A case manager is performing discharge planning for a client who experienced a traumatic leg amputation and has a new prosthesis. Which of the following assessments should the nurse identify as the priority?

Ask whether the client's insurance will cover home health services

Determine whether the client is eligible to go to a skilled nursing facility.

Collaborate with a prosthetist to teach the client about care of the prosthesis.

Evaluate the client's home environment.

Answer and Explanation

The Correct Answer is D

A. Ask whether the client's insurance will cover home health services: While financial coverage is important for ongoing care, it is not the immediate priority. Assessing physical and environmental safety takes precedence to ensure a smooth and safe transition home.

B. Determine whether the client is eligible to go to a skilled nursing facility: This is a relevant consideration for continued care but does not directly address the client’s immediate post-discharge needs regarding their ability to function safely at home with the prosthesis.

C. Collaborate with a prosthetist to teach the client about care of the prosthesis: Education on prosthesis care is essential but should occur after ensuring that the home environment is suitable for mobility, safety, and prosthesis use.

D. Evaluate the client's home environment: This is the priority because safety and accessibility of the home are critical for a client with a new prosthesis. Identifying barriers such as stairs or narrow doorways helps prevent injury and promotes independence.

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Correct Answer is ["C","E"]

Explanation

• Nurse 1: Arranging meetings and establishing screening tools are activities related to the planning and implementation phases rather than evaluation, focusing on preparing and initiating the program.
• Nurse 2: Explaining informed consent and meeting with clients to explain services are part of the implementation phase, ensuring clients understand and receive services.
• Nurse 3: Examining emergency department visit frequency after program implementation reflects evaluation by assessing outcomes and the program’s impact on client health and service utilization.
• Nurse 4: Meeting with mental health providers and sending contracts relate to planning and implementation phases, focusing on resource coordination and service agreements.
• Nurse 5: Reviewing satisfaction surveys after caregiver meetings involves evaluation, as it collects and analyzes feedback to measure program effectiveness and identify areas for improvement.

A. Consulting with the provider throughout a client's course of treatment B. Providing recommendations to a client about alternatives to treatments prescribed by their provider C. Verifying a provider's licensure before referring the client to them D. Determining a client's literacy level before providing advance directive documents

Correct Answer is B

Explanation

A. Consulting with the provider throughout a client's course of treatment: Consulting with providers is a collaborative practice that supports coordinated care and is a standard professional responsibility, not typically a liability concern for case managers.

B. Providing recommendations to a client about alternatives to treatments prescribed by their provider: Making treatment recommendations without proper authorization or outside the scope of practice can lead to liability issues. Case managers must avoid advising clients to alter prescribed treatments and instead facilitate communication between clients and providers.

C. Verifying a provider's licensure before referring the client to them: Verifying licensure ensures the provider’s credentials are valid and protects clients from unqualified practitioners. This is a standard safety practice and does not pose liability for the case manager.

D. Determining a client's literacy level before providing advance directive documents:
Assessing literacy helps tailor education and ensures client understanding, which supports informed decision-making and reduces liability risks related to inadequate communication. This is a prudent nursing action, not a liability concern.

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A case manager is performing discharge planning for a client who experienced a traumatic leg amputation and has a new prosthesis. Which of the following assessments should the nurse identify as the priority?

Nursing Test Bank

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A case manager is performing discharge planning for a client who experienced a traumatic leg amputation and has a new prosthesis. Which of the following assessments should the nurse identify as the priority?