A case manager completes a history and physical assessment for a client who has COPD. Which of the following actions should the case manager take next?

Identify the client's current health needs.

Call the provider with a list of client concerns.

Compile a list of community resources for the client.

Refer the client to a COPD support group.

Answer and Explanation

The Correct Answer is A

A. Identify the client's current health needs: Assessing the client’s history and physical condition allows the case manager to determine immediate health needs. This step ensures that care planning is based on the client’s specific symptoms, disease progression, and required interventions. Identifying health priorities first helps guide appropriate referrals and treatment decisions.

B. Call the provider with a list of client concerns: While communicating concerns to the provider is important, it should be done after identifying the client’s specific health needs. This approach ensures that discussions with the provider are focused and relevant. Without a clear assessment of needs, the information provided may be incomplete or unstructured.

C. Compile a list of community resources for the client: Community resources can support long-term COPD management, but they should be tailored to the client’s identified needs. The case manager must first assess what resources will be beneficial. Providing resources without understanding the client’s priorities may lead to ineffective or unnecessary recommendations.

D. Refer the client to a COPD support group: Support groups can provide valuable education and emotional support, but referrals should be based on the client’s preferences and readiness. Identifying health needs is the priority before making specific referrals. Ensuring that the client is open to and will benefit from a support group enhances the effectiveness of the referral.

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Correct Answer is B

Explanation

A. Hospice care: Hospice care is intended for clients with terminal illnesses who require end-of-life support, pain management, and comfort care. It is not appropriate for this client, who is experiencing challenges related to transportation and meal preparation but does not have a terminal diagnosis.

B. Meals on Wheels: Meals on Wheels is a community resource that provides home-delivered meals to older adults who are unable to cook for themselves. This service ensures that the client receives nutritious meals while addressing their fear of cooking on the stove.

C. Home health services: Home health services provide skilled nursing care, therapy, and medical assistance for clients recovering from illness, injury, or surgery. Since this client’s needs are primarily related to meal preparation and transportation rather than medical care, home health services may not be the most appropriate recommendation.

D. American Association of Retired Persons (AARP): AARP offers various resources for older adults, including financial planning, social engagement, and advocacy. However, it does not directly address immediate concerns such as meal preparation and transportation.

A. Report of back pain associated with twisting at the waist B. Absence of a dental health provider C. Lives in a home with 25 other agricultural workers D. Report of muscle twitching and skin rash

Correct Answer is D

Explanation

A. Report of back pain associated with twisting at the waist. Back pain is a common musculoskeletal issue among agricultural workers due to repetitive movements and heavy lifting. While it requires intervention, it is not immediately life-threatening and does not take priority over acute symptoms that may indicate poisoning or a severe reaction.

B. Absence of a dental health provider. Lack of dental care can contribute to long-term health complications, but it does not pose an immediate risk requiring urgent intervention. Addressing acute medical conditions takes precedence over routine preventive care.

C. Lives in a home with 25 other agricultural workers. Overcrowded living conditions can increase the risk of communicable diseases and poor hygiene-related health issues. However, it is a social determinant of health rather than an urgent clinical concern that requires immediate action.

D. Report of muscle twitching and skin rash. Muscle twitching and skin rash can indicate pesticide poisoning, a common occupational hazard for agricultural workers. Pesticide exposure can lead to serious neurological and systemic effects, making this the priority for immediate assessment and intervention.

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A case manager completes a history and physical assessment for a client who has COPD. Which of the following actions should the case manager take next?

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