The nurse is caring for a preschool-age client who suffered brain damage following a car accident. The client has a tracheostomy, is ventilator-dependent, and will be discharged from the hospital into the family's care

The family wants to care for the child at home but does not have the resources for 24-hour care. Which action by the care manager is appropriate?
A) Making referrals to a variety of community-based agencies that can meet the family's needs
B) Telling the family that it is impossible to provide care at home
C) Arranging for the child to be sent to a long-term healthcare facility
D) Contacting local nurses in the community to provide the assistance that the family needs to provide care for the client


Answer: A

The referral process is a systematic problem-solving approach that helps clients to use resources that meet their healthcare needs. The process involves knowledge of community resources and an ability to solve problems, set priorities, coordinate, and collaborate. The family's wishes for post-hospital care should be respected if other possibilities exist, which, in this case, they do. The nurse would not be responsible for a fundraiser. Contacting local nurses would not be an efficient way to coordinate care for the client.

Nursing

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