A nurse is caring for a client who has a prescription for a referral for case management services. Which of the following actions should the nurse identify is the responsibility of case management services?
Arrange for the client to receive home health care services
Write a prescription for the client's medications
Perform nursing skills for the client such as dressing changes
Provide education to the client about adverse effects of their medications
The Correct Answer is A
A. This is a primary responsibility of case management services. Case managers coordinate various aspects of a client’s care, including arranging for home health care services. They work with healthcare providers and agencies to ensure the client receives the necessary services and resources, such as nursing care, physical therapy, or other supportive services at home.
B. Writing prescriptions is the responsibility of licensed healthcare providers such as physicians or nurse practitioners, not case managers. Case managers do not have the authority to prescribe medications; instead, they focus on coordinating care and ensuring that clients have access to the necessary resources and services.
C. Performing specific nursing skills, such as dressing changes, is within the scope of practice for registered nurses or other licensed nursing professionals. Case managers typically do not provide direct clinical care or perform nursing procedures. Their role is more focused on coordinating care and ensuring that clinical needs are met through appropriate services and providers.
D. Providing education about medication adverse effects falls within the role of healthcare providers who prescribe and manage medications, such as physicians, nurse practitioners, or pharmacists. While case managers may assist in coordinating educational resources and facilitating communication between the client and healthcare providers, they generally do not provide direct medication education.
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Related Questions
Correct Answer is B
Explanation
A. This description fits a patient classification system, but it doesn’t specifically define a prototype evaluation system. Patient classification systems, like the Resource Utilization Groups (RUGs) or the Patient Classification System (PCS), categorize patients to predict care needs and allocate resources.
B. This description fits an advanced scheduling or staffing system, which uses algorithms to manage schedules based on certain rules. While it involves evaluation and planning, it’s focused on staffing and scheduling rather than evaluating prototypes specifically. Prototype evaluation systems generally involve assessing and refining models or systems, not just scheduling.
C. A formula-driven approach to calculating nursing productivity involves measuring efficiency and performance based on predefined formulas. While this relates to evaluation, it is not specifically about prototype evaluation
D. This describes a system that rates patient care activities based on workload, which can be part of a classification or workload measurement system. However, it does not directly relate to a prototype evaluation system, which is more focused on assessing and refining prototypes rather than rating individual activities.
Correct Answer is A
Explanation
A. In a decentralized scheduling system, the responsibility for creating and managing schedules lies primarily with the individual units. Therefore, after developing a draft schedule, the nurse manager or designated scheduler would need to negotiate it with the unit staff to ensure it meets their needs and is feasible.
B. Budgetary approval is typically handled at a higher organizational level and is not typically part of the decentralized scheduling process.
C. This would be the case in a centralized scheduling system, not a decentralized one.
D. Balancing personal schedules with institutional needs is important but it's not a specific step in the decentralized scheduling process after creating a draft schedule. This is an ongoing consideration for all schedulers.
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