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: While analyzing the cause is an important part of the process, it cannot be effectively done without first having a clear definition of what the problem is.

Choice B reason: Defining the problem is crucial as it sets the stage for all subsequent steps in the Quality Management process. It ensures that everyone understands what the issue is and agrees on its importance.

Choice C reason: Measuring the problem is necessary to understand its extent and impact, but it comes after the problem has been defined and before solutions are considered.

Choice D reason: Solving the root cause is the ultimate goal, but it is a later step that follows defining, analyzing, and measuring the problem.

A. Never events or sentinel events. B. Medically sensitive events. C. Nurse-sensitive events. D. Operating team performance errors.

Correct Answer is A

Explanation

Choice A reason: The term "never events" or "sentinel events" refers to serious, preventable, and costly medical errors that should never occur. Leaving surgical instruments or sponges in patients and operating on the wrong limbs fall under this category because they are clear indicators of serious systemic problems within a healthcare setting.

Choice B reason: "Medically sensitive events" is not a standard term used in healthcare for these types of incidents. Therefore, this choice is incorrect.

Choice C reason: While nurse-sensitive events are a valid category, they typically refer to outcomes that are directly related to nursing care, such as patient falls or infections, rather than surgical errors.

Choice D reason: "Operating team performance errors" could be considered a broader category that might include these incidents, but it is not the specific term used to describe such critical events in the medical field.

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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?

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Naxlex Comprehensive Predictor Exams

The risk manager informs the nurse manager of an orthopedic unit that her unit has had an increase in incident reports related to patients falling during the 11-7 shift. The nurse manager knows that the first step in Quality Management is to:

Correct Answer is B

Explanation

At a hospital, there has been a 20% increase in incidents of instruments and sponges being left in patients during surgery, and surgeries performed on the wrong limbs. These incidents are known as:

Correct Answer is A

Explanation

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