In her role as case manager for a large home care agency, Sally Randall, RN, worked with one of her clients, Mr. Benson, who is diagnosed with ALS. Among many interventions that she provided,
Sally did the following for Mr. Benson: wrote a letter to the insurance company supporting the need for a motorized wheelchair, set up and monitored care provided by other professionals and paraprofessionals, and monitored and evaluated the outcomes and quality of care for her client. These are examples of which case manager roles?
1. Advocate, manager of care, outcome and quality manager
2. Counselor, holistic care provider, risk manager
3. Educator, coordinator of care, change agent
4. Ethicist, discharge planner, utilization manager
5. Negotiator/broker, clinical expert, consultant
ANS: 1
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What will the nurse teach a nursing mother to do to reduce the risk of mastitis? (Select all that apply.)
a. Limit fluid intake to 1 liter per day. b. Empty both breasts with each feeding. c. Take warm showers. d. Wear a supportive bra. e. Pump breasts to ensure emptying.
The family of an elderly patient diagnosed with pulmonary edema asks the nurse what the diagnosis means. How should the nurse respond?
1. "It is too much fluid in the lungs.". 2. "It is a narrowing of the coronary vessels that causes the heart to stop working correctly.". 3. "It is a disorder that rarely affects individuals older than 60.". 4. "It is caused by working too hard when one is younger.".
The client has been started on Sinemet. She is also being treated with an MAO inhibitor medication. The nurse anticipates that which of the client's vital signs should be most closely monitored?
a. Blood pressure b. Apical pulse c. Temperature d. Respirations
The feeling of guilt that the child "caused" the disability or illness is especially critical in which child?
a. Toddler b. Preschooler c. School-age child d. Adolescent