A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?
"A social worker can help you with the cost of supplies."
"Describe the place where you are currently living."
"Eat a balanced diet with high-protein snacks."
"Apply moisture barrier ointment three times a day."
The Correct Answer is B
Before discussing specific aspects of the client's care, the nurse should assess the client's living environment to determine if it is suitable for the client's needs. In this case, the client requires a special bed to manage the pressure injury, so the nurse should assess if the client's current living environment can accommodate this need.
If the client's current living environment is not suitable, the nurse can work with the client and their family to identify alternatives, such as modifying the current environment or finding a new living arrangement. Once the nurse has assessed the living environment, they can proceed to discuss specific aspects of the client's care, such as accessing supplies, nutrition, and wound care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A nurse case manager plays various roles in coordinating and managing the care of clients. One of these roles is acting as a coordinator, which involves facilitating the delivery of care and services that are necessary for a client's safe and effective transition from one level of care to another.
Arranging for the delivery of medical equipment to a client's home is part of the coordination role, as it ensures that the client has the necessary equipment to manage their condition or treatment at home.
An advocate role involves representing and protecting the interests of the client, while a systems allocator role involves managing resources within a healthcare system.
A consultant role involves providing expert advice or guidance to other healthcare providers.
Correct Answer is B
Explanation
The correct answer is choice B. Interviewing shelter residents to determine the effectiveness of coping behaviors.
Choice A rationale:
Providing age-appropriate activities for shelter residents is a form of primary prevention, aimed at promoting well-being and preventing stress-related issues. It does not directly address the immediate needs of assessing and managing the aftermath of a disaster.
Choice B rationale:
Interviewing shelter residents to determine the effectiveness of coping behaviors is a secondary prevention strategy. It focuses on identifying and addressing existing issues that may have arisen due to the disaster, such as stress, anxiety, or ineffective coping mechanisms. This helps in providing timely interventions to mitigate further psychological harm.
Choice C rationale:
Compiling resources available to transition individuals from shelters to a home is a tertiary prevention strategy. It aims at long-term recovery and rehabilitation, rather than addressing immediate or ongoing issues resulting from the disaster.
Choice D rationale:
Publishing a listing of shelter locations in local media sources is a primary prevention strategy. It helps in ensuring that individuals know where to go for safety during a disaster, but it does not address the needs of those who have already survived the disaster and are currently in shelters.
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