A nurse is caring for a client who has a terminal illness. Which of the following statements by the client would require referral to a social work

A. Consulting with the provider throughout a client's course of treatment: Consulting with providers is a collaborative practice that supports coordinated care and is a standard professional responsibility, not typically a liability concern for case managers.

B. Providing recommendations to a client about alternatives to treatments prescribed by their provider: Making treatment recommendations without proper authorization or outside the scope of practice can lead to liability issues. Case managers must avoid advising clients to alter prescribed treatments and instead facilitate communication between clients and providers.

C. Verifying a provider's licensure before referring the client to them: Verifying licensure ensures the provider’s credentials are valid and protects clients from unqualified practitioners. This is a standard safety practice and does not pose liability for the case manager.

D. Determining a client's literacy level before providing advance directive documents:
Assessing literacy helps tailor education and ensures client understanding, which supports informed decision-making and reduces liability risks related to inadequate communication. This is a prudent nursing action, not a liability concern.

A. Teaching a class about the risks of cigarette smoking: This is a primary prevention activity focused on educating children to prevent the initiation of smoking and related health problems before they occur.

B. Recommending a seating arrangement for a child in a body cast: This is a tertiary prevention activity that involves managing existing health conditions and preventing complications, not primary prevention.

C. Creating a plan of care for children who have a diagnosis of diabetes mellitus: This is tertiary prevention since it deals with managing an existing chronic illness to reduce complications.

D. Organizing a program to promote skateboard safety: This is primary prevention, aiming to prevent injuries associated with skateboarding by teaching safe practices before accidents happen. It targets a behavior to prevent harm.

E. Lobbying for funding for health promotion efforts: This supports primary prevention. By securing resources for health promotion, the nurse is contributing to initiatives that aim to prevent illness and promote well-being across the school community before health problems arise.