Exam 22: Economic and Legal Issues

Guardianship for an incapacitated older person may be appointed in which one of the following situations?

A health care provider asks the nurse about an older male adult's power of attorney because consent is needed for a medically necessary invasive procedure; the patient has end-stage disease, is intubated, and is on mechanical ventilation.Which one of the following steps should the nurse implement?

The National Advisory Committee on Aging (NACA) has raised an important issue of "under-subscription," that is, people who are eligible for the GIS, the Allowance, Old Age Security (OAS), or the Allowance for the Survivor, but who do not receive it because they have not applied or reapplied for the benefits.Which of the following groups constitutes the majority of those who do not subscribe or apply for OAS benefits?

In 2001, the Canadian Health Services Research Foundation (CHSRF) reported that if the pattern of typical health care service use by older Canadians changes, there could be an impact on overall health care costs for the population.What would cause health care expenditures in Canada to increase?

Under the Canada Health Act, "medically necessary" services are publicly insured, including primary health care, care in hospitals, and surgical-dental services.How is the term "medically necessary" interpreted by the provinces and the territories?

The nurse distrusts the male caregiver, the son of an older female adult, and collaborates with social services about potential resources for abused older persons.Which characteristics of the caregiver does the nurse report to social services as indicators of potential elder abuse?

Social security retirement income programs are designed to minimize the chances of retirees and older people living in poverty in Canada.Which of the following individuals over the age of 65 years would encounter the most challenges in accessing the social security retirement income programs, which include Old Age Security (OAS), Guaranteed Income Supplement (GIS), Allowance for the Survivor, and the Canada Pension Plan (CPP)?

Mrs.Bilyea is an 80-year-old widow who lives in a very expensive neighbourhood with her 55-year-old son.She requires minor assistance with her activities of daily living.She has recently been admitted to hospital with chest pain.The nurse examines the older person and discovers that she has bruises on both of her upper arms.The son states that she was in the shower and fell, and while he was lifting her up, he grabbed both of her arms very tightly because she was wet and he did not want her to fall again.The nurse discusses her observations with other members of the health care team.Which statement by a member of the health care team indicates that more education is required?

An older male adult is being abused by his daughter, a single, working mother of four children, with whom he lives.The nurse investigates and learns that the abuse is due to situational stress.Which should the nurse implement to address the short-term crisis?