A nurse is caring for a group of clients prior to discharge. The nurse should identify that which of the following clients might benefit from a case manager to facilitate continuity of care?

A client who is being discharged home following a minor outpatient procedure

A client who is requesting a provider's note to return to work tomorrow

A client who is requesting a change in pain medication

A client who is transferring from acute care to a rehabilitation facility

Answer and Explanation

The Correct Answer is D

Rationale:
A. A client discharged after a minor outpatient procedure typically has straightforward needs and does not require a case manager.
B. Requesting a provider’s note is a simple administrative task that does not require case management.
C. Requesting a change in pain medication involves provider communication and nursing assessment but does not necessitate a case manager.
D. A client transferring from acute care to a rehabilitation facility often has complex care needs, multiple providers, and coordination requirements, making a case manager essential to facilitate continuity of care.

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Correct Answer is D

Explanation

Rationale:
A. A Do Not Resuscitate (DNR) order is a medical prescription, not a living will.
B. This describes informed consent, not a living will.
C. Naming someone to make health care decisions is a health care proxy/durable power of attorney for health care, not a living will.
D. A living will is a legal document that outlines a client’s wishes regarding medical treatment if they become incapacitated, guiding the family and health care team in decision-making.

A. Request orientation to the medical-surgical unit. B. Refer to the assigned resource nurse regarding client assignments. C. Inform the nursing supervisor of the lack of experience on the medical-surgical unit. D. Clarify competencies with the medical-surgical charge nurse.

Correct Answer is D

Explanation

Rationale:
A. Requesting orientation is appropriate, but it is not the first step when being floated for a single shift.
B. Referring to the resource nurse for client assignments is helpful, but assignments should first be based on demonstrated competencies.
C. Informing the nursing supervisor of lack of experience may be necessary if unsafe assignments are made, but the first action should be to clarify what tasks and skills the nurse is competent to perform.
D. Clarifying competencies with the charge nurse ensures that client assignments are safe and appropriate to the nurse’s skill set, making this the priority action.

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A nurse is caring for a group of clients prior to discharge. The nurse should identify that which of the following clients might benefit from a case manager to facilitate continuity of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a group of clients about advance directives. Which of the following statements should the nurse include about a living will?

Correct Answer is D

Explanation

A nurse from the labor and delivery unit is assigned to float to a medical-surgical unit. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is caring for a group of clients prior to discharge. The nurse should identify that which of the following clients might benefit from a case manager to facilitate continuity of care?

A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN?

A nurse is preparing a shift assignment for an assistive personnel (AP) on the unit. Which of the following tasks should the nurse assign to the AP?

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A nurse manager is evaluating the clients on the unit who are assigned isolation precautions. Which of the following client assignments should the nurse manager identify as correct?

A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?

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