Nokea
A nurse manager and a case manager are talking to a group of new nurses about the differences of case management and care coordination. The nurse manager understands which to be true regarding the differences?
- A. With care coordination, the stakeholder can be an insurance company or a hospital.
- B. The main goal of case management is to promote a better quality of life for the client.
- C. Case management is based on a holistic approach and an understanding of client-family dynamics.
- D. In care coordination, the client defines the scope of work based on a plan that is created with input from the client.
Correct Answer: C
Rationale: Case management focuses on holistic care and client-family dynamics, coordinating resources for optimal outcomes.
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The nurse is caring for a client with dyspnea. Which interventions can the nurse delegate to an unlicensed assistive personnel (UAP)? Select all that apply.
- A. assessing lung sounds
- B. checking a pulse oximetry
- C. administering oxygen via nasal cannula
- D. encouraging the client to cough and deep breathe
- E. showing the client how to use an incentive spirometer
Correct Answer: B,D
Rationale: Checking pulse oximetry and encouraging coughing/deep breathing are within the UAP's scope. Assessing lung sounds, administering oxygen, and teaching are nursing responsibilities.
The nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which client task should the nurse delegate to the UAP?
- A. a client whose IV infiltrated and needs replacing
- B. a client on BiPAP who needs arterial blood gases (ABGs) drawn
- C. a client with mild dementia who needs assistance with her food tray
- D. a client who needs a wet-to-dry dressing change on an abdominal incision
Correct Answer: C
Rationale: Assisting with a food tray for a client with mild dementia is within the UAP's scope of practice, as it involves basic assistance with activities of daily living. Options A, B, and D require clinical judgment or invasive procedures, which are outside the UAP's scope.
A client is admitted with inflammatory bowel syndrome (Crohn's disease). Which nursing measures would be included in the client's care plan? Select all that apply.
- A. high-fat diet
- B. lactulose therapy
- C. daily weight
- D. corticosteroids
Correct Answer: C,D
Rationale: Daily weights monitor fluid status, and corticosteroids manage inflammation in Crohn's disease. High-fat diets and lactulose are not typically indicated.