A charge nurse is educating a group of newly licensed nurses about the case management approach to client care. Which of the following statements by a newly licensed nurse indicates an understanding of the responsibilities of a nurse in case management?

Nurses who have advanced training provide direct care for clients.

Nurses use critical pathways when caring for clients.

Nurses delegate and supervise assigned tasks.

The nurse completes one specific task for a group of clients.

Answer and Explanation

The Correct Answer is B

Choice A reason: Nurses who have advanced training may provide direct care for clients, but this is not specific to case management. Case management is a collaborative process that involves assessing, planning, implementing, coordinating, monitoring, and evaluating the options and services required to meet the client's health and human service needs.

Choice B reason: Nurses use critical pathways when caring for clients as part of case management. Critical pathways are standardized plans of care that outline the expected outcomes, interventions, and time frames for a specific diagnosis or procedure. They help to ensure quality, continuity, and cost-effectiveness of care.

Choice C reason: Nurses delegate and supervise assigned tasks, but this is a general nursing responsibility and not specific to case management. Case management requires more than just task delegation and supervision. It also involves communication, coordination, and evaluation of care.

Choice D reason: The nurse completes one specific task for a group of clients is not an accurate description of case management. Case management is not task-oriented, but client-centered and outcome-focused. The nurse is responsible for the overall care of the client, not just one aspect of it.

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Correct Answer is C

Explanation

Choice A reason: A unit nurse does not have the authority to prescribe emergency medications during a disaster, unless they have an advanced practice license and a collaborative agreement with a provider. The nurse should follow the facility's protocol and the provider's orders for administering medications.

Choice B reason: A nurse should not communicate with the performance improvement committee during a disaster, as this is not a priority at that time. The nurse should focus on providing safe and effective care to the clients and collaborating with the disaster response team.

Choice C reason: A nurse can recommend clients who are stable for discharge during a disaster, as this can help to free up beds and resources for more critical clients. The nurse should use their clinical judgment and the facility's criteria to identify the clients who are eligible for discharge.

Choice D reason: A unit nurse should not provide information to the media during a disaster, as this can violate the clients' privacy and confidentiality. The nurse should refer any media inquiries to the facility's designated spokesperson or public relations officer.

A. A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor B. A client who has gestational diabetes and is receiving biweekly nonstress tests C. A client who is at 32 weeks of gestation and has premature rupture of membranes D. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump

Correct Answer is D

Explanation

Choice A reason: A multigravida client with preeclampsia receiving misoprostol for induction of labor requires specialized obstetrical care due to the complexity of preeclampsia management, which includes monitoring blood pressure, administering antihypertensive agents, and managing potential complications. Misoprostol is used for cervical ripening and labor induction, which involves close monitoring for uterine activity and fetal well-being.

Choice B reason: A client with gestational diabetes undergoing biweekly nonstress tests would benefit from a nurse with obstetrical expertise. Gestational diabetes management includes monitoring blood glucose levels, dietary modifications, and possibly medication administration. Nonstress tests are performed to assess fetal well-being and require interpretation of fetal heart rate patterns in response to fetal movements.

Choice C reason: A client at 32 weeks of gestation with premature rupture of membranes (PROM) needs specialized obstetrical care. Management of PROM may involve expectant management or immediate delivery based on gestational age and fetal and maternal conditions. The risk of infection and complications necessitates obstetrical expertise.

Choice D reason: A primigravida client who is 1 day postoperative following a Cesarean section with a PCA pump is the most suitable assignment for an RN from a medical-surgical unit. Postoperative care involves monitoring vital signs, incision site, and managing pain with the PCA pump, which is within the scope of medical-surgical nursing practice.

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A charge nurse is educating a group of newly licensed nurses about the case management approach to client care. Which of the following statements by a newly licensed nurse indicates an understanding of the responsibilities of a nurse in case management?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about the role of nurses during a facility disaster. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is C

Explanation

A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?

Correct Answer is D

Explanation

A nurse is assessing a client who had a stroke 2 days ago. Which of the following findings should the nurse identify as a need for a referral to speech-language pathology?

A nurse is providing teaching to an assistive personnel (AP) about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?

A nurse is teaching a client who speaks a different language than the nurse about medications. Which of the following actions should the nurse take?

A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?

A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?

A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the background portion of the report?

A pediatric nurse is caring for multiple clients and reviewing each of their care plans. Which of the following client care interventions requires revising?