maintaining spinal integrity postoperatively.
D. Monitor the client's temperature: Monitoring for signs of infection is essential, but it is not the highest priority in the immediate postoperative period. Preventing spinal movement that could cause neurologic damage is more urgent at this stage.
Correct Answer is C
Explanation
Rationale:
A. Unreasonable intrusion: This term refers to a violation of a client's right to privacy, such as entering a room without consent or exposing private health information. It does not apply to patient injury or safety issues resulting from care decisions.
B. Libel: Libel involves written defamation that harms a person’s reputation. It is not relevant to a situation involving physical injury or improper use of restraints like raised bedrails.
C. Negligence: Negligence occurs when a nurse fails to provide the standard of care, leading to client harm. Raising all four side rails can be considered a form of restraint and increases the risk of injury from falls, especially if the client attempts to climb over them, making this a clear example of negligence.
D. Assault: Assault in nursing involves threatening or attempting to touch a client without consent. It does not apply to passive actions that result in harm, such as improper restraint or fall risk management.
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