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1 consider the use of a midwife 2 follow daily

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1. Consider the use of a midwife.2.Follow daily practices to stay well.3.Schedule limited appointments with a medical doctor.4.Agree to having diagnostic studies to ensure the baby’s health.Correct Answer:1Rationale 1: For patients who do not practice or follow Western approaches to medicine, the use of a midwife would be agood cultural care suggestion for the nurse to make to assist the patient during the pregnancy and delivery.Rationale 2: Following daily practices to stay well may be helpful to the nonpregnant patient. The pregnant patient will needsome type of intervention to assist during the delivery.Rationale 3: The patient does not follow or practice Western medical approaches to health care. This option would be indirect violation of the patient’s desires.Rationale 4: The use of technology is a practice of Western medicine and may not be an appropriate cultural caresuggestion for the patient who does not follow or practice this approach to health care.Question 11Type:MCSAA patient tells the nurse that the Affordable Care Act will not be helpful since the patient cannot afford to pay for healthinsurance. What should the nurse say in response to this patient?1. It will provide tax credits to those who need help buying health insurance.2.Health insurance will need to be obtained through an employer.3.It focuses on the health care needs of the elderly.4.It will cause most Americans’ taxes to increase.Correct Answer:1
Rationale 1: The Affordable Care Act is designed to make health care insurance affordable by providing tax credits to thosewho need help with buying insurance.Rationale 2: This is not the case with the Affordable Care Act. It does not matter if a person gets health benefits through anemployer. This Act is designed to provide better control of decisions about health coverage.Rationale 3: This is not the case with the Affordable Care Act. It is designed to make health insurance affordable for all anddoes ensure for free preventive care. There are provisions to address seniors on Medicare and senior preventive care.Rationale 4: The Affordable Care Act is projected to reduce premium costs for millions of families and represents the largestmiddle-class tax cut for health care in history.Question 12Type:MCSAThe cost of prescription medications, an indicator of health care costs, has skyrocketed from $2.7 million in 1960 to $234.1billion in 2008. What would be a reason for the increase in prescription medication costs?1. Technology costs associated with new drug development2.Health insurance covers all medication costs3.People want more prescription medications for all of their illnesses.4.The majority of prescription medications are used by an increasingly aging population.

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