A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states that they are unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?

Social worker

Pharmacist

Child protective services

Respiratory therapist

Answer and Explanation

The Correct Answer is A

Rationale:
A. A social worker can assist the family in obtaining financial resources, insurance coverage, or community programs to help cover the cost of the nebulizer, making this the correct referral.
B. A pharmacist can provide medication education and possible cost-saving alternatives for prescriptions but cannot arrange funding or equipment access.
C. Child protective services is not appropriate, as the parent is seeking help and there is no indication of neglect or abuse.
D. A respiratory therapist can teach proper use of the nebulizer and asthma management techniques but cannot address the family’s financial barrier to obtaining the equipment.

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Correct Answer is D

Explanation

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.

A. SBAR Communication tool B. Flowcharts C. Clinical indicators D. Cause-and-effect diagrams

Correct Answer is C

Explanation

Rationale:
A. The SBAR communication tool is used for structured communication among health care providers, not for measuring outcomes.
B. Flowcharts are used to map processes and identify where problems may occur, but they do not measure outcomes.
C. Clinical indicators are measurable items that reflect the quality of care provided (e.g., infection rates, fall rates, readmission rates). They are the appropriate tool for evaluating outcomes in quality improvement.
D. Cause-and-effect diagrams (Ishikawa or fishbone diagrams) are used to identify potential causes of a problem, not to measure outcomes.

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A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states that they are unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A nurse manager is developing a quality improvement project. The nurse manager should recognize that which of the following tools should be used to measure outcomes?

Correct Answer is C

Explanation

A nurse is completing a performance evaluation for an assistive personnel (AP). Which of the following actions by the AP requires intervention by the nurse?

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A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)

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