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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Telling the nurse she will be fired if her behavior does not change is a final warning and may not be the best initial approach. It can create a hostile work environment and does not facilitate a solution to the underlying issue.

Choice B reason: Confronting the nurse to discuss the issue and initiate problem-solving measures is a proactive approach. It allows the manager to understand the reasons behind the lateness and work with the nurse to find a solution, which could include time management strategies.

Choice C reason: Telling other staff members to cover for the late nurse does not address the problem and may lead to further unrest and resentment among the team.

Choice D reason: Waiting to address the issue at the 3-month probation evaluation delays dealing with the problem and allows the disruptive behavior to continue, potentially affecting patient care and team dynamics.

A. Clyde requires an anticoagulant. He tells the nurse about his medications. He neglects to mention he's taking an herbal supplement. B. Claude is booked for bowel surgery. His doctor explains about the colostomy. Later, Claude tells his wife that he really doesn't know what the doctor meant by colostomy. C. Sarah is a new parent who finds that nurses on the children's unit are very helpful. She is eager to accept all suggestions, including those that she does not understand. D. George keeps a list of all medications, including OTC and natural remedies. Before every appointment, he makes a list of questions to bring and asks for clarification when he has conflicting information.

Correct Answer is ["A","B","C"]

Explanation

Choice A reason: Clyde is at risk because he fails to disclose the use of an herbal supplement, which could interact with his prescribed anticoagulant medication. It's important for healthcare providers to have a complete understanding of all substances a patient is taking to avoid adverse drug interactions.

Choice B reason: Claude is at risk because he does not understand the medical procedure he is about to undergo. Informed consent is a critical component of healthcare, and misunderstanding the nature of a procedure can lead to unexpected outcomes and dissatisfaction with care.

Choice C reason: Sarah is at risk because she accepts medical advice without understanding it. This can lead to misuse of medications or failure to follow treatment plans, which can compromise the effectiveness of care and potentially lead to harm.

Choice D reason: George is not considered at risk because he is proactive about his healthcare. He keeps detailed records and actively seeks to understand his treatment, which is indicative of an active healthcare consumer.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Which patients would be considered 'at risk' non-active healthcare consumers during a healthcare visit? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

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