The following are grounds for immediate dismissal except:

Choice A:

While nurse case managers do oversee the overall care of their patients, their role is not typically to supervise the nursing staff members who implement the care map. Their focus is more on coordinating care, communicating with the healthcare team, and ensuring the patient's needs are met.

Choice B:

While reducing the client's financial cost can be a part of a nurse case manager's role, it is not the primary consideration. The main goal is to ensure the patient receives the best possible care. While cost-effectiveness is important, it should not compromise the quality of care.

Choice C:

This is the correct answer. One of the main goals of a nurse case manager, especially when working with a client with a chronic condition like end-stage renal disease, is to prevent additional hospitalizations. This is achieved by coordinating care, educating the patient and their family, and closely monitoring the patient's condition.

Choice D:

While nurse case managers are registered nurses and capable of providing direct nursing care, their role is more focused on coordinating and managing care rather than providing direct care. They work closely with the healthcare team to ensure the patient's needs are met, but they do not typically provide bedside care.

Choice A reason: Change involving many layers in an organization can lead to resistance due to complexity and the potential disruption of established processes. However, it is not the most likely cause of resistance compared to a direct threat to personal security.

Choice B reason: While workers being satisfied with current practice may lead to some resistance to change, it is generally less intense than resistance caused by perceived threats to personal security.

Choice C reason: Involvement of non-professional workers in change might create resistance, especially if they feel undervalued or excluded from the decision-making process. However, this is not as significant a factor as a perceived threat to personal security.

Choice D reason: A perceived threat to personal security is the most likely cause of resistance to change. Individuals tend to resist changes that they believe could harm their well-being, job security, or personal safety.