Which activities are within the role of the case manager? (Select all that apply.)
a. Gathering and organizing data about a client from client records and interviews
b. Planning care for a client with emphasis on client satisfaction
c. Coordinating care among a variety of health care professionals and settings
d. Promoting the client's interests while negotiating necessary health care
e. Advocating for the client and the family throughout the continuum of care
f. Using resources for appropriate client health care services
A, C, D, E, F
Primary roles of the nursing case manager include wide-reaching assessment, planning for timely and cost-effective outcomes, facilitation, and advocacy. Roles of the nursing case manager do not include planning care for a client with emphasis on client satisfaction.
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The patient receives a drug that is excreted in the bile. What will the best nursing assessment of the effect of this drug on the patient include?
1. The effect of the drug will be a prolonged action. 2. The effect of the drug will be increased side effects. 3. The effect of the drug will be decreased side effects. 4. The effect of the drug will be decreased.
In planning care for clients who somatize, an appropriate long-term outcome for treatment would be that the client will:
A) Assume responsibility for self-care activities B) Develop alternative coping mechanisms C) Learn new diversional recreation patterns D) Resume home maintenance activities
A client is admitted to the healthcare facility for shortness of breath. The nurse is completing the initial physical examination of the client. Which is the best appropriate initial physical examination of this client by the nurse?
A) Head to toe examination B) Body system review C) Focused physical examination D) Observation and inspection
The clinic nurse is assisting with an initial prenatal assessment. The following findings are present: spider nevi present on lower legs; dark pink, edematous nasal mucosa; mild enlargement of the thyroid gland; mottled skin and pallor on palms and nail beds; heart rate 88 with murmur present. What is the best action for the nurse to take based on these findings?
1. Have the healthcare provider see the client today. 2. Instruct the client to avoid direct sunlight. 3. Document the findings on the prenatal chart. 4. Analyze previous thyroid hormone laboratory results.