05 Oct Short Response 1. Given the limits of the ACA and
Short Response 1. Given the limits of the ACA and the difficulties encountered in implementing the exchanges, what policy changes would you recommend to provide health insurance to those who remain uninsured? 2. A middle-aged man comes out of the examination room and stops to make a follow-up appointment. You notice the tears in his eyes and ask how you can help. He sobs, “Not only must I go home and tell my wife I’ve been leading a life as a bisexual, I must also tell her I’m positive for HIV.” You can respond by saying, “You play with fire, you’re going to get burned. I pity your wife.” Or, “Personally, I’d never go home. I’d drive my car off a cliff.” Or again you can strive to put your prejudices and biases aside and respond, “This must be very difficult for you. I am sorry. Would it help if you asked your wife to talk with us or to make an appointment with the doctor? What can I do for you?” Can you see yourself making any of these responses? Justify your response. Might you just ignore the client’s obvious distress? Why or why not? 3. Identify the largest ethnic minority in your geographic location and describe how the health needs of this group are addressed. 4. Interview two persons who are of a different culture than your own. Ask them how they access health care. Analyze the influence of the family unit and who makes health-care decisions. 5. Describe how nurses can use their knowledge, perspective, experiences, and skills as communicators to change public policy at all levels of government. 6. Assess the impact of the 2014 Hospital National Patient Safety Goals on Hospital Care and describe how they will affect reimbursement. Analyze if these goals are also affecting care in your area of practice. 7. Identify a common error in healthcare delivery and work through Reason’s Swiss Cheese Model, identifying how the holes can occur and what layers of protection should stop the error from getting to the patient.
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