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.
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Related Questions
Correct Answer is B
Explanation
Client safety is a crucial aspect of home health care, and falls are a significant risk for clients who are receiving care at home.
A quality improvement committee should review data related to client falls, including the number of falls, the circumstances surrounding the falls, and the impact of the falls on the client's health and well-being.
The committee can then identify potential causes of falls, such as environmental hazards or medication side effects, and develop strategies to prevent falls from occurring in the future.
While the other topics listed may be important for home health clients, they are not necessarily relevant to a quality improvement committee focused on client safety and outcomes.
Correct Answer is A
Explanation
Case management is a collaborative process that involves assessing, planning, implementing, coordinating, monitoring, and evaluating the options and services required to meet the patient's health needs. The case manager is responsible for evaluating the patient's needs and developing a care plan that meets those needs. The case manager works closely with the patient, their family, and the healthcare team to ensure that the care plan is being followed and adjusted as necessary.
Teaching a smoking cessation support group, performing employee risk assessments, and familiarizing with OSHA Standards in the workplace are not responsibilities of the case manager. These tasks are typically performed by other healthcare professionals such as nurses, occupational health nurses, or environmental health and safety professionals.
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