A case management nurse is providing education about liability to a newly licensed nurse. Which of the following should the nurse include as an example of a liability concern for case managers?

Consulting with the provider throughout a client's course of treatment

Providing recommendations to a client about alternatives to treatments prescribed by their provider

Verifying a provider's licensure before referring the client to them

Determining a client's literacy level before providing advance directive documents

Answer and Explanation

The Correct Answer is B

A. Consulting with the provider throughout a client's course of treatment: Consulting with providers is a collaborative practice that supports coordinated care and is a standard professional responsibility, not typically a liability concern for case managers.

B. Providing recommendations to a client about alternatives to treatments prescribed by their provider: Making treatment recommendations without proper authorization or outside the scope of practice can lead to liability issues. Case managers must avoid advising clients to alter prescribed treatments and instead facilitate communication between clients and providers.

C. Verifying a provider's licensure before referring the client to them: Verifying licensure ensures the provider’s credentials are valid and protects clients from unqualified practitioners. This is a standard safety practice and does not pose liability for the case manager.

D. Determining a client's literacy level before providing advance directive documents:
Assessing literacy helps tailor education and ensures client understanding, which supports informed decision-making and reduces liability risks related to inadequate communication. This is a prudent nursing action, not a liability concern.

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Correct Answer is C

Explanation

A. Shut the doors and windows of the room: Closing doors and windows helps to contain the fire and reduce the spread of smoke. However, this should be done only after ensuring the immediate safety of the client, as human life always takes precedence over property or containment.

B. Activate the alarm: Activating the fire alarm alerts others to the danger and initiates the facility’s fire response plan. While essential, it is not the first action if a client’s life is at immediate risk due to proximity to the fire.

C. Move the client to another location: Client safety is the highest priority in any emergency. The nurse should immediately remove the client from the danger area before addressing containment or notification steps. This action aligns with the “Rescue” step of the RACE (Rescue, Alarm, Contain, Extinguish) protocol.

D. Attempt to extinguish the fire: Using a fire extinguisher is appropriate only if the nurse has been trained and the fire is small and manageable. However, it is not the priority when a client is present and at risk, as attempting to extinguish the fire could delay evacuation and jeopardize safety.

A. Determine each member's role in the family. B. Review the Healthy People objectives for family health C. Complete a three-generation genogram of the family. D. Conduct a windshield survey of the family's community.

Correct Answer is A

Explanation

A. Determine each member's role in the family: This method directly assesses how the family functions as a unit, including dynamics such as communication, decision-making, hierarchy, and caregiving responsibilities—core elements of the family systems approach.

B. Review the Healthy People objectives for family health: While useful for setting public health goals, this approach is broad and population-focused and does not provide specific insights into the functioning of an individual family unit.

C. Complete a three-generation genogram of the family: A genogram maps biological and health histories across generations, which helps with identifying patterns of disease or risk but does not specifically evaluate family functioning or roles.

D. Conduct a windshield survey of the family's community: A windshield survey helps assess community-level environmental factors but does not give information about internal family dynamics or functioning as emphasized in the family systems approach.

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A case management nurse is providing education about liability to a newly licensed nurse. Which of the following should the nurse include as an example of a liability concern for case managers?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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