A client is admitted to the intensive care until (ICU) with a spinal cord injury following a motor vehicle collision. Which nurse should be contacted to coordinate the progression of the client's care?

Neurology unit supervisor.

Nurse case manager.

Adult nurse practitioner.

Risk management nurse.

Answer and Explanation

The Correct Answer is B

Rationale

A. This role oversees the neurology unit but may not be directly involved in ICU care coordination, which requires a focus on acute management and transition to rehabilitation.

B. Nurse case managers are skilled in coordinating care for patients with complex conditions, ensuring continuity of care, and facilitating communication among healthcare providers and the client's family.

C. While an NP may be involved in direct patient care, their role is more focused on clinical management rather than comprehensive care coordination across different disciplines.

D. This role deals with patient safety and risk reduction but is not primarily responsible for coordinating care for a specific patient's acute medical needs and rehabilitation planning.

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Correct Answer is A

Explanation

Rationale

A. This allows the client time to process their emotions. A diagnosis with a chronic illness can be overwhelming.

B. Referring the client to a social worker for support therapy is a good idea for ongoing emotional support and counseling. However, at this moment, the client might need immediate assistance

C. While relaxation techniques can be helpful in managing stress and anxiety, they might not address the immediate need for insulin administration education.

D. Explaining the importance of insulin, is crucial, but it may not be effective if the client is not in a receptive state.

A. "I can learn to manage my thoughts better through therapy." B. "This diagnosis means that I am crazy." C. "Many people have the same response to a stressful situation as I am having right now." D. "I can use holistic approaches like meditation to help my symptoms." E. "I will probably need to be on medication for the rest of my life." F. "I am at high risk for post-traumatic stress disorder because I have acute stress disorder."

Correct Answer is ["B","E","F"]

Explanation

B. This statement suggests a misunderstanding or stigma associated with mental health diagnoses. It's important for the nurse to clarify that experiencing acute stress disorder or any other psychological response to trauma does not equate to being "crazy." This can help reduce stigma and promote understanding that such responses are normal reactions to abnormal situations.
E. This statement indicates a potential misunderstanding about the duration of medication use. Clonazepam, in this case, is prescribed to manage acute symptoms related to anxiety and sleep disturbance. The nurse should explain that medication use for psychological symptoms is typically temporary and part of a broader treatment plan that may include therapy and other interventions aimed at recovery and long-term well-being.
F. While acute stress disorder is a risk factor for developing post-traumatic stress disorder (PTSD), not everyone who experiences acute stress disorder will develop PTSD. It's important for the nurse to provide education about the differences between acute stress disorder and PTSD, their symptoms, and the importance of ongoing monitoring and support to prevent long-term psychological difficulties.

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A client is admitted to the intensive care until (ICU) with a spinal cord injury following a motor vehicle collision. Which nurse should be contacted to coordinate the progression of the client's care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When the nurse attempts to teach self-administration of insulin injections to a client who is newly diagnosed with type 1 diabetes mellitus (DM), the client tells the nurse in a loud voice to leave the room. Which action should the nurse take?

Correct Answer is A

Explanation

Exhibits Which client statement(s) require(s) follow up teaching by the nurse? Select all that apply.

Correct Answer is ["B","E","F"]

Explanation

Exhibits The nurse begins client education and asks the client what potential asthma triggers may have been involved in her recent exacerbation. For each statement click to specify if the client has an understanding or no understanding of asthma triggers. Each row must have one option selected.

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