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?
Determine whether the client is eligible to go to a skilled nursing facility.
Evaluate the client's home environment.
Collaborate with a prosthetist to teach the client about care of the prosthesis.
Ask whether the client's insurance will cover home health services.
The Correct Answer is B
Evaluating the client’s home environment is the priority assessment for the case manager to perform. This will help determine if the client’s home is safe and accessible for them with their new prosthesis.
Choice A is not the correct answer because determining whether the client is eligible to go to a skilled nursing facility is important but not the priority.
Choice C is not the correct answer because collaborating with a prosthetist to teach the client about care of the prosthesis is important but not the priority.
Choice D is not the correct answer because asking whether the client’s insurance will cover home health services is important but not the priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The enzyme-linked immunosorbent assay (ELISA) tests a patient’s blood sample for HIV antibodies1.
Choice A is not the correct answer because the test results are not accurate 24 hours after HIV exposure.
It can take several weeks for the body to produce enough antibodies to be detected by an ELISA test1.
Choice B is not the correct answer because the test does not monitor the progression of HIV.
Choice C is not the correct answer because a positive result does not indicate initiation of immunoglobulin administration.
Correct Answer is D
Explanation
Low literacy can be a barrier to learning because it can make it difficult for clients to understand written materials and instructions.
Choices A, B, and C are not client-related barriers to learning.
Limited experience (choice A) and lack of credibility (choice B) are barriers that may affect the nurse’s ability to teach effectively, but they are not directly related to the client’s ability to learn.
Fear of public speaking (choice C) may affect the client’s willingness to participate in group discussions, but it is not a barrier to learning itself.
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