The interdisciplinary treatment team is discussing appropriate strategies for a homebound client who has a history of medication nonadherence
Which of the following rationales should the nurse case manager use when a treatment team member suggests that the nurse case manager make daily home visits to administer medications? 1. "My job description does not include medication administration to clients in the home."
2. "My role as case manager is to remain objective and look at the whole picture. If I deliver direct care, I may lose this perspective."
3. "My time is more importantly spent supervising others to provide this type of direct care."
4. "My daily schedule is too full to commit this amount of time to administering medications."
2
Rationale: The nurse case manager's role is to remain the objective, internal consultant, looking at the whole picture. When pulled into delivering the care, the case manager loses perspective and may find important issues clouded. Arguing that the case manager is too busy, too important, or that it is not in the job description does not communicate the importance of the case manager's role and its unique contribution to the care team.
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A) "Continue the prescribed dose. It may take several days to work." B) "I'll ask the nurse practitioner if the dosage can be increased." C) "I'll ask the nurse practitioner if the haloperidol can be discontinued and another drug started." D) "I'll report this to the nurse practitioner and see if he will add another drug to enhance the effects of the haloperidol."
What makes the area of family nursing a difficult arena to provide care at times?
A) The presence of family in the hospital rooms B) Family members who might not agree on treatments and a plan of care C) Family-centered care plans and use of community areas in acute care settings D) Nurses having different values from families
The nurse is teaching a client who has AIDS how to avoid infection at home. Which statement indicates that additional teaching is needed?
a. "I will wash my hands whenever I get home from work." b. "I will make sure to have my own tube of toothpaste at home." c. "I will run my toothbrush through the dishwasher every evening." d. "I will be sure to eat lots of fresh fruits and vegetables every day."