A nurse case manager is arranging for the delivery of medical equipment to a patient’s home as part of discharge planning.
In which of the following roles is the nurse functioning?
Consultant.
Advocate.
Systems allocator.
Coordinator.
The Correct Answer is D
Choice A rationale
A consultant provides expert advice professionally. While a nurse case manager may provide advice as part of their role, arranging for the delivery of medical equipment to a patient’s home as part of discharge planning is not typically considered a consulting role19.
Choice B rationale
An advocate supports or recommends a particular cause or policy. While advocacy can be a part of a nurse case manager’s role, it is not the primary role being described in this scenario19.
Choice C rationale
A systems allocator distributes or spreads out something over a system. While a nurse case manager may allocate resources as part of their role, it is not the primary role being described in this scenario19.
Choice D rationale
This is the correct answer. A coordinator brings the different elements of a complex activity or organization into a relationship that will ensure efficiency or harmony. Arranging for the delivery of medical equipment to a patient’s home as part of discharge planning falls under this role19.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While manic behavior can be disruptive and may require intervention, it is not typically life- threatening. Therefore, this client would not be the highest priority in a triage situation following a bombing incident.
Choice B rationale
A rigid abdomen with manifestations of shock could indicate serious internal injuries, such as bleeding or organ damage. This client would be a high priority for treatment due to the potential for rapid deterioration and life-threatening complications.
Choice C rationale
Superficial partial thickness burn injuries over 5% of the body, while painful and requiring treatment, are not typically immediately life-threatening. This client would be a lower priority compared to a client with signs of shock and potential internal injuries.
Choice D rationale
A femur fracture with a 2+ pedal pulse indicates that the client has a serious injury, but it is not immediately life-threatening. The presence of a 2+ pedal pulse suggests that circulation to the foot is still intact. This client would be a lower priority compared to a client with signs of shock and potential internal injuries.
Correct Answer is D
Explanation
Choice A rationale
Reviewing the immunization records of the child’s classmates might be a subsequent step after confirming the diagnosis and reporting to the health department. However, the immediate action should be to contact the local health department.
Choice B rationale
Advising the caregivers to increase the child’s Vitamin B intake is not relevant in this context. Koplik spots are a sign of measles, a viral infection, and increasing Vitamin B intake would not affect the course of this disease.
Choice C rationale
Examining the child’s classmates for enlargement of the parotid gland is not appropriate because enlargement of the parotid gland is a symptom of mumps, not measles.
Choice D rationale
Contacting the local health department is the correct action. Koplik spots are a characteristic sign of measles, a highly contagious and reportable disease. The local health department can provide guidance on further steps, including confirmation of the diagnosis, treatment, and measures to prevent the spread of the disease.
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