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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Personal beliefs about family relationships are subjective and not necessary for a change-of-shift or transfer report.
B. Detailed wound care procedures belong in the medical record or care plan, not in the transfer report.
C. A client’s bathing preference is relevant to daily care but not essential for continuity of care during transfer.
D. The time of the last pain medication is critical information for continuity of care and client safety, ensuring the next care team can manage pain effectively and avoid overdosing.
Correct Answer is C
Explanation
Rationale:
A. The SBAR communication tool is used for structured communication among health care providers, not for measuring outcomes.
B. Flowcharts are used to map processes and identify where problems may occur, but they do not measure outcomes.
C. Clinical indicators are measurable items that reflect the quality of care provided (e.g., infection rates, fall rates, readmission rates). They are the appropriate tool for evaluating outcomes in quality improvement.
D. Cause-and-effect diagrams (Ishikawa or fishbone diagrams) are used to identify potential causes of a problem, not to measure outcomes.
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