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.
Contact a social worker to assist the client with managing finances.
Determine which home safety measures the client needs to implement.
Provide the client with information on self-help groups for alcohol use disorder.
The Correct Answer is C
. Home safety measures are a priority for a client with alcohol use disorder and cirrhosis of the liver, as they may have mobility or balance issues that increase their risk of falls or injury. Assessing the client's home environment and identifying any potential hazards is crucial in preventing further injury or harm to the client. Once the home safety measures have been determined, the case manager can then arrange for a home health nurse to visit the client, provide information on self-help groups for alcohol use disorder, and contact a social worker to assist with managing finances.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Cultural variances in the expression of pain can impact the assessment and management of pain. It is important to recognize and respect these cultural differences to provide culturally sensitive care. Puerto Rican cultural practices consider the expression of pain as a private matter, and individuals may not express their pain openly, as it may be viewed as a weakness or shameful. In contrast, Native American cultural practices often consider pain as a sign of strength, and individuals may express pain openly to receive validation and support from their community. Chinese cultural practices emphasize the importance of stoicism, and individuals may endure pain to prevent family dishonor. Middle Eastern cultural practices may consider pain as a test of faith, and individuals may hide their pain from close family members to avoid burdening them. By understanding these cultural variances, nurses can assess pain more effectively and develop culturally sensitive pain management plans.
Correct Answer is B
Explanation
The correct answer is choice B, "Educate children at a day care center about nutrition and exercise." Primary prevention strategies aim to prevent the occurrence of a health problem before it happens. Educating children about healthy eating habits and regular exercise can help prevent obesity from developing in the first place. This is a more effective strategy than simply measuring the BMI of older adults, distributing health-risk appraisal questionnaires, or encouraging enrollment in weight-reduction programs.
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