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?
Collaborate with a prosthetist to teach the client about care of the prosthesis.
Determine whether the client is eligible to go to a skilled nursing facility.
Evaluate the client's home environment.
Ask whether the client's insurance will cover home health services.
The Correct Answer is C
The correct answer is Choice C because, "Evaluate the client's home environment." Since the client has a new prosthesis, the priority is to evaluate the client's home environment for safety and accessibility. Collaborating with a prosthetist to teach the client about care of the prosthesis (Choice A is wrong because) is important, but not the priority at this stage. Determining eligibility for a skilled nursing facility (Choice B is wrong because) and asking about insurance coverage for home health services (Choice D is wrong because) are important considerations, but not the priority assessment in this situation.
Choice A is wrong because: Collaborating with a prosthetist to teach the client about care of the prosthesis is important, but not the priority at this stage.
Choice B is wrong because: Determining whether the client is eligible to go to a skilled nursing facility is an important consideration, but not the priority assessment in this situation.
Choice D is wrong because: Asking about insurance coverage for home health services is an important consideration, but not the priority assessment in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A is wrong because, "I don't want to lose control of my ability to make decisions," does not indicate a risk for suicide but rather a fear of losing autonomy or control over one's life.
This statement can be a red flag for suicidal ideation. It may suggest that the client has a plan to end their life, believing that death will bring relief or improvement to their situation.
This statement indicates that the client is seeking and accepting support from others, which is generally a positive coping mechanism and does not indicate a risk for suicide.
While this statement indicates fear and anxiety about the progression of the disease, it does not necessarily indicate a risk for suicide. It's a common concern among individuals with terminal illnesses.
Correct Answer is A
Explanation
The correct answer is Choice A because, "Low literacy." Low literacy is a client-related barrier to learning because clients with limited reading and writing skills may have difficulty understanding written educational materials.
Choice B is wrong because, "Limited experience," is not the correct answer because it is not a client-related barrier to learning. Choice C is wrong because, "Lack of credibility," is also not the correct answer because it is not a client-related barrier to learning. Choice D is wrong because, "Fear of public speaking," is not the correct answer because it is not a clientrelated barrier to learning but rather a psychosocial barrier to learning.
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