A case manager is completing discharge planning for a client who has alcohol use disorder and cirrhosis of the liver. Which of the following actions should the case manager take first?
Arrange for a home health nurse to visit the client following discharge.
Provide the client with information on self-help groups for alcohol use disorder.
Contact a social worker to assist the client with managing finances.
Determine which home safety measures the client needs to implement.
The Correct Answer is A
Choice A reason: Arranging for a home health nurse is often the first step in discharge planning for a client with complex needs such as alcohol use disorder and cirrhosis, to ensure continuity of care and support the client's transition from hospital to home.
Choice B reason: While providing information on self-help groups is important, it is not typically the first action taken during discharge planning.
Choice C reason: Contacting a social worker is an important part of discharge planning, but it usually follows the arrangement of immediate post-discharge medical care.
Choice D reason: Determining home safety measures is crucial, but it generally comes after arranging for necessary medical follow-up care.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Reluctance to learn new care techniques can be a sign of role strain, as it may indicate feeling overwhelmed or resistant to change.
Choice B reason: Joining a support group is typically a positive step and not indicative of role strain.
Choice C reason: Developing new interests, such as knitting, is usually a healthy coping mechanism and not a sign of role strain.
Choice D reason: Accepting help is a positive action and suggests the caregiver is managing their role effectively, rather than experiencing strain.
Correct Answer is D
Explanation
Choice A reason: Apologizing for untidiness does not indicate adaptation but rather a concern for the nurse's perception.
Choice B reason: Expressing financial concerns suggests stress related to the caregiving role, not adaptation.
Choice C reason: Attempting to rearrange furniture for walker use shows problem-solving but does not directly indicate adaptation to the caregiver role.
Choice D reason: Arranging for personal time away from caregiving responsibilities indicates that the caregiver is adapting to their new role by ensuring they also care for their own needs.
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