HESI Leadership RN Samuel Merit

An older female client who was recently widowed has become increasingly confused and disoriented. Her family tells the healthcare provider's office nurse that it is imperative for their mother to be admitted to the hospital for medical evaluation. The client is a member of a managed healthcare plan. Which information is best for the nurse to provide this family?

A. The client is grieving normally in response to her husband's death and hospitalization is not necessary.

B. Managed care providers have mandatory pre-certification requirements for hospitalization.

C. Healthcare costs are escalating because clients want to have diagnostic testing conducted in the hospital.

D. Managed healthcare plans do not pay for any in-hospital medical evaluations.

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