The home health nurse is completing an admission assessment on an adult client with end-stage liver failure. The client expresses concern that their family does not have health insurance and worries about the financial burden left after death. Which action is most important for the nurse to take?

Explain that the client will be referred to government-subsidized hospice care.

Assist the client in completing an application for social security disability.

Ask the agency social worker to meet with the client about these concerns.

Encourage the client to ventilate concerns about the financial situation.

Answer and Explanation

The Correct Answer is C

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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

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.

A. Take blood pressures at a local shopping mall in the community. B. Demonstrate foot care to a group of clients who have diabetes. C. Teach clients about recommended immunizations for children. D. Instruct teens about prevention of sexually transmitted diseases.

Correct Answer is B

Explanation

Choice A reason: Taking blood pressures in a public setting is a form of secondary prevention, aimed at early detection of hypertension. It does not address long-term management or rehabilitation of chronic conditions, which is the focus of tertiary prevention.

Choice B reason: Demonstrating foot care to clients with diabetes is a classic example of tertiary prevention. It helps prevent complications such as diabetic foot ulcers and amputations, which are common in poorly managed diabetes. This intervention supports long-term disease management and reduces disability.

Choice C reason: Teaching about immunizations is a primary prevention strategy. It aims to prevent disease before it occurs, rather than managing existing conditions or preventing complications.

Choice D reason: Instructing teens on STI prevention is also a primary prevention activity. It focuses on reducing the incidence of disease through education and behavior modification before exposure occurs.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The home health nurse is completing an admission assessment on an adult client with end-stage liver failure. The client expresses concern that their family does not have health insurance and worries about the financial burden left after death. Which action is most important for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A community health nurse is helping a group of nursing students plan a tertiary prevention program for a local community clinic that serves a majority Hispanic population. Which service project meets the requirement of a tertiary prevention program and would best serve this population?

Correct Answer is B

Explanation

Because this year's demographics reflect that a large percentage of the population is under 19 years of age, a community group proposes building a new well-child clinic. Which question indicates that the nurse understands the potential gaps in these data?

A nurse has started a group for older adults in a church setting. The group decides that their first project will be to begin a program for homebound members. Which program outcome is the best measure of the project’s effectiveness?

During a community health screening fair for older adults, the nurse observes a client who has pale, bluish feet, with sores on both lower extremities that are healing poorly. Which intervention should the nurse implement?

Community health nurses are particularly concerned with the spread of communicable diseases such as hepatitis A. Which group of individuals should the nurse identify as being at greatest risk for contracting this type of hepatitis?

An adult male client with recurrent ascites from cirrhosis tells the home health nurse that he has no appetite or energy. The nurse should provide which diet suggestions for this client? Select all that apply.

The home health nurse is preparing to make daily visits to a group of clients. Which client should the nurse visit first?

After a coronary artery bypass graft, a client is discharged home with a referral for home health care and cardiac rehabilitation. Which assessment should the nurse obtain for this client's tertiary prevention?