Author Question: An emergency department (ED) case manager is consulted for a client who is homeless. Which ... (Read 168 times)

c0205847 · **on:** Jun 25, 2018

An emergency department (ED) case manager is consulted for a client who is homeless. Which intervention should the case manager provide?

a. Communicate client needs and restrictions to support staff.
b. Prescribe low-cost antibiotics to treat community-acquired infection.
c. Provide referrals to subsidized community-based health clinics.
d. Offer counseling for substance abuse and mental health disorders.

Question 2

An emergency department nurse is caring for a client who has died from a suspected homicide. Which action should the nurse take?

a. Remove all tubes and wires in preparation for the medical examiner.
b. Limit the number of visitors to minimize the family's trauma. c.
Consult the bereavement committee to follow up with the grieving family.
d. Communicate the client's death to the family in a simple and concrete manner.

Natalie4ever · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Case management interventions include facilitating referrals to primary care providers who are accepting new clients or to subsidized community-based health clinics for clients or families in need of routine services. The ED nurse is accountable for communicating pertinent staff considerations, client needs, and restrictions to support staff (e.g., physical limitations, isolation precautions) to ensure that ongoing client and staff safety issues are addressed. The ED physician prescribes medications and treatments. The psychiatric nurse team evaluates clients with emotional behaviors or mental illness and facilitates the follow-up treatment plan, including possible admission to an appropriate psychiatric facility.

Answer to Question 2

ANS: D
When dealing with clients and families in crisis, communicate in a simple and concrete manner to minimize confusion. Tubes must remain in place for the medical examiner. Family should be allowed to view the body. Offering to call for additional family support during the crisis is suggested. The bereavement committee should be consulted, but this is not the priority at this time.