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."
"Eat a balanced diet with high-protein snacks."
"Describe the place where you are currently living."
"Apply moisture barrier ointment three times a day."
The Correct Answer is C
The correct answer is choice C, "Describe the place where you are currently living." When discussing discharge plans with a client, the first step is to assess the client's living situation to ensure that they will be able to safely manage their health condition at home. In this case, the client requires a special bed at home due to their pressure injury. By asking the client to describe their living situation, the case manager can determine if the client's home is suitable for their needs or if they require additional assistance or resources. Once the client's living situation has been assessed, the case manager can then discuss options for obtaining necessary supplies and provide education on how to manage the pressure injury.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Hemianopsia is a visual field defect in which there is a loss of vision in one-half of the visual field. It can be caused by a number of conditions, including stroke, brain tumors, and traumatic brain injury. It is a significant finding that requires immediate reporting to the provider, as it can indicate a serious underlying condition that requires further evaluation and treatment. Hemianopsia can significantly impact a client's ability to perform activities of daily living, mobility, and safety. Conjunctivitis is inflammation of the conjunctiva, which can cause redness, itching, and discharge. While it is important
to assess and treat conjunctivitis, it is not a priority finding that requires immediate reporting to the provider. Increased sensitivity to glare is a common age-related change in vision, and while it can be bothersome, it is not typically a priority finding that requires immediate reporting to the provider. Decreased near vision is another common age-related change in vision, and while it can be an important finding to address with the client, it is not typically a priority finding that requires immediate reporting to the provider.
Correct Answer is A
Explanation
The first step the nurse should take is to perform a needs assessment. This involves determining the specific needs of the older adults who will be served by the mobile meal program. The nurse should identify the target population and assess their nutritional needs, dietary restrictions, and food preferences. The nurse should also determine the availability of transportation for the delivery of meals and the potential need for volunteers. Once the needs assessment is complete, the nurse can begin to develop a plan for the program.
Inquiring about the availability of volunteers (choice B) and determining potential funding sources for the program (choice D) are important steps, but they should come after performing a needs assessment. Identifying alternative solutions (choice C) may be necessary at some point, but it is not the first step.
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