A school nurse is scheduling visits with a physical therapist for a child with cerebral palsy. In which of the following roles is the nurse functioning?
counselor
direct caregiver
case manager
consultant
The Correct Answer is C
Rationale:
A. Counselor is incorrect because counseling involves providing guidance, emotional support, or helping the client cope with personal or psychological issues. Scheduling therapy visits does not primarily involve counseling.
B. Direct caregiver is incorrect because direct caregiving refers to providing hands-on care or treatment to the client, such as administering medications or assisting with activities of daily living. The nurse in this scenario is not directly performing care tasks.
C. Case manager is correct because case management involves coordinating care, services, and resources for a client to ensure their needs are met efficiently. By scheduling visits with a physical therapist and facilitating continuity of care for a child with cerebral palsy, the nurse is fulfilling the case manager role.
D. Consultant is incorrect because a consultant provides expert advice or recommendations to other healthcare professionals or organizations, rather than actively coordinating services for an individual client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A. Tremors are one of the most common early signs of alcohol withdrawal, typically appearing 6–12 hours after the last alcohol intake. They often start as mild, fine hand shakes but can progress to severe, generalized tremors. Tremors result from hyperactivity of the central nervous system after the depressant effects of alcohol wear off, reflecting neuronal excitability.
B. Pinpoint pupils are not a symptom of alcohol withdrawal. They are usually associated with opioid intoxication or overdose. In alcohol withdrawal, pupil changes tend to reflect autonomic hyperactivity, not constriction.
C. Diaphoresis (excessive sweating) occurs due to sympathetic nervous system overactivation during alcohol withdrawal. It may be accompanied by tachycardia, elevated blood pressure, and hyperthermia, and is an important indicator of autonomic instability, which can progress to delirium tremens if untreated.
D. Dilated pupils can also be present due to sympathetic overdrive. While not as specific as tremors or diaphoresis, they reflect increased adrenergic activity associated with withdrawal. Other signs of autonomic hyperactivity may include increased heart rate, hypertension, and restlessness.
E. Warm, dry skin is not characteristic of alcohol withdrawal. Instead, patients usually exhibit cool, clammy, or moist skin due to sweating and fluid loss, reflecting heightened sympathetic tone.
Correct Answer is C
Explanation
Rationale:
A. 6 months is incorrect because while some assessments consider shorter periods of abstinence, this does not meet the standard timeframe for defining sustained abstinence in clinical or diagnostic contexts.
B. 3 months is incorrect because a three-month period is too brief to be considered reliable long-term abstinence, especially in terms of assessing recovery or risk of relapse.
C. 12 months is correct because in most clinical and diagnostic frameworks, current abstinence typically refers to continuous abstinence from alcohol or illicit substances for at least 12 months. This timeframe is used to evaluate remission status, treatment success, and reduced risk for relapse.
D. 9 months is incorrect because although nine months shows progress, it does not meet the standard one-year period commonly used to define sustained abstinence in substance use disorder evaluations.
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