You are the case manager for a 12-year-old boy who is obese and prediabetic. To help the client develop a diet that will promote weight loss and control of his glucose level, you decide to consult with a dietitian, who provides several current journal articles that present findings on various diets. Which aspect of case management is employed with this action?

disease management

interdisciplinary collaboration

care management

advocacy

Answer and Explanation

The Correct Answer is B

Rationale:

A. Disease management focuses on coordinated healthcare interventions for a specific chronic condition, such as diabetes or hypertension, with an emphasis on standardized care protocols and monitoring outcomes. While the child’s prediabetes is the condition being addressed, the scenario highlights consulting another professional, not implementing a structured disease management program.

B. Interdisciplinary collaboration is correct. The case manager is working with a dietitian, a different healthcare professional, to integrate expertise into the client’s care plan. By consulting current journal articles and collaborating on diet planning, the nurse demonstrates team-based care to optimize health outcomes. Interdisciplinary collaboration involves sharing knowledge, coordinating interventions, and leveraging the expertise of multiple disciplines for holistic care.

C. Care management refers to the overall coordination of services for a client, including planning, facilitating, and monitoring care across the continuum. While care management is a broader concept, the specific action in this scenario, consulting a dietitian for evidence-based dietary planning is a direct example of collaboration within the care team.

D. Advocacy involves supporting the client’s needs, rights, and preferences, often ensuring access to services or resources. While advocacy may occur indirectly, the nurse’s primary action here is seeking professional expertise to guide care, not advocating for resources or rights.

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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.

A. The client mentions she has difficulty sleeping. B. Young children are playing with the client. C. The client shares her favorite television program. D. The caregiver appears impatient with the session.

Correct Answer is D

Explanation

Rationale:
A. The client mentions she has difficulty sleeping is incorrect because difficulty sleeping is a common issue among older adults and may result from many benign causes such as age-related changes, stress, or medical conditions. It is not, by itself, a clear indicator of abuse.

B. Young children are playing with the client is incorrect because interactions with children are normal in multigenerational households and do not indicate elder abuse.

C. The client shares her favorite television program is incorrect because this reflects normal social engagement and interest in personal activities, which are positive signs of well-being.

D. The caregiver appears impatient with the session is correct because caregiver impatience, frustration, or hostility can be an early warning sign of potential elder abuse or neglect. Caregiver stress is a known risk factor for mistreatment, and such behaviors during interactions should prompt the nurse to assess further and monitor the safety and well-being of the older adult.

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Naxlex Comprehensive Predictor Exams

The client states a history of substance use but reports current abstinence. If valid, the nurse should interpret this report to mean the client has not used alcohol or illicit substances in at least how many months?

Correct Answer is C

Explanation

The home health nurse is meeting with a new older adult client whose primary caregiver has requested additional assistance due to other family obligations. Which finding on the assessment should raise a red flag to the nurse for the potential of elder abuse in this household?

Correct Answer is D

Explanation

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