An older adult client who was a veteran of World War II has just died. His widowed wife did not work and does not have sufficient funds to afford supplemental Medicare insurance. You would recommend which one of the following?

TRICARE for Life

Medicaid

Medicare Part D

Supplemental Security Income

Answer and Explanation

The Correct Answer is B

A. TRICARE for Life.
Explanation: TRICARE for Life is a health insurance program for military retirees and their dependents. While it may be relevant for veterans, it is not typically available to widowed spouses, especially if they did not serve in the military themselves.

B. Medicaid.
Explanation: Medicaid is a state and federally funded program that provides health coverage to individuals with limited income and resources. In many states, Medicaid can assist in covering the costs not covered by Medicare, including premiums, deductibles, and other out-of-pocket expenses. Eligibility criteria for Medicaid vary by state, but it often considers income, assets, and medical needs.

C. Medicare Part D.
Explanation: Medicare Part D is the prescription drug coverage program for Medicare beneficiaries. It is not a substitute for supplemental insurance to cover other healthcare costs, and it focuses specifically on prescription medications.

D. Supplemental Security Income (SSI).
Explanation: SSI is a needs-based program that provides financial assistance to elderly or disabled individuals with limited income and resources. While it can assist with income support, it is not a health insurance program and may not directly cover healthcare costs. Medicaid is often coupled with SSI to provide comprehensive coverage.

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Correct Answer is A

Explanation

A. This response provides the family member with accurate information about the limited effectiveness of drugs in improving appetite and weight gain, along with the potential for serious side effects. It promotes informed decision-making.

B. Stating that there are no drugs that impact appetite or weight gain is not entirely accurate. Some drugs may have an impact, but the effectiveness varies, and they often come with potential side effects.

C. Blanket's statements that these drugs are not permitted in long-term care facilities are not accurate. The use of medications should be based on individual assessment and treatment plans.

D. Saying "Yes, there are some very effective drugs out there. Your mother should be on one of them" is not an appropriate response. It oversimplifies the situation and may not reflect the individualized approach needed in assessing and addressing nutritional concerns.

A. "Side rails do not decrease falls, but they do decrease fall related injuries." B. "There is no evidence that side rail use decreases falls, and in fact, there is a greater risk of injury." C. "Side rails are only effective when used with patients who have dementia" D. Side rails have only proven to be effective in decreasing falls in patients who have already fallen."

Correct Answer is B

Explanation

A. "Side rails do not decrease falls, but they do decrease fall-related injuries."

Explanation: While side rails may reduce the severity of injuries if a fall occurs, they are not proven to decrease the overall rate of falls. Additionally, side rails themselves can pose risks, including entrapment.

B. There is no evidence that side rail use decreases falls, and in fact, there is a greater risk of injury."

Explanation: The use of side rails as a fall prevention measure has been associated with risks and has not been shown to effectively decrease the overall rate of falls. There is evidence that side rails can contribute to injuries, including entrapment, when patients attempt to climb over or through them. The focus in fall prevention has shifted towards individualized assessments, environmental modifications, and other strategies that address the specific needs and risks of each patient.

C. "Side rails are only effective when used with patients who have dementia."

Explanation: The effectiveness of side rails is not limited to patients with dementia. However, the use of side rails as a general fall prevention strategy has been questioned, and their use should be carefully considered based on individual assessments and risks.

D. "Side rails have only proven to be effective in decreasing falls in patients who have already fallen."

Explanation: The use of side rails is not universally proven to be effective in decreasing falls, even in patients who have previously fallen. The decision to use side rails should be based on a thorough assessment of the individual's needs and risks, considering alternatives to promote safety.

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An older adult client who was a veteran of World War II has just died. His widowed wife did not work and does not have sufficient funds to afford supplemental Medicare insurance. You would recommend which one of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A resident's family member is concerned that the resident is not eating adequately and is at risk for malnutrition. The family member says to a nurse, "I heard that there are drugs that can make my mother eat better. Do you think she should be on one?" What is the best response by the nurse?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

As a nurse caring for a cognitively impaired older adult client, you need to observe for which of the following? (Select all that apply.)

An older adult who is on bed rest after surgery is prescribed morphine for pain. Which of the following is the nurse's priority for preventive care?

When assessing your client who has a history of falls, you should pay particular attention to which of the following? (Select all that apply.)

A health care provider asks the nurse about an older adult client's durable power of attorney (POA) because consent is needed for a medically necessary invasive procedure. The client has end-stage disease, is intubated, and is on mechanical ventilation. Which steps should the nurse implement?

To prevent malnutrition in older clients with dementia, which of the following would benefit your client? (Select all that apply.)