Author Question: A registered nurse will be the case manager of a group of ten clients. What will the nurse expect as ... (Read 81 times)

fasfsadfdsfa · **on:** Jul 8, 2018

A registered nurse will be the case manager of a group of ten clients. What will the nurse expect as part of this assignment? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply. 1. The nurse will determine interventions for all the disciplines needed as part of the clients' care.
2. The nurse will meet with other disciplines to agree on the choice of critical pathways for each client.
3. The nurse will work to build consensus with the physicians caring for the clients on the team.
4. The nurse will define the expected nursing outcomes for the clients on the team.
5. The nurse will collect and analyze data regarding the clients on the team.

Question 2

The nursing supervisor identified ineffective communication as a problem among the managers. According to Lippitts Phases of Change, which is the final stage of the improving this problem?

1. Develop the action and evaluation plan.
2. Determine the role of the change agent.
3. Communicate often to maintain the change.
4. Withdraw from the role of change agent gradually.

whitcassie · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

2,3,4,5
Rationale 1: Each discipline determines its own interventions. The disciplines collaborate to design care.
Rationale 2: Collaboration with other disciplines is a critical component of case management.
Rationale 3: A main emphasis of case management is building consensus with physicians caring for the clients.
Rationale 4: The nurse is responsible for defining expected nursing outcomes. The other disciplines involved will set expected outcomes for their work.
Rationale 5: Essential baseline data, such as length of stay, cost of care, and complication information, are collected and analyzed by the nurse and other members of the team.
Global Rationale:

Answer to Question 2

4
Explanation: 1. According to Lippitts Phases of Change, the final stage is terminating the helping relationship.
Developing the action and evaluation plan is incorrect because an action and evaluation plan
are developed with the assistance of the change agent. Determining the role of the change
agent is incorrect because the role of the change agent must be determined early in the process
of change. Communicating often is incorrect because communication is vital throughout the
whole process of change.