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 D

Explanation

A. "Children are more resilient to the effects of poverty than adults": Children are particularly vulnerable to the effects of poverty due to inadequate nutrition, limited access to healthcare, and increased exposure to adverse childhood experiences, which can have long-term physical and mental health consequences.

B. "Minority groups living in poverty experience lower rates of chronic disease": Minority populations in poverty often experience higher rates of chronic illnesses such as diabetes, hypertension, and cardiovascular disease due to disparities in healthcare access, increased stress, and socioeconomic barriers to preventive care.

C. "Older adults are less likely to experience poverty due to receiving Social Security benefits": While Social Security provides financial assistance, many older adults still live in poverty due to high medical costs, inadequate retirement savings, and the rising cost of living, leading to food insecurity and difficulty affording medications.

D. "Adolescents living in poverty are more likely to be diagnosed with a conduct disorder": Poverty is associated with increased exposure to environmental stressors, family instability, and limited access to mental health resources, which can contribute to higher rates of behavioral disorders, including conduct disorder, in adolescents.

A. "Hospice care focuses on disease treatment and rehabilitation." B. "The provider will coordinate your health care needs while in hospice." C. "You must choose a home caregiver before being admitted into a hospice facility." D. "Hospice care continues to help families with grief after a death occurs."

Correct Answer is D

Explanation

A. "Hospice care focuses on disease treatment and rehabilitation": Hospice care prioritizes comfort and symptom management rather than curative treatments or rehabilitation. The focus is on improving quality of life for clients with terminal illnesses.

B. "The provider will coordinate your health care needs while in hospice": Hospice care is typically managed by an interdisciplinary team, including nurses, social workers, chaplains, and other specialists, rather than being solely coordinated by a provider. The team collaboratively addresses the client's needs.

C. "You must choose a home caregiver before being admitted into a hospice facility": Hospice care can be provided in various settings, including the client’s home, a dedicated hospice facility, or a hospital. While a home caregiver may be helpful for in-home care, it is not a requirement for admission into a hospice program.

D. "Hospice care continues to help families with grief after a death occurs": Bereavement support is a key component of hospice care, offering counseling, resources, and support groups to help families cope with loss after the client’s passing.

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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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