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 ["B","D","E"]

Explanation

A. Poor sanitation is typically categorized under the Environmental Domain in the Omaha System, as it pertains to the physical environment and its impact on health.
B. Anxiety and Depression fall under the Psychosocial Domain, which includes mental health issues and emotional well-being. These conditions affect the individual's psychological state and social interactions.
C. Multiple skin breakdowns are classified under the Physiological Domain, as they relate to physical health and body integrity.
D. Coping difficulties are also categorized under the Psychosocial Domain, as they pertain to an individual's ability to handle stress and manage emotional challenges.
E. Social Isolation is part of the Psychosocial Domain, since it involves an individual's social interactions and support systems, impacting their emotional and psychological well-being.

A. Inform the client's partner that they will be unable to care for the client B. Consult case management C. Obtain referral for occupational therapy services D. Facilitate the client’s discharge to home

Correct Answer is B

Explanation

A. Informing the partner they are unable to care for the client without further assessment and support is not appropriate.
B. Consulting case management is crucial to evaluate the home care situation, including the partner’s ability to provide care, and to arrange appropriate resources or support services.
C. Referring for occupational therapy is important for rehabilitation but does not address the overall home care planning or the partner’s capability to provide care.
D. Facilitating discharge to home without assessing the adequacy of home care arrangements could put the client at risk, so consulting case management is a more comprehensive approach.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is applying the Omaha System to categorize client issues observed during home visits with a group of clients. Which of the following problems would the nurse classify under the Psychosocial Domain? (Select all that apply)

Correct Answer is ["B","D","E"]

Explanation

A nurse is admitting a client who has a hip fracture from a recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is visiting a client in the home to assess for potential safety risks. Which of the following findings would the nurse identify as being risks to the client's safety? (Select all that apply)

What type of interventions would be used to influence the knowledge, attitudes, values, beliefs, behaviors, and practices of a particular population?

The nurse is explaining to the family of a 78-year-old client with advanced cancer the criteria necessary for qualifying for hospice care. Which of the following criteria would the nurse indicate to the family as being a requirement to qualify for hospice care?

A nurse is discussing telehealth with a group of state legislators. Which of the following statements pertinent to homebound clients should the nurse include in the discussion?

What level of prevention does the nurse achieve by conducting a walk-through to identify workplace hazards?

The nurse is conducting a class on Medicare qualifications for home care. Which of the following criteria would the nurse discuss? (Select all that apply)

The nurse is discussing the social ecological model in planning community-based programs. Which of the following statements would the nurse identify as the approach that this model uses?

Which of the following is an example of secondary prevention of infectious disease?