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
Primary prevention strategies aim to prevent a problem before it occurs. Teaching parenting techniques to new parents is a primary prevention strategy because it helps to prevent individual and family violence by providing new parents with the skills and knowledge they need to raise their children in a healthy and non-violent environment.
Choice A is not correct because providing treatment for a young adult who has a substance use disorder is a secondary prevention strategy.
It aims to reduce the impact of a problem that has already occurred.
Choice B is not correct because assessing a family for marital discord is also a secondary prevention strategy.
Choice C is not correct because conducting counseling for at-risk parents is a tertiary prevention strategy.
It aims to reduce the impact of an ongoing problem and prevent it from getting worse.
Correct Answer is A
Explanation
The first step a nurse should take when caring for a client who is homeless is to assess their understanding of their living situation. This will help the nurse to understand the client’s perspective and needs, and to tailor their care accordingly.
Choice B, assisting the client to develop goals for obtaining shelter, is important but should come after the initial assessment.
Choice C, discussing the risks of being homeless with the client, is also important but should come after the initial assessment.
Choice D, developing client teaching using a variety of strategies, is also important but should come after the initial assessment and after determining the client’s needs and goals.
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