A nurse case manager is coordinating care for a client.History and physical:
Client has terminal lung cancer and is not expected to live more than 6 months.
Select the 3 community resources the nurse should refer the client
Hospice care
Legal assistance
Respite care
Adult day care
Social worker
Correct Answer : A,C,E
A. Hospice care: This option is correct because hospice care provides comprehensive support and comfort measures for terminally ill patients and their families, focusing on improving quality of life in the final stages of an illness.
B. Legal assistance: While legal assistance may be important for advanced care planning and end-of-life decisions, it may not be among the immediate priorities for a client with terminal lung cancer expected to live less than 6 months.
C. Respite care: Respite care allows caregivers to take a temporary break from their caregiving responsibilities, which can be invaluable for family members caring for a terminally ill loved one, providing them with much-needed rest and support.
D. Adult day care: While adult day care may be beneficial for some clients and their caregivers, it may not be as relevant for a client with terminal lung cancer who may have more immediate needs related to symptom management and end-of-life care.
E. Social worker: In this scenario, involving a client with terminal cancer, a social worker can provide emotional support, assist with accessing community resources, and help with care coordination, making this option appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A client who is receiving heparin and has an aPTT of 34 seconds: While monitoring heparin therapy is important, this client's condition does not necessarily require an interdisciplinary conference at this time.
B. A client who has orthostatic hypotension and is receiving IV fluids: Management of orthostatic hypotension and IV fluids may require coordination among nursing and medical staff, but it may not necessitate an interdisciplinary conference unless there are significant
complications or complex care needs.
C. A client who has Type 1 diabetes and uses an insulin pump: While managing diabetes may involve coordination between nursing and other healthcare professionals, clients using insulin
pumps typically have established care plans and may not require an interdisciplinary conference unless there are specific issues or changes in management.
D. A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL: This is the correct answer. Clients at risk for pressure ulcers often require input from multiple disciplines, including nursing, wound care specialists, nutritionists, and possibly physical therapists, to develop and implement comprehensive care plans aimed at preventing pressure ulcers and
promoting wound healing. An interdisciplinary conference can facilitate coordination of care and ensure all aspects of the client's needs are addressed.
Correct Answer is C
Explanation
A. Obtains client intake and output instead of delegating the task to an assistive personnel: While it may demonstrate initiative, effective time management involves delegating appropriate tasks to assistive personnel to maximize efficiency.
B. Skips lunch to catch up on client documentation: Skipping meals is not a sustainable or healthy time management strategy and may indicate poor self-care practices.
C. Reviews a client's medical record before performing a prescribed dressing change: This is the correct answer. Reviewing the client's medical record before performing a procedure ensures that the nurse is well-prepared and can perform the task efficiently and safely.
D. Documents medications administered throughout the shift at the end of the day: Documenting medications at the end of the day may lead to inaccuracies and delays in care. Timely and accurate documentation is essential for effective patient care.
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