A nurse is completing discharge teaching for a client who is about to be discharged to home. The client asks the nurse why there is a case manager involved in the client's care and expresses confusion about who is in charge
The client states, "I thought the doctor manages my care.". The best response by the nurse is: 1. "No, I manage your care.".
2. "A case manager is responsible for assuring that all your needs are met.".
3. "You are correct; the doctor is responsible for managing your care.".
4. "The case manager delegates your care to the nurse.".
2. "A case manager is responsible for assuring that all your needs are met.".
Rationale:
The case manager is responsible for assuring that all the client's health care needs are met in a cost-effective manner. The nurse may be a case manager; however, a staff nurse is not the most likely person in the hospital setting to be the case manager. An agency usually has several case managers, who collaborate with nursing, the physician, and any other departments involved in the care of the client. A physician does not participate in care by being a case manager. Case managers coordinate disciplines of care for the client and do not delegate any care to other professionals.
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