A pregnant low income client states that she has no medical insurance coverage. The nurse recognizes that this client may qualify for what type of health coverage?
Medicaid.
Medicare.
Health maintenance organization (HMO).
Preferred provider organization (PPO).
The Correct Answer is A
Rationale:
A. Medicaid: Medicaid is a state- and federally-funded program that provides health coverage for low-income individuals, including pregnant women. It covers prenatal care, labor and delivery, and postpartum services, making it the most appropriate option for this client.
B. Medicare: Medicare primarily provides health coverage for adults aged 65 and older or those with certain disabilities. It is not typically available for low-income pregnant women without qualifying disability status.
C. Health maintenance organization (HMO): HMOs are private insurance plans that require enrollment and monthly premiums. Eligibility is not based on income, so a low-income uninsured client may not qualify without purchasing coverage.
D. Preferred provider organization (PPO): PPOs are also private insurance plans with network providers and cost-sharing arrangements. Coverage is not automatically provided based on income, making it less accessible for uninsured, low-income clients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Preparing written clinical assignments without concealing the clients identifying information: Sharing identifiable client information in assignments without consent constitutes a breach of privacy and violates HIPAA regulations.
B. A student nurse, who assisted with the delivery, being photographed with a client's new baby: Taking photographs of a patient or newborn without consent is a violation of privacy and confidentiality, even if the student was involved in care.
C. Informing the client's nurse that the patient has been diagnosed with HIV/AIDS: Sharing relevant medical information with another healthcare provider involved in the patient’s care is appropriate and necessary for safe, coordinated treatment.
D. Discussing a client's prognosis and length of stay with the client's boss: Sharing private health information with someone not involved in care, such as an employer, is a violation of patient privacy and confidentiality.
Correct Answer is C
Explanation
Rationale:
A. When the client is due financial compensation: Financial compensation may result if negligence leads to harm, but the concept of “standard of care” is not defined by payment or legal restitution.
B. When the nurse is charged with a criminal violation of law: Violating the standard of care does not automatically constitute a criminal offense. It is primarily a measure of professional practice rather than a legal charge.
C. When the nurse's action is compared to other nurses in similar circumstances: The standard of care refers to the level of practice expected of a reasonably competent nurse under similar conditions. Administering a medication despite a documented allergy deviates from what another competent nurse would do, representing a breach of the standard of care.
D. When there is injury to the client: Injury may occur as a consequence of violating the standard of care, but the standard itself is determined by professional expectations and not solely by whether harm occurred.
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