Practice Question
The nurse is caring for a preschool-age client who suffered brain damage following a car accident. The client has a tracheostomy, is ventilator-dependent, and will be discharged from the hospital into the family's care. The family wants to care for the child at home but does not have the resources for 24-hour care. Which action by the care manager is appropriate?
Answer Choices:
Correct Answer:
Making referrals to a variety of community-based agencies that can meet the family's needs
Rationale:
🟦 Care coordination is a primary responsibility of the care manager, especially for clients with complex, long-term healthcare needs such as ventilator dependence.
🟦 Referring the family to community-based agencies allows access to home health nursing, respiratory therapy, respite care, and medical equipment support.
🟦 This approach respects the family’s desire to care for the child at home while addressing gaps in resources and support.
🟦 Community agencies help ensure continuity of care, safety, and caregiver support without requiring 24-hour private duty nursing.
🟦 Facilitating these referrals promotes family-centered care, autonomy, and the least restrictive care environment for the child.
Contacting individual local nurses is not the care manager’s role
🟦 The care manager coordinates services through formal systems, not by independently recruiting nurses.
🟦 This approach lacks structure, reliability, and long-term sustainability.
Stating that home care is impossible disregards family-centered care
🟦 Families should be supported in exploring safe care options rather than being discouraged.
🟦 With proper resources, home care can be feasible even for ventilator-dependent children.
Long-term facility placement should not be the first option
🟦 Institutional care is considered only when community and home-based options are not viable.
🟦 This choice does not align with the family’s expressed wish to provide care at home.
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This question is from Custom- F 25 Exam 3 Modules 37. 14, 39-st which contains 30 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Leadership & Management
- Answer Choices: 4