A nurse is caring for a group of clients prior to discharge. The nurse should identify that which of the following clients might benefit from a case manager to facilitate continuity of care?
A client who is being discharged home following a minor outpatient procedure
A client who is requesting a provider's note to return to work tomorrow
A client who is requesting a change in pain medication
A client who is transferring from acute care to a rehabilitation facility
The Correct Answer is D
Rationale:
A. A client discharged after a minor outpatient procedure typically has straightforward needs and does not require a case manager.
B. Requesting a provider’s note is a simple administrative task that does not require case management.
C. Requesting a change in pain medication involves provider communication and nursing assessment but does not necessitate a case manager.
D. A client transferring from acute care to a rehabilitation facility often has complex care needs, multiple providers, and coordination requirements, making a case manager essential to facilitate continuity of care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
Rationale:
A. Important for preventing future incidents, but not an immediate priority for the employee who is currently injured.
B. Critical to determine the chemical’s hazards and the correct emergency response, guiding immediate care.
C. Important for long-term safety and education but does not address the current injury.
D. Highest priority because the employee is experiencing burns and potential chemical injury; immediate treatment is necessary to prevent harm.
E. Essential to determine appropriate first aid, medical treatment, and reporting requirements; directly affects immediate care.
F. Preventive measure for the future; does not address the current exposure or injury.
Correct Answer is A
Explanation
Rationale:
A. In emergency situations where the client is unable to provide informed consent (disoriented) and there is a life-threatening condition (cardiac arrhythmia), treatment should proceed under the principle of implied consent to save life or prevent serious harm.
B. Contacting next of kin may cause a delay in critical treatment and is not required in emergencies.
C. Notifying risk management is unnecessary and would delay care.
D. The client is disoriented and unable to legally sign consent, so this option is not appropriate.
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