The nurse case manager is working with a client admitted for end-stage renal disease. The case managers major goal concerning the patient during this hospitalization is?
supervise the nursing staff members who implement the care map.
Reduce the clients financial cost.
Prevent additional hospitalizations resulting from complications of the clients disease.
Provide direct nursing care through out the hospitalization
The Correct Answer is C
Choice A:
While nurse case managers do oversee the overall care of their patients, their role is not typically to supervise the nursing staff members who implement the care map. Their focus is more on coordinating care, communicating with the healthcare team, and ensuring the patient's needs are met.
Choice B:
While reducing the client's financial cost can be a part of a nurse case manager's role, it is not the primary consideration. The main goal is to ensure the patient receives the best possible care. While cost-effectiveness is important, it should not compromise the quality of care.
Choice C:
This is the correct answer. One of the main goals of a nurse case manager, especially when working with a client with a chronic condition like end-stage renal disease, is to prevent additional hospitalizations. This is achieved by coordinating care, educating the patient and their family, and closely monitoring the patient's condition.
Choice D:
While nurse case managers are registered nurses and capable of providing direct nursing care, their role is more focused on coordinating and managing care rather than providing direct care. They work closely with the healthcare team to ensure the patient's needs are met, but they do not typically provide bedside care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This choice is incorrect because effective followership involves questioning and providing feedback to leaders, which can lead to improved decision-making and innovation.
Choice B reason: This is the correct choice. In the context of nursing, leaders often take on the role of followers as well. They collaborate with other leaders and sometimes follow directives from higher management or adhere to policies, showing that leadership is not a one-way process but a dynamic interchange.
Choice C reason: This choice is incorrect. While followers do need structure, it does not necessarily have to be linear. Effective followership encourages independent critical thinking and active engagement, which can lead to job satisfaction and better patient outcomes.
Choice D reason: This choice is partially correct. While leaders should provide guidance to new staff, it is also important for leaders to encourage autonomy and critical thinking, allowing new staff to develop their skills and confidence.
Correct Answer is D
Explanation
Choice A reason: While promoting teamwork among healthcare providers is important, it is not the primary reason for maintaining a low nurse-to-patient ratio. Teamwork is a byproduct of adequate staffing, which allows nurses to collaborate effectively.
Choice B reason: Increasing adverse events is the opposite of what a low nurse-to-patient ratio aims to achieve. Research shows that higher nurse-to-patient ratios are associated with increased adverse events.
Choice C reason: A low nurse-to-patient ratio does not contribute to the duplication of services. Instead, it ensures that nurses can provide adequate attention and care to each patient, which can reduce the need for redundant services.
Choice D reason: Nursing research has validated that a low nurse-to-patient ratio improves client outcomes. Studies have shown that lower ratios are associated with reduced mortality, medication errors, ulcers, restraint use, infections, pneumonia, and improved intervention times.
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