Question

A nurse case manager is coordinating care for a client. History and physical: Client has terminal lung cancer and is not expected to live more than 6 months. Select the 3 community resources the nurse should refer the client

Answer 1

Correct Answers:

Hospice care
Respite care
Social worker

Rationale :

📌Hospice care is specifically designed for patients who are in the end stages of a terminal illness and are expected to live six months or less.

It focuses on comfort care and improving the quality of life during the patient’s final months.
The goal is to provide palliative care rather than curative treatment, making it an appropriate referral for this client who has terminal lung cancer.

📌Respite care provides short-term relief to caregivers, such as the client's family, so they can take a break from the physical and emotional strain of providing care.

It can be in-home or at an outpatient facility and is particularly important for families dealing with the chronic illness of a loved one.
This type of care ensures that caregivers can maintain their own health and wellbeing while still providing support to the client.

📌A social worker plays a key role in helping the client and family navigate social, emotional, and financial challenges during a terminal illness.

They can assist with end-of-life planning, connect the family with support services, and help the client with advance directives or financial assistance.
Referring to a social worker ensures the client and family have the necessary support during this difficult time.

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Answer 2

Correct Answers:

Allow her to take time off from attending to her partner

Rationale :

🦠Respite care provides the caregiver with an opportunity to take a break from their caregiving duties, which can help prevent burnout.

🦠 It allows the caregiver to rest and recharge, improving their ability to continue providing care in the long term.

🦠This response directly addresses the partner’s need for time away from caregiving tasks.

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Answer 3

Correct Answers:

Verify the spelling of the medication with the provider

Rationale :

🔶When obtaining a telephone prescription, the nurse must ensure accuracy in all details, especially with medication names.

🔶 This includes verifying the spelling to avoid miscommunication and medication errors.

🔶The nurse should also repeat the prescription back to the provider to confirm accuracy, and avoid using standard abbreviations that can lead to misinterpretation.

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Answer 4

Correct Answers:

Determine the reasons the nurses are not taking scheduled breaks-

Rationale :

✅The first step in addressing staff not taking meal breaks is to understand the underlying reasons.

✅ Whether it’s related to workload, time management, or staffing levels, identifying the root cause allows for targeted solutions.

✅Once the reasons are identified, the nurse can work with staff to resolve the issue while ensuring patient care isn’t compromised.

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Answer 5

Correct Answers:

"l might have to wear a nose clip during this test"

Rationale :

🧩A pulmonary function test often requires the use of a nose clip to prevent the client from breathing through their nose, allowing for more accurate measurement of lung function.

🧩This indicates that the client understands the procedure and the equipment involved.

🧩The other options mention actions or tests that are not typically part of a pulmonary function test.

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Answer 6

Correct Answers:

A client who sustained a concussion and is being monitored for complications

Rationale :

◼A newly licensed nurse is generally suitable for caring for clients with less complex conditions.

◼A concussion that is being monitored for complications is relatively stable compared to the other clients, such as those with tracheostomies or multiple sclerosis.

◼This assignment allows the newly licensed nurse to gain experience in observing for complications while still working within their scope of competence.

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Answer 7

Correct Answers:

"HIPAA prohibits the uploading of photographs of client's providers to social media sites."

Rationale :

📍HIPAA (Health Insurance Portability and Accountability Act) ensures the protection of client confidentiality and privacy.

📍This includes prohibiting the sharing of any client-related information, such as photographs, without explicit consent, and prohibiting the sharing of personal details of providers on social media.

📍The other statements either misrepresent HIPAA or do not correctly describe its provisions.

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Answer 8

Correct Answers:

"A nurse can recommend clients who are stable for discharge during a disaster."

Rationale :

❄During a disaster, nurses are expected to triage and prioritize care.

❄Stable clients who no longer need acute care can be discharged to free up resources for more critical patients.

❄Other options misrepresent the nurse’s role during a disaster, as prescribing medications or communicating with the media is not within the nurse’s scope.

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Answer 9

Correct Answers:

A client who reports shortness of breath and left neck and shoulder pain

Rationale :

🌟Shortness of breath and left neck and shoulder pain are classic signs of a myocardial infarction (heart attack) or cardiac ischemia, which is a life-threatening emergency.

🌟 Immediate intervention is needed to ensure oxygenation and circulation.

🌟The other clients may be in need of care, but they do not present with the same acute cardiac risk.

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Answer 10

Correct Answers:

The client needs to arrange financial resources to purchase equipment

Rationale :

✔The nurse should refer the client to a social worker if they need financial assistance to purchase equipment such as oxygen tanks.

✔ A social worker can help with connecting the client to community resources, insurance coverage, or financial aid programs.

✔The other options are not related to the need for financial resources.

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RN Leadership 2023 Exam 2

No.

1 : A nurse case manager is coordinating care for a client. History and physical: Client has terminal lung cancer and is not expected to live more than 6 months. Select the 3 community resources the nurse should refer the client

2 : A nurse suggests respite care for the partner of a client who has mild cognitive impairment. The client's partner asks the nurse how that would help. The nurse should explain that respite care would do which of the following?

3 : A nurse is teaching a newly licensed nurse about telephone prescriptions. Which of the following information should the nurse include?

4 : A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?

5 : A nurse is assessing a client's comprehension of a pulmonary function test prior to the procedure. Which of the following client statements indicates to the nurse an understanding of the procedure?

6 : A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse?

7 : A charge nurse is reviewing information about HIPAA with a group of staff nurses. Which of the following statements demonstrate understanding of the procedure?

8 : A nurse is teaching a newly licensed nurse about the role of nurses during a facility disaster. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

9 : A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?

10 : A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social worker. Which of the following assessment data supports this referral?

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