A nurse manager is educating a newly licensed nurse about the role of case management. Which statement by the newly licensed nurse demonstrates an understanding of the teaching?
“Case management coordinates and links healthcare services for clients.”
“Case management is meant to facilitate provider reimbursement.”
“Case management is only for clients without health insurance.”
“Case management includes providers that provide direct client care.”
The Correct Answer is A
Choice A reason:
Case management is a collaborative process that ensures clients receive comprehensive and coordinated care across multiple healthcare settings. It focuses on linking services, improving outcomes, and supporting continuity of care, which is accurately reflected in this statement.
Choice B reason:
While case management may indirectly impact reimbursement through efficient care coordination, its primary purpose is not financial facilitation but ensuring quality and continuity of client care.
Choice C reason:
Case management is not limited to clients without insurance. It applies to all clients requiring coordination of complex care, regardless of insurance status.
Choice D reason:
Case managers generally do not provide direct care themselves. Their role is to coordinate services, facilitate communication, and advocate for clients, not to replace direct care provided by nurses or other healthcare professionals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Rapid intravenous administration of potassium can cause sudden and dangerous changes in cardiac electrical activity. Potassium plays a critical role in myocardial cell depolarization and repolarization. When infused too quickly, serum potassium levels can rise abruptly, leading to severe cardiac dysrhythmias such as ventricular tachycardia, ventricular fibrillation, or asystole. These rhythm disturbances can progress rapidly to cardiac arrest, making this the most life-threatening complication.
Choice B reason:
Metabolic alkalosis is not a direct or immediate complication of rapid potassium infusion. In fact, hypokalemia is more commonly associated with metabolic alkalosis, and potassium replacement may help correct it. This condition does not represent the primary acute danger associated with rapid intravenous potassium administration.
Choice C reason:
Fluid volume overload depends on the total volume and rate of fluid infused rather than the potassium itself. While excessive IV fluids can contribute to overload, this is not the most critical or potassium-specific life-threatening complication associated with rapid potassium administration.
Choice D reason:
Hypertension is not a typical consequence of rapid potassium infusion. Potassium primarily affects cardiac conduction and neuromuscular function rather than causing acute increases in blood pressure. Therefore, this option is incorrect.
Correct Answer is C
Explanation
Choice A reason:
This option reflects the ethical principle of fidelity, which refers to faithfulness, loyalty, and keeping commitments made to clients. Fidelity emphasizes maintaining trust, honoring promises, and being truthful in professional relationships. While fidelity is essential to ethical nursing practice, it does not specifically address the prevention of harm. Therefore, this choice does not best define the obligation to avoid causing harm to a client.
Choice B reason:
This option corresponds to the ethical principle of justice, which focuses on fairness, equity, and the appropriate distribution of resources among clients and populations. Justice ensures that all clients receive impartial and equal treatment regardless of personal characteristics or social status. Although justice is a core ethical principle, it is centered on fairness rather than the direct prevention of harm, making it an incorrect choice for this question.
Choice C reason:
This option accurately represents the ethical principle of nonmaleficence. Nonmaleficence is defined as the obligation to avoid causing harm, injury, or unnecessary suffering to clients. In nursing practice, this principle guides clinicians to carefully evaluate interventions, anticipate potential risks, and avoid actions that could negatively impact client safety or well-being. Because the question specifically asks about the obligation to avoid harm, this is the most accurate and correct answer.
Choice D reason:
This option reflects the ethical principle of beneficence, which involves taking positive actions to promote good, support client welfare, and improve health outcomes. Beneficence encourages nurses to act in the best interest of the client by providing compassionate and beneficial care. However, beneficence is distinct from nonmaleficence, as it focuses on doing good rather than specifically avoiding harm. For this reason, it is not the best answer to the question.
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