A case manager is performing discharge planning for a client who experienced a traumatic leg amputation and has a new prosthesis.
Which of the following assessments should the nurse identify as the priority?
Determine whether the client is eligible to go to a skilled nursing facility.
Evaluate the client's home environment.
Collaborate with a prosthetist to teach the client about care of the prosthesis.
Ask whether the client's insurance will cover home health services.
The Correct Answer is B
Evaluating the client’s home environment is the priority assessment for the case manager to perform. This will help determine if the client’s home is safe and accessible for them with their new prosthesis.
Choice A is not the correct answer because determining whether the client is eligible to go to a skilled nursing facility is important but not the priority.
Choice C is not the correct answer because collaborating with a prosthetist to teach the client about care of the prosthesis is important but not the priority.
Choice D is not the correct answer because asking whether the client’s insurance will cover home health services is important but not the priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
I will be taking medication daily for at least 6 months. TB disease is curable and is treated by a standardized course of treatment usually including 4 antibacterial medicines1. TB treatment can take 4, 6, or 9 months depending on the regimen2.
Choice Ais not correct because a person with TB will not be contagious after they have been on appropriate treatment for a sufficient amount of time and their sputum tests are negative.
Choice Bis not correct because a special HEPA filter is not necessary for TB treatment.Choice C is not correct because a repeat tuberculin skin test is not necessary after a confirmed case of TB.
Correct Answer is C
Explanation
- A. Use of educational materials in written and video format. This is generally a positive approach, as it caters to different learning styles. Therefore, it's not a barrier.
- B. Reliance on written notes during the teaching session. While notes can be helpful, excessive reliance on them might indicate a lack of confidence or familiarity with the material. This could hinder effective communication and engagement with the family, thus, it is a barrier.
- C. Use of humor to deal with disruptive behavior. Using humor inappropriately, especially in a sensitive situation like teaching about HIV infection control, can be perceived as unprofessional and disrespectful. It can also minimize the seriousness of the topic and create a barrier to learning.
- D. Previous experience teaching, i.e. a teens' course. While experience is generally beneficial, it could be a barrier if the nurse assumes the family's learning needs are the same as teenagers. Furthermore, if the nurse does not adapt their teaching style, and materials to the new audience, it will be a barrier.
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