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?
Provide the client with information on self-help groups for alcohol use disorder.
Arrange for a home health nurse to visit the client following discharge.
Determine which home safety measures the client needs to implement.
Contact a social worker to assist the client with managing finances.
The Correct Answer is B
The first priority in discharge planning for this client should be to arrange for a home health nurse to visit the client following discharge to monitor the client's health and provide support. The client's condition is complex and requires ongoing monitoring and support to prevent relapse and ensure safety.
Providing the client with information on self-help groups and determining home safety measures are also important components of the discharge plan, but they should come after ensuring that the client has the necessary support in place. Contacting a social worker to assist with managing finances is not a priority at this time.
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Related Questions
Correct Answer is D
Explanation
Many migrants may not speak the language of the country they are in, which can create significant barriers to accessing health care. Therefore, it is crucial for the nurse to ensure access to interpretation services, such as hiring bilingual staff or interpreters, or using telephone interpretation services.
Treating illnesses on a fee-for-service basis may be a barrier to accessing care for migrants who may not have insurance or the financial resources to pay for services.
Providing health services at work sites may be helpful, but it may not reach all members of the migrant population.
Offering health screenings at a community center may be helpful, but it may not address the issue of language barriers.
Correct Answer is B
Explanation
Hepatitis A is primarily transmited through the fecal-oral route, meaning that the virus is present in the stool of infected individuals and can be spread through contaminated food, water, or surfaces. Therefore, the reservoir for hepatitis A is the gastrointestinal tract of infected individuals, specifically their feces.
Blood (A) is not a reservoir for hepatitis A, as the virus is not typically present in the blood.
The genitourinary tract (C) and skin (D) are also not reservoirs for hepatitis A, as the virus is not typically present in these areas.
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