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A case manager is participating in the care of a client.

Exhibits

The case manager is planning the client's discharge. Which of the following interventions should the nurse include in the client's discharge plan?

Select the 6 interventions the nurse should include in the client's discharge plan.

Recommend use of a safety alert device when home alone.

Collaborate with physical therapy to assess client needs.

Facilitate obtaining assistive devices for home setting.

Collaborate with client and family to implement fall prevention plan.

Perform a home hazard assessment.

Educate client about the effect their medications have on their balance.

Place no smoking signs in client's home.

Answer and Explanation

Correct Answer : A,B,C,D,E,F

A. Recommend use of a safety alert device when home alone: Implementing a safety alert device is crucial for the client living alone, as it provides a means to call for help in case of a fall or other emergencies. This enhances the client's safety and ensures timely assistance if needed.

B. Collaborate with physical therapy to assess client needs: Involving physical therapy is essential for evaluating the client's mobility and determining appropriate interventions for safe transition to home. Physical therapists can provide guidance on using a walker and suggest exercises to improve strength and balance.

C. Facilitate obtaining assistive devices for home setting: Ensuring that the client has the necessary assistive devices, such as a walker or grab bars, is important for promoting safety and independence in the home environment. This helps reduce the risk of future falls.

D. Collaborate with client and family to implement fall prevention plan: Working with the client and their adult child to develop a comprehensive fall prevention plan addresses the client's history of falls. This plan can include education on safe movement, environmental modifications, and strategies to prevent future falls.

E. Perform a home hazard assessment: Conducting a home hazard assessment is critical for identifying potential risks that could lead to falls or injuries. This assessment allows for targeted interventions to modify the home environment, enhancing safety for the client.

F. Educate client about the effect their medications have on their balance: Understanding the potential side effects of medications, such as metoprolol, on balance and coordination is important for the client. This knowledge can empower them to take precautions and report any concerning symptoms to their healthcare provider.

G. Place no smoking signs in client's home: While promoting a smoke-free environment is beneficial, it is not directly related to the client’s current health concerns regarding falls and recovery from a hip fracture. Therefore, this intervention is less relevant to the discharge planning process in this context.

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Correct Answer is B

Explanation

A. Have adolescents lead peer discussions in schools about safe sexual practices: While this intervention promotes education and awareness, it primarily addresses social and educational factors rather than financial ones. It focuses on behavior change among peers rather than directly impacting financial barriers to healthcare access.

B. Distribute condoms through remote community clinics: This intervention directly addresses financial factors affecting community health by ensuring access to condoms, which may otherwise be a financial burden for some individuals. Providing free condoms helps reduce the economic barriers to safe sex practices and promotes better sexual health in the community.

C. Create commercial advertisements describing the long-term effects of HIV: While advertisements can raise awareness about HIV and its consequences, this intervention focuses on informational and awareness aspects rather than directly addressing financial barriers to health services or prevention resources.

D. Include information about perinatal HIV transmission at prenatal education classes: This intervention enhances education regarding HIV transmission but primarily addresses health education rather than financial factors. While it is crucial for preventing transmission, it does not focus on overcoming financial barriers that may limit access to necessary resources or care.

A. "If you accept this assignment today, I will let you choose your assignment tomorrow." B. "Let's just focus on giving out client medications on time." C. "If you don't agree with the assignment, I will have to report your decision to the nursing supervisor." D. "You have a lot of experience, so I'm sure you're capable of these tasks."

Correct Answer is A

Explanation

A. "If you accept this assignment today, I will let you choose your assignment tomorrow.": This statement exemplifies smoothing as a conflict resolution strategy. By offering a compromise or incentive, the charge nurse is attempting to reduce tension and create a more favorable situation for the staff nurse, thereby smoothing over the disagreement about the assignment.

B. "Let's just focus on giving out client medications on time.": This statement diverts attention from the conflict but does not actively seek to resolve it. It may minimize the issue temporarily but does not address the underlying disagreement or concern regarding the assignment.

C. "If you don't agree with the assignment, I will have to report your decision to the nursing supervisor.": This statement is confrontational and may escalate the conflict rather than resolve it. It places pressure on the staff nurse and does not foster a collaborative atmosphere for finding a solution.

D. "You have a lot of experience, so I'm sure you're capable of these tasks.": While this statement acknowledges the staff nurse's experience, it may not effectively address the conflict regarding the assignment. It could come across as dismissive of the nurse's concerns rather than facilitating a resolution to the disagreement.

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A case manager is participating in the care of a client. Exhibits The case manager is planning the client's discharge. Which of the following interventions should the nurse include in the client's discharge plan?

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Explanation

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Explanation

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A case manager is participating in the care of a client.

Exhibits

The case manager is planning the client's discharge. Which of the following interventions should the nurse include in the client's discharge plan?