Nokea
Which of the following clients would most likely be selected for case management?
- A. An adolescent with a gunshot wound who is in the ER.
- B. A young adult with a fractured pelvis.
- C. An elderly client awaiting a hip replacement.
- D. A 41-year-old client admitted for outpatient tonsillectomy.
Correct Answer: C
Rationale: The correct answer is C because an elderly client awaiting a hip replacement typically requires ongoing support and coordination of services, making them a good candidate for case management. This client would benefit from assistance with navigating the healthcare system, coordinating appointments, and ensuring continuity of care post-surgery.
Choice A is incorrect as the adolescent with a gunshot wound in the ER is likely to be in need of immediate medical intervention rather than case management. Choice B is incorrect as a young adult with a fractured pelvis may require medical treatment but may not necessarily need the level of ongoing support that case management provides. Choice D is incorrect as a 41-year-old client admitted for an outpatient tonsillectomy is a relatively straightforward procedure that may not require extensive case management services.
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As an RN stands in line for the cafeteria cashier, he overhears the staff in front of him talking about a client the RN took care of earlier in the week. The client’s room number is mentioned along with the diagnosis and prognosis. Which of the following actions should the RN take?
- A. Join in the conversation in case the RN is assigned to care for the client in the future.
- B. Remind the staff members that they are in a public location and sharing this information is a breach of the Health Insurance Portability and Accountability Act (HIPAA).
- C. Correct a statement made by one of the staff members.
- D. Ignore the conversation.
Correct Answer: B
Rationale: The correct answer is B: Remind the staff members that they are in a public location and sharing this information is a breach of the Health Insurance Portability and Accountability Act (HIPAA).
Rationale:
1. HIPAA protects patients' confidentiality and prohibits the disclosure of personal health information without consent.
2. By reminding the staff members of this breach, the RN upholds ethical standards and protects the client's privacy.
3. Joining the conversation (choice A) would further violate the client's confidentiality.
4. Correcting a statement (choice C) may draw more attention to the conversation, potentially worsening the breach.
5. Ignoring the conversation (choice D) would be neglectful of the RN's duty to protect patient information.
After examining her client's abdomen and noting assessment of significant findings, even though the client says it doesn't hurt, the nurse says to a colleague, 'I think something is going on here; I am going to investigate further.' This nurse is using:
- A. Deductive reasoning.
- B. Intuition.
- C. Trial and error.
- D. Modified scientific method.
Correct Answer: B
Rationale: The correct answer is B: Intuition. The nurse is using intuition because she is relying on her gut feeling or instinct based on her assessment findings, even though the client denies pain. Intuition involves making quick decisions or judgments based on past experiences and knowledge without conscious reasoning. In this scenario, the nurse's intuition prompts her to investigate further despite the client's denial of pain, indicating a deeper understanding of the situation beyond the obvious.
Summary of other choices:
A: Deductive reasoning involves drawing specific conclusions based on general principles or premises, which is not evident in this scenario.
C: Trial and error is a problem-solving method that involves repeatedly trying different approaches until the desired outcome is achieved, which is not applicable here.
D: Modified scientific method involves a structured approach of observation, hypothesis, experimentation, and conclusion, which does not align with the nurse's immediate decision based on intuition.
Which of the following best describes the concept of resilience in healthcare?
- A. Ability to recover quickly from setbacks
- B. Strict adherence to protocols
- C. Adapting to changing environments
- D. Maintaining consistent performance
Correct Answer: A
Rationale: The correct answer is A: Ability to recover quickly from setbacks. Resilience in healthcare refers to the capacity to bounce back from challenges and setbacks effectively. This ability is crucial in handling unexpected situations and maintaining quality patient care. Choice B, strict adherence to protocols, focuses on following guidelines rather than bouncing back. Choice C, adapting to changing environments, is related to flexibility rather than recovery from setbacks. Choice D, maintaining consistent performance, emphasizes stability rather than the ability to recover quickly. Overall, option A best captures the essence of resilience in healthcare.
Which of the following is a primary responsibility of a nurse case manager?
- A. Direct patient care
- B. Financial planning
- C. Conduct health education
- D. Coordinate patient transitions
Correct Answer: D
Rationale: The correct answer is D because coordinating patient transitions is a primary responsibility of a nurse case manager. This involves ensuring continuity of care, smooth transitions between healthcare settings, and facilitating communication among healthcare providers. Direct patient care (A) is typically the responsibility of bedside nurses, not case managers. Financial planning (B) is more related to financial counselors or social workers. Health education (C) may be part of a nurse case manager's role, but it is not the primary responsibility compared to coordinating patient transitions.
The nurse manager needs to buy six new hospital beds for the unit. What type of budget will be used for this expenditure?
- A. Operating budget
- B. Capital budget
- C. Salary budget
- D. Revenue budget
Correct Answer: B
Rationale: The correct answer is B: Capital budget. A capital budget is used for long-term investments in assets like equipment and facilities, such as hospital beds. This type of budget is for significant expenditures that have a lasting impact on the organization. Operating budget (A) covers day-to-day expenses, not major purchases. Salary budget (C) is for staffing costs, not equipment purchases. Revenue budget (D) focuses on projected income, not capital expenditures. Therefore, the capital budget is the appropriate choice for buying new hospital beds.