An older adult client who was recently widowed has become increasingly confused and disoriented. The family tells the healthcare provider's office nurse that it is imperative for their parent to be admitted to the hospital for medical evaluation. The client is a member of a managed healthcare plan. Which information is best for the nurse to provide this family?
Managed healthcare plans do not pay for any in-hospital medical evaluations.
The client is grieving normally in response to the loss of a spouse and hospitalization is not necessary.
Managed care providers have mandatory precertification requirements for hospitalization.
Healthcare costs are escalating because clients want to have diagnostic testing conducted in the hospital.
The Correct Answer is C
Choice A rationale: This statement is inaccurate. Managed healthcare plans typically cover in-hospital medical evaluations, but the decision may be subject to precertification requirements.
Choice B rationale: While grief is a natural response to the loss of a spouse, the client's confusion and disorientation warrant a medical evaluation, and this option dismisses the family's concerns.
Choice C rationale: Managed care providers often have mandatory precertification requirements for hospitalization. Informing the family about this requirement is important for them to navigate the process effectively.
Choice D rationale: This statement does not provide relevant information about the managed healthcare plan's policies or the client's current condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: This is not an emergency compared to a client with a right cast leg reporting tingling on the leg.
Choice B rationale: This is not an emergency compared to a client with a right cast leg reporting tingling on the leg.
Choice C rationale: This is not an emergency compared to a client with a right cast leg reporting tingling on the leg.
Choice D rationale: This could indicate impaired circulation or nerve compression, which could lead to permanent damage or loss of limb if not treated promptly.
Correct Answer is A
Explanation
Choice A rationale: Assessing whether the cost of the equipment is reasonable is crucial in determining the financial feasibility and cost-effectiveness of the purchase. Choice B rationale: While the ability to update the equipment is important, the initial cost and overall benefits should be considered first.
Choice C rationale: Considering whether the equipment will require annual repair is important but is a secondary consideration after evaluating the initial cost. Choice D rationale: The number of departments that can use the equipment is relevant, but the primary focus should be on the cost-benefit analysis to justify the expense.
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