A case manager is completing discharge planning for a client who has alcohol use disorder and cirrhosis of the liver. Which of the following actions should the case manager take first?
Arrange for a home health nurse to visit the client following discharge.
Contact a social worker to assist the client with managing finances.
Determine which home safety measures the client needs to implement.
Provide the client with information on self-help groups for alcohol use disorder.
The Correct Answer is C
. Home safety measures are a priority for a client with alcohol use disorder and cirrhosis of the liver, as they may have mobility or balance issues that increase their risk of falls or injury. Assessing the client's home environment and identifying any potential hazards is crucial in preventing further injury or harm to the client. Once the home safety measures have been determined, the case manager can then arrange for a home health nurse to visit the client, provide information on self-help groups for alcohol use disorder, and contact a social worker to assist with managing finances.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
." Eye health is an essential aspect of overall health, and many eye disorders and diseases can be asymptomatic. The American Optometric Association (AOA) recommends that adults aged 18-64 should have a comprehensive eye exam at least every two years. After age 65, the frequency of eye exams should be increased, depending on the individual's eye health status. During an eye exam, the optometrist or ophthalmologist evaluates the client's visual acuity, peripheral vision, and intraocular pressure, as well as examines the internal and external structures of the eyes to detect any abnormalities. The assessment of the retina is particularly important as it can reveal the presence of chronic diseases such as diabetes, high blood pressure, and macular degeneration.
Correct Answer is B
Explanation
The correct answer is choice B. When caring for clients from different cultural backgrounds, it is important to be respectful and non-judgmental. In this situation, the nurse should ask the family to describe how they hope the treatments will affect their health. This will allow the nurse to gain a better understanding of the family's beliefs and values regarding health and illness. The nurse should avoid making assumptions or judgments about the family's beliefs and should not criticize or dismiss the folk healer. Alternative medicine practices (choice A) can be dangerous in some cases, but it is not appropriate to make a blanket statement that they should be avoided. Suggesting that folk medicine works by providing a placebo effect (choice C) is not respectful of the family's beliefs and is dismissive of their cultural practices. Referring the family to a medical practitioner (choice D) may not be appropriate if the family has a strong belief in folk medicine practices.
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