For case management to be most effective, who should be recognized as the most appropriate case manager?
a. Nurse
b. Panel of experts
c. Multidisciplinary team
d. Insurance company
ANS: A
Nursing case managers are ideally suited to provide the care coordination necessary. Care coordination is most effective if a single person works with the family to accomplish the many tasks and responsibilities that are necessary. The family retains the role as primary decision maker. Most likely the insurance company will have a case manager focusing on the financial aspects of care. This does not include coordination of care to assist the family.
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A patient has developed diabetes insipidus after suffering severe head trauma. What symptoms does the nurse expect to find?
A) Urine output less than 30 mL/hr B) Urine specific gravity 1.001 to 1.005 C) Serum osmolality below 275 mOsm/kg D) Serum sodium less than 135 mEq/L
A patient who has been witness to a disaster involving a large number of fatalities appears upset but states that he feels capable of dealing with the emotions. The nurse's best intervention would be to:
A) Encourage the patient to watch the news updates B) Collect newspaper reports to review later C) Occupy the patient with other details to avoid thinking about the situation D) Encourage the patient to return to normal social roles when appropriate
The nurse is evaluating the following goal: Client will select low-fat foods from a list by the end of the month. The client, who has different beliefs about food, has not been able to achieve this goal. The nurse should:
1. Consider whether the client's belief system has been an influencing factor. 2. Extend the time frame and give the client a longer period to achieve the goal. 3. Make sure that the client understands the importance of the goal. 4. Select a different goal.
Which is a beneficial product created by bacteria that live in the intestines?
A. mucous B. minerals C. feces D. vitamins