A case manager is planning home health care for a client who has a major burn injury. Which of the following interventions should the case manager plan to make?
Assess the client's need for wound care supplies.
Provide physical and occupational therapy for the client in her home.
Deliver family counseling to members of the client's household.
Administer personal care with bathing, dressing, and meal preparation for the client.
The Correct Answer is A
The correct answer is Choice A because "Assess the client's need for wound care supplies." Planning for wound care supplies is essential for a client who has a major burn injury. Wound care is crucial to prevent complications such as infection, and the case manager must ensure that the client has access to the appropriate wound care supplies.
Choice B is wrong because, "Provide physical and occupational therapy for the client in her home," is not the correct answer because physical and occupational therapy are interventions provided by therapists and not case managers. Choice C is wrong because, "Deliver family counseling to members of the client's household," is an example of psychosocial support and is not the primary responsibility of the case manager. Choice D is wrong because, "Administer personal care with bathing, dressing, and meal preparation for the client," is an intervention that is typically provided by home health aides and not case managers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is Choice D because, reliance on written notes during the teaching session. This factor can be a barrier to learning because the nurse cannot ensure that the client and family understand the information being presented, and may miss important points that were not included in the written notes.
Choice A is wrong because, use of humor to deal with disruptive behavior, is incorrect as the use of humor can be an effective strategy to engage clients and promote learning. Choice B is wrong because, previous experience teaching HIV management courses, is incorrect as this factor can enhance the nurse's ability to effectively teach clients and families about HIV management. Choice C is wrong because, use of educational materials in written and video format, is incorrect as this factor can enhance the client's ability to understand and retain information.
Correct Answer is D
Explanation
The correct answer is choice D, Scratching or piercing the skin. This behavior is known as self-harm or non-suicidal self-injury, and it is a maladaptive coping mechanism that can result from unmanaged stress or negative emotions. The nurse should identify this behavior as a priority and provide resources for the adolescent to seek professional help, including counseling or therapy.
Choice A, staying up all night playing online video games, can be a form of procrastination or avoidance but does not necessarily indicate a need for immediate intervention.
Choice B, listening to loud music for several hours, can also be a coping mechanism, but it is not necessarily harmful or maladaptive.
Choice C, talking about others on social media, maybe a negative behavior, but it does not indicate a need for immediate intervention unless it leads to cyberbullying or harassment.
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