Progressive Care Nursing Certification (PCCN) Practice Exam

When a patient expresses concern about affording hospitalization, what is the most appropriate response from the nurse?

1. Arrange a meeting with hospital social services staff

2. Notify the business office for a payment plan

3. Redirect to meet psychological needs

4. Provide applications for public assistance

The correct answer is: Arrange a meeting with hospital social services staff

The most appropriate response from the nurse when a patient expresses concern about affording hospitalization is to arrange a meeting with hospital social services staff. This is crucial because social services professionals are specifically trained to address financial concerns and can provide a comprehensive assessment of the patient's situation. They have the skills and resources to explore various forms of assistance, including understanding insurance benefits, identifying eligibility for financial assistance programs, and offering guidance on managing medical expenses. While other options present potential avenues for support, they do not address the immediate holistic needs of the patient as effectively. Notifying the business office for a payment plan may not provide the timely emotional support the patient requires and could be a step taken later in the process. Redirecting to meet psychological needs, while important for overall care, does not directly address the patient’s financial worries. Providing applications for public assistance could be useful but is often best handled through a social worker who can guide the patient through the process and ensure they understand the implications. Thus, involving social services is the most comprehensive and supportive initial action.