A nurse case manager is assigned to a client with recurring substance abuse issues. Which of the following strategies would be most important in providing care to this client?
1. Assessment and problem identification
2. Ordering psychological testing
3. Arranging for inpatient hospital care
4. Administering medications
1
Rationale: Assessment and problem identification is the most important strategy to develop a plan consistent with the needs of clients who have serious and persistent mental illnesses such as recurring substance abuse. The nurse case manager does not provide direct care, such as administering medications, and does not have the authority to order psychological testing unless the nurse is engaged in advanced practice. Arranging for inpatient hospital care may not be necessary, and a thorough assessment would determine if this level of care is needed.
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