A nurse is assisting a client who lives in a rural community with obtaining health services. Which of the following actions by the nurse demonstrates coordination of care?
Providing the client with information about transportation services.
Encouraging the client to become a self-advocate.
Informing the client about providers who accept their health insurance.
Arranging an appointment for the client with a mobile health clinic.
The Correct Answer is D
Choice A reason: Providing transportation information is helpful but does not directly coordinate care, as it addresses access rather than securing services. Coordination involves arranging specific care delivery, so this action is supportive but less comprehensive, making it incorrect for demonstrating care coordination.
Choice B reason: Encouraging self-advocacy empowers the client but does not actively coordinate care, which requires arranging services or resources. This action is educational, not logistical, and does not ensure access to health services, making it incorrect for this context.
Choice C reason: Informing about providers who accept insurance is informative but not sufficient for coordination, which involves facilitating actual care delivery. Without arranging services, this action remains preparatory, making it less effective than directly securing an appointment, thus incorrect.
Choice D reason: Arranging an appointment with a mobile health clinic directly facilitates access to care, addressing rural barriers. This active coordination ensures the client receives services, aligning with case management principles for underserved populations, making it the correct demonstration of care coordination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Experiencing delusions can contribute to agitation, but it is not the strongest predictor of violence. Delusions may lead to unpredictable behavior, but past actions are more reliable indicators, so this factor is less definitive, making it incorrect.
Choice B reason: A history of being in prison indicates past legal issues but not necessarily violent behavior. Incarceration alone is not a direct predictor of future violence, so this factor is less reliable than actual violent history, making it incorrect.
Choice C reason: A history of violent behavior is the best predictor of future violence, as past actions strongly correlate with recurrence, per evidence-based risk assessments. This reliable indicator guides safety planning, making it the correct factor to emphasize in teaching.
Choice D reason: Substance use disorder increases impulsivity and aggression risk, but it is less predictive than a documented history of violence. Substance use is a contributing factor, not the strongest indicator, so this is incorrect compared to past behavior.
Correct Answer is D
Explanation
Choice A reason: Hyperactive deep tendon reflexes are not linked to morphine toxicity. Morphine, an opioid, depresses the central nervous system, reducing reflexes. Hyperactive reflexes suggest neurological or stimulant effects, not opioid overdose, which primarily causes respiratory and consciousness depression in affected clients.
Choice B reason: Fluid retention is not a primary sign of morphine toxicity. Morphine may cause urinary retention via sphincter tone increase, but fluid overload is unrelated. Toxicity manifests as respiratory depression or sedation, driven by mu-opioid receptor overstimulation, not fluid balance alterations.
Choice C reason: Prolonged QT interval is associated with medications like antiarrhythmics, not morphine. Morphine toxicity primarily causes respiratory depression and sedation via central nervous system effects. Cardiac effects are rare, and QT prolongation is not a hallmark of opioid overdose in clinical settings.
Choice D reason: Bradypnea indicates morphine toxicity, as opioids depress the brainstem’s respiratory center via mu-receptor overstimulation. This slows breathing, risking hypoxia and respiratory arrest, a life-threatening complication requiring immediate intervention like naloxone to reverse opioid effects and restore normal respiratory function.
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