Which of the following activities is the central element that differentiates case management from other types of care?
1. Coordinating one episode of care across multiple treatment settings
2. Preventing re-hospitalization
3. Focusing treatment goals in the most restrictive setting
4. Advocating for clients requiring extensive services
1
Rationale: Case managers are primarily responsible for the coordination of one episode of care across the multiple settings of the care continuum. Although preventing unnecessary hospitalizations is an important goal, preventing re-hospitalization may be unrealistic. Treatment goals should be focused on providing care in least-restrictive settings. Advocating for clients requiring extensive services is not unique to the case management role.
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An elderly client is seen in the clinic. When reviewing his health care maintenance, the nurse recommends that the client should have:
A) a digital rectal examination for prostate enlargement every 3 months. B) a blood test for prostate specific antigen (PSA) yearly. C) a monthly screening for fecal occult blood. D) An eye examination every 2 years.
The medical chart states that the parents are requesting "withdrawal of care" for a child with terminal leukemia. The nurse understands this request to mean:
1. To keep support measures which sustain life for the child. 2. To keep providing comfort care for the child. 3. To stop life-saving measures and allow the child to die naturally. 4. To stop providing comfort measures for the child.
Which assessment finding should the nurse recognize is an adverse CNS effect of mitotane (Lysodren)?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Confusion B. Tinnitus C. Lethargy D. Increasing depression E. Dizziness
A patient is informed by the physician that he must have a fiberglass cast applied to the lower extremity. What does the nurse teach the patient about the procedure before the cast is applied?
a) The cast will be applied after a stockinette is fitted to your skin. b) The cast material will dry and become rigged in a few minutes. c) The cast will increase your risk for skin breakdown. d) The plaster is not a waterproof material.