The nurse is the case manager for a 12-year-old boy who is obese and prediabetic. To help the client develop a diet that will promote weight loss and control of his glucose level, you decide to consult a dietitian who presents several diets and involve pediatric endocrinology. Which aspect of case management is employed with this action?

Interdisciplinary collaboration

Advocacy

Disease management

Care management

Answer and Explanation

The Correct Answer is A

A. Interdisciplinary collaboration involves working with professionals from different disciplines, such as dietitians and endocrinologists, to address various aspects of a patient’s care. This action is an example of coordinating with other specialists to develop a comprehensive care plan.
B. Advocacy refers to supporting or promoting the needs and rights of the patient, but it is not specifically about consulting other professionals.
C. Disease management involves overseeing and coordinating care to manage a specific condition but does not explicitly involve collaborating with multiple disciplines.
D. Care management encompasses planning and coordinating overall care, but the specific action of consulting with other specialists highlights the interdisciplinary collaboration aspect.

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Correct Answer is A

Explanation

A. According to the Theory of Reasoned Action/Planned Behavior, behavioral intentions are key predictors of actual behavior. Poor adherence to the meal plan and lack of motivation for exercise suggest low behavioral intention and thus a higher chance of complications due to non-adherence.
B. While predicting outcomes with certainty can be challenging, the Theory of Reasoned Action/Planned Behavior suggests that intentions and behaviors are important indicators of outcomes.
C. Outcomes are not likely to be the same if there is poor adherence and motivation. The theory emphasizes the role of behavior and intention in predicting outcomes.
D. Although more education can be beneficial, the Theory of Reasoned Action/Planned Behavior suggests that the client’s current behaviors and intentions, rather than just education, are more predictive of outcomes.

A. "You don't need to worry about the client as this is a normal sign of dying." B. "This can often lead to a sense of peacefulness for the client." C. "Let's try to plan a schedule for giving the client high-calorie liquids." D. "I can get a prescription for a feeding tube if you think this would be okay with the client."

Correct Answer is B

Explanation

A. While refusal to eat can be a normal part of the dying process, it is important to address the family’s concerns and provide comfort, rather than dismissing their worries.
B. Refusing to eat at the end of life can often lead to a sense of peacefulness and is a common part of the dying process. It’s important to reassure the family and focus on comfort.
C. Planning a schedule for high-calorie liquids may not be appropriate or aligned with the client’s comfort and goals of care at the end of life.
D. A feeding tube is generally not indicated in hospice care as it may not contribute to the comfort and quality of life for the client at this stage.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The family of a client on home hospice care who is nearing the end of life tells the nurse that the client is refusing to eat. Which of the following statements is appropriate for the nurse to make?

Correct Answer is B

Explanation

The nurse is assessing a terminally ill client who is on home hospice care and notes that the client is demonstrating signs of terminal delirium and becoming more unresponsive. Which of the following instructions should the nurse give to the client’s children?

A primary care office nurse is assessing clients for suitability for a telehealth visit. Which client would the nurse prioritize for a telehealth appointment?

A client’s rapid cancer metastasis has prompted a shift from active treatment to palliative care. When planning this client’s care, the nurse should identify:

The nurse is teaching a group of nurses about the ecological model of health care. Which of the following clients would be the primary target for this model?

Which level of prevention focuses on early detection and prompt treatment of a disease or condition to prevent further progression?

A client tells the nurse that she is going to have her regular mammogram done at the local imaging center because she does not want to die from breast cancer. Which learning theory is being illustrated in this statement?

The nurse is teaching a client about general primary prevention strategies. The client is somewhat reluctant and asks, "Why should I know about this?" Which of the following statements would be most appropriate for the nurse to make?