A client has been referred to a case management program. Which of the following actions would the nurse most likely take first?
a. Admit the client for services.
b. Determine the appropriateness for inclusion in the program.
c. Contact the physician to determine if services are necessary.
d. Contact the most appropriate community agencies for additional assistance.
ANS: B
All clients referred for case management must undergo screening to determine their appropriateness for inclusion in the program. Thus, this is the action the nurse must take first. Not all referred clients need the services of a nurse case manager. Often, a nurse can arrange community services or instruct the client and family in the most appropriate follow-up based on client need and program design.
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