A case manager nurse is caring for a client who is being discharged following total hip arthroplasty.
Which of the following activities is an example of the nurse functioning in the negotiator role?
Scheduling appointments for physical therapy services.
Discussing payment options with various pharmacies.
Reporting safety concerns to the home health agency.
Providing social services with a list of needed referrals.
The Correct Answer is B
Choice A rationale
Scheduling appointments for physical therapy services is an example of the coordinator role. In this capacity, the nurse organizes and arranges various aspects of the client's care plan, ensuring that all necessary services are in place and accessible. This role is focused on logistical management, not on mediating between parties.
Choice B rationale
Discussing payment options with various pharmacies is an example of the negotiator role. In this role, the nurse mediates between the client and a third party, such as a pharmacy, to find a mutually beneficial solution. The nurse advocates for the client to ensure access to affordable and necessary medications.
Choice C rationale
Reporting safety concerns to the home health agency is an example of the advocate role. Here, the nurse is acting on behalf of the client to ensure their safety and well-being in the home environment. The nurse's actions are focused on protecting the client and communicating concerns to the appropriate party.
Choice D rationale
Providing social services with a list of needed referrals is an example of the referral agent role. In this capacity, the nurse connects the client with appropriate resources and services, such as social workers or community support groups, to address their non-medical needs. This role is about connecting, not negotiating.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Imaginary play, or parallel play, is a developmental milestone that typically emerges in toddlers. However, they usually engage in solitary play alongside other children, but without direct interaction. Collaborative imaginary play with other children is a more advanced social skill that typically develops during the preschool years, not during the toddler stage.
Choice B rationale
Toddlers require a significant amount of sleep to support their rapid physical and cognitive development. They typically need 11 to 14 hours of sleep per 24-hour period. This usually includes a long overnight sleep and one or two short nap periods during the day, which are essential for rest and consolidation of learning.
Choice C rationale
The ability to use safety scissors to cut out simple shapes is a fine motor skill that requires more advanced dexterity and hand-eye coordination than a typical toddler possesses. This developmental milestone is usually achieved by preschoolers, around 4 to 5 years of age. Toddlers have not yet developed the necessary coordination for this task.
Choice D rationale
The ability to feed oneself with a spoon is a common developmental milestone for toddlers, typically emerging around 15 to 18 months of age. This skill reflects improvements in their fine motor control and hand-eye coordination. Toddlers are still learning and may be messy, but they are generally capable of this self-feeding behavior.
Correct Answer is B
Explanation
Choice A rationale
Morbidity rate is a measure of the incidence of disease in a specific population over a defined period. It is a broad measure that includes all new cases of a disease, not just those related to a specific exposure like a food item. It does not provide the specific proportion of exposed individuals who became ill.
Choice B rationale
Attack rate is the proportion of a population that becomes ill after exposure to an infectious agent. It is specifically used in foodborne illness and other outbreak investigations to calculate the percentage of individuals who ate a specific food item and then developed the illness, making it the most direct and accurate measure for this purpose.
Choice C rationale
Incidence is a measure of the number of new cases of a disease within a population over a specified time period. While it measures new cases, it is a general term and does not specifically address the proportion of a group exposed to a particular risk factor, like a food item, who then become ill.
Choice D rationale
Prevalence is a measure of the total number of existing cases of a disease in a population at a specific point in time. It includes both new and pre-existing cases. It is not used to determine the proportion of individuals who became ill following a specific exposure, as it does not measure the risk of developing a disease.
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