An older adult client who is Medicare eligible and recovering from a right, below-knee amputation (BKA) is being assessed by the nurse for continuation of home health care services. Which client need should the nurse recommend to determine the client's eligibility for further home health care services?
Client wheelchair transfer methods needs to be taught.
Client shows the ability to perform dressing change of operative site.
Use of new medications by the client needs evaluation.
The client's transportation to clinic with daughter is pending.
The Correct Answer is C
Choice A reason: Teaching transfer methods is a rehabilitation goal but may not meet Medicare’s criteria for skilled nursing services unless it involves complex training or safety concerns. It is more aligned with physical therapy.
Choice B reason: If the client can independently perform dressing changes, skilled nursing services may no longer be necessary. This indicates reduced need for continued home health care.
Choice C reason: Evaluating the use of new medications requires skilled nursing assessment, especially in older adults with complex regimens. This qualifies as a skilled service under Medicare guidelines and supports continued eligibility.
Choice D reason: Transportation issues do not qualify as a skilled need. They are logistical barriers but do not justify continuation of home health services under Medicare.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Arranging a meeting with the orchard manager is the most constructive and immediate step. It allows the nurse to address child labor concerns directly with those responsible for scheduling and oversight. This approach fosters collaboration and may lead to adjustments in work hours or responsibilities that prioritize the children's education and health. It also aligns with advocacy for vulnerable populations and respects the family's economic context while protecting the children’s rights.
Choice B reason: While health education is important, it does not address the root cause of the problem—excessive work hours interfering with sleep and school attendance. Education alone cannot resolve systemic labor issues or enforce child protection laws.
Choice C reason: Organizing focus groups may help gather parental perspectives, but it is a passive approach that delays action. It does not directly intervene in the labor practices affecting the children’s well-being.
Choice D reason: Notifying authorities may be necessary if abuse or neglect is suspected, but it should not be the first step unless there is clear evidence of legal violations. Premature reporting may damage trust and hinder future collaboration with the community.
Correct Answer is C
Explanation
Choice A reason: While referral to hospice care may be appropriate, it does not directly address the client’s financial concerns or provide immediate emotional support. Hospice services may also have eligibility criteria that need to be assessed.
Choice B reason: Social security disability may not be applicable at this stage of illness, especially if the client is already in end-stage liver failure and nearing death. The process is lengthy and may not provide timely relief.
Choice C reason: Involving the social worker ensures that the client receives expert guidance on financial planning, insurance options, and community resources. This action directly addresses the client’s expressed concern and facilitates holistic care.
Choice D reason: Encouraging emotional expression is supportive but insufficient. The client needs concrete assistance with financial planning and resource navigation, which falls within the social worker’s scope.
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