The nurse is managing the care of a client with end-stage renal failure, anemia, and chronic pain from osteoarthritis. Within the case management system, which tier should be used to guide this client's care?
1. Tier one-self-care support.
2. Tier two-high-risk disease management.
3. Tier three-complex needs to be addressed.
4. Tier four-rehabilitation and ancillary service needs.
Answer: 3
Explanation: 3. A tiered case management system comprised of three levels. The first level is designed to provide self-care support for the bulk of the population needing services. The second level of case management involves high-risk disease management and might be appropriate for brittle diabetics or women with high-risk pregnancies who require more intense services and more frequent monitoring. The third level addresses care of clients with complex needs who require a broad array of services such as the client with renal failure, anemia, and chronic pain from osteoarthritis. There is no fourth tier in the tiered case management system.
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