The nurse is applying the Omaha System to categorize client issues observed during home visits with a group of clients. Which of the following problems would the nurse classify under the Psychosocial Domain? (Select all that apply)

Poor sanitation

Anxiety and Depression

Multiple skin breakdowns

Coping difficulties

Social Isolation

Answer and Explanation

Correct Answer : B,D,E

A. Poor sanitation is typically categorized under the Environmental Domain in the Omaha System, as it pertains to the physical environment and its impact on health.
B. Anxiety and Depression fall under the Psychosocial Domain, which includes mental health issues and emotional well-being. These conditions affect the individual's psychological state and social interactions.
C. Multiple skin breakdowns are classified under the Physiological Domain, as they relate to physical health and body integrity.
D. Coping difficulties are also categorized under the Psychosocial Domain, as they pertain to an individual's ability to handle stress and manage emotional challenges.
E. Social Isolation is part of the Psychosocial Domain, since it involves an individual's social interactions and support systems, impacting their emotional and psychological well-being.

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Correct Answer is D

Explanation

A. "Medicaid benefits are the same for everyone in the United States." This is incorrect. Medicaid benefits can vary by state, as each state administers its own Medicaid program within federal guidelines.
B. "Medicaid is a federal-run health insurance program." This is incorrect. Medicaid is a joint federal-state program, meaning it is administered at the state level with federal guidelines.
C. "My income level does not impact whether or not I can receive Medicaid." This is incorrect. Income level is a key factor in determining Medicaid eligibility, though the specific thresholds vary by state.
D. "When my baby is born, they can receive Medicaid as well." This is correct. Medicaid often extends coverage to newborns if the mother is eligible, providing medical insurance for the infant as well.

A. Physician and nursing staff B. Physician and family C. Spouse and adult children D. Notary and attorney

Correct Answer is C

Explanation

A. "Physician and nursing staff." While the physician and nursing staff play a role in providing medical care and guidance, they are not responsible for making decisions about end-of-life care when the client cannot communicate their wishes.
B. "Physician and family." The physician can provide medical recommendations and guidance, but the family members are responsible for making decisions about end-of-life care when there is no advance directive.
C. "Spouse and adult children." This is correct. In the absence of an advance directive, the responsibility for making end-of-life decisions typically falls to the spouse and/or adult children, as they are usually considered the next of kin or legal decision-makers.
D. "Notary and attorney." Notaries and attorneys are not responsible for making medical decisions about end-of-life care. Their role is more related to legal documentation and advice.

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The nurse is applying the Omaha System to categorize client issues observed during home visits with a group of clients. Which of the following problems would the nurse classify under the Psychosocial Domain? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education about Medicaid to a client who is pregnant and cannot pay for medical insurance. The nurse should recognize that which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

The family attorney informed a client's adult children and wife that the client did not have an advance directive after suffering a serious stroke. Who is responsible for EOL (End of Life) measures when the client cannot communicate his or her specific wishes?

Correct Answer is C

Explanation

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