Medicare is a big issue for the older adult who depends on this medical insurance to pay for his or her hospital bills, medications, and rehabilitation. When talking to your older client about what Medicare will pay for and what it will not, what do you tell your client that Medicare will not cover the cost of?
Semiprivate room
Hospice care
Custodial care
Skilled care
The Correct Answer is C
A. Semiprivate room.
Explanation: Medicare can cover the cost of a semiprivate room during a qualifying hospital stay or skilled nursing facility stay.
B. Hospice care.
Explanation: Medicare provides coverage for hospice care for individuals with a terminal illness and a life expectancy of six months or less.
C. Custodial care.
Explanation: Custodial care, which involves assistance with activities of daily living (ADLs) such as bathing, dressing, and feeding, is generally not covered by Medicare. Medicare primarily covers medically necessary and skilled care, such as hospital stays, certain nursing home stays, hospice care, and some home health care services. Custodial care, which focuses on assistance with routine personal care, is considered non-medical and is typically not covered by Medicare.
D. Skilled care.
Explanation: Medicare covers skilled care, including services provided by healthcare professionals such as nurses and therapists, when deemed medically necessary. Skilled care is typically required to improve or maintain a person's condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Optimize physical health
Explanation: A person-centered community focuses on promoting and optimizing the physical health of its residents. This may include access to healthcare services, wellness programs, and activities that support overall well-being.
B. Provide financial assistance
Explanation: While financial considerations can impact an individual's overall well-being, providing financial assistance is not a standard component of a person-centered community. The focus is more on holistic care, social engagement, independence, and addressing basic needs. Financial assistance is often managed through external programs or services.
C. Provide social engagement
Explanation: Social engagement is a crucial component of person-centered care. Communities that prioritize person-centered care create environments that foster social interaction, community involvement, and meaningful connections among residents.
D. Maximize independence
Explanation: Person-centered communities aim to maximize the independence of their residents. This involves tailoring care and support to the individual's needs while empowering them to maintain autonomy and control over their daily lives.
E. Address basic needs
Explanation: Addressing basic needs is fundamental in a person-centered community. This includes ensuring that residents have access to essential necessities such as food, shelter, and personal care to create a supportive and dignified living environment.
Correct Answer is D
Explanation
A. It provides monetary benefits to American citizens and legal residents to prevent their dependency on their families.
Explanation: Medicaid primarily provides health coverage rather than direct monetary benefits. Its focus is on ensuring access to medical care for those in need.
B. It provides a minimum level of economic support.
Explanation: While Medicaid may indirectly support individuals by covering medical expenses, its primary purpose is to provide health insurance coverage, not economic support in a general sense.
C. It is designed to help the states defray the expenses for the poor.
Explanation: This option describes the collaborative nature of Medicaid, where both federal and state governments contribute to funding. However, the primary goal is to provide health coverage to eligible individuals rather than defraying general expenses for the poor.
D. It is meant to provide insurance coverage for medical care to the older adult and disabled populations, regardless of their financial situations.
Explanation: Medicaid is a joint federal and state program that provides health coverage for certain individuals and families with low incomes, including older adults and people with disabilities. It is designed to assist individuals who may not have the financial means to afford necessary medical care. Medicaid covers a broad range of medical services, and eligibility is determined based on income, household size, and other factors.
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