An 80-year-old woman comes to the community health care facility with a large bag of medications. She tells the nurse she can no longer afford these medications because her only income is Social Security. Which statement is the best response by the nurse?
"These medications are important. Do your best to pay for them."
"Let's go through these medications and see which ones we can delete."
"You can get these medicines at a clinic for free."
"Let's see if we can get some help from Medicare to help you pay for these medications."
The Correct Answer is D
A. "These medications are important. Do your best to pay for them." This dismisses the patient's financial hardship and does not offer assistance or alternatives.
B. "Let's go through these medications and see which ones we can delete." Nurses should not arbitrarily stop medications. Only a healthcare provider (e.g., physician, pharmacist) should determine if any medications can be discontinued or adjusted.
C. "You can get these medicines at a clinic for free." This is misleading because not all clinics offer free medications. The nurse should verify available programs before making such a statement.
D. "Let's see if we can get some help from Medicare to help you pay for these medications." This response provides a realistic solution by exploring financial assistance options, such as Medicare Part D, Medicaid, or other drug assistance programs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Clients with HIV infection are encouraged to use condoms to protect sexual partners. This is an example of primary prevention, which aims to prevent disease transmission before it occurs.
B. Health care workers are required to have a tuberculosis skin test or chest X-ray. Secondary prevention involves early detection and screening to identify disease in its early stages before symptoms develop or to prevent progression. TB screening (skin tests or chest X-rays) allows for early identification and treatment, preventing further transmission and severe disease.
C. Health care workers are encouraged to receive annual vaccinations for influenza. This is also primary prevention because vaccinations help prevent initial infection.
D. Clients with HIV infection are given medications to improve immunological response. This represents tertiary prevention, which focuses on managing existing disease to prevent complications.
Correct Answer is A
Explanation
A. Elevated growths with a "cauliflower" appearance: HPV lesions, or genital warts, present as raised, rough-textured growths resembling a cauliflower, often found in the genital and anal areas.
B. Thin-walled pustules that rupture to form honey-colored crusts: This describes impetigo, a bacterial skin infection, not HPV.
C. Vesicles that ulcerate and crust within 1 to 4 days: This describes herpes simplex virus (HSV) lesions, which differ from HPV warts in appearance and progression.
D. Solitary growth with elevated borders and a central depression: This describes basal cell carcinoma, not HPV-related lesions.
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