The nurse is discussing the coordination of care with the family. ...

[Kthamas]

The nurse is discussing the coordination of care with the family. Which of the following indicates the understanding of care coordination?
 
  1. Facilitating communication among multiple professionals is necessary.
   2. There is no need to prevent duplication of service.
   3. Minimal access to community services needed for the child and family.
   4. The child and family's quality of life will not improve

Question 2

A newborn who is 24 hours old is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital, the mother asks the nurse what symptoms made the physician suspect cystic fibrosis.
 
  The nurse would reply that the clinical manifestation of cystic fibrosis that is seen first is: 1. Rectal prolapse.
  2. Constipation.
  3. Steatorrheic stools.
  4. Meconium ileus.

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Answer to Question 1

1
Rationale:
1. Facilitating communication among multiple professional is one of the goals of care coordination.
2. One goal of care coordination is preventing duplication of service, which will result in unnecessary cost.
3. Gaining access to and integrating services and resources on behalf of the child is an important goal.
4. One goal of care coordination is improving the child and family's quality of life.

Answer to Question 2

4
Rationale 1: Rectal prolapse is a complication of the large, bulky fatty stools.
Rationale 2: Constipation is not a symptom of cystic fibrosis.
Rationale 3: Steatorrhea and rectal prolapse might be signs of cystic fibrosis seen in an older infant or child.
Rationale 4: Newborns with cystic fibrosis might present in the first 48 hours with meconium ileus.
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[Kthamas]

Excellent

[JaynaD87]

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