The home health nursing director is conducting an educational program for registered nurses and practical nurses about Medicare reimbursement. To obtain payment for Medicare services, what must be included in the client's record?

Correct Answer: C

Rationale: Rationale for Correct Answer (C): Documentation of a skilled care service provided during the visit is essential for Medicare reimbursement as it demonstrates that the services delivered were medically necessary and met the criteria for coverage. Medicare requires evidence of skilled care to justify payment. Including this documentation ensures compliance with Medicare guidelines. Summary of Incorrect Choices: A: A prescription from the healthcare provider is not directly related to Medicare reimbursement. While prescriptions may be part of the client's record, they are not a mandatory requirement for Medicare payment. D: A copy of the client's health history and social is important for providing comprehensive care but not specifically required for Medicare reimbursement. This information may be part of the client's record for clinical purposes but does not directly impact reimbursement.

Correct Answer: A

Rationale: The correct answer is A: Infection is acquired when anthrax spores enter a host. Anthrax is caused by Bacillus anthracis spores entering the body through inhalation, ingestion, or a skin break. Spores can remain dormant for long periods and become active in a suitable host. Explanation of incorrect choices: B: Mature anthrax bacteria do not live dormant on inanimate objects. Anthrax is primarily transmitted through contact with contaminated animal products or soil. C: Spores can survive for extended periods outside a host. This resilience is a key factor in anthrax's ability to cause infection. D: Anthrax is not transmitted through respiratory droplets from person to person. It is more commonly acquired through contact with infected animals or contaminated materials.

Correct Answer: B

Rationale: The correct answer is B: Basic physiologic needs are likely to be unmet in this clinic's client population. Rationale: 1. Low-income populations often face challenges meeting basic needs like food, shelter, and healthcare. 2. The nurse should address these unmet needs to provide holistic care. 3. Understanding the underlying issues can help tailor interventions and support for the clients. Summary: A: Lack of transportation is important but not the major impediment. C: Printed material may be less effective, but it's not the most critical issue. D: Attendance issues may be due to various reasons, not just non-compliance.

Correct Answer: A

Rationale: The correct answer is A: Validate that the children who were sent home had chickenpox. The first step in investigating a potential outbreak of a communicable disease like varicella (chickenpox) is to confirm the diagnosis. By validating that the children indeed had chickenpox, the RN can accurately assess the situation and take appropriate actions to prevent further spread. Choice B is incorrect because sending the child to their pediatrician should come after confirming the diagnosis to ensure proper medical care. Choice C is incorrect as it recommends a prolonged exclusion period without confirmation of the disease, which may not be necessary. Choice D is incorrect as it dismisses the seriousness of the situation and could lead to further spread of the illness if the children do have chickenpox.

Correct Answer: A

Rationale: The correct answer is A because hand hygiene is crucial in preventing dermatitis. Clean water to wash hands after work helps remove irritants and allergens that can cause dermatitis. This directly addresses the increased incidence of dermatitis among farm workers. Choice B (Proper housing) is not directly related to dermatitis prevention. Choice C (Access to health care services) is important but does not address the immediate cause of dermatitis. Choice D (Access to transportation) is not as critical as ensuring proper hand hygiene to prevent dermatitis.