Which of the following best describes how the local government is ...

[ETearle]

Which of the following best describes how the local government is provided authority?
 
  a. Through the ability to tax local residents to meet local needs
  b. Through the people themselves who band together to create the community
  c. Power delegated from the federal level to the local level
  d. Power delegated from the states

Question 2

A client has been referred to a case management program. Which of the following actions would the nurse most likely take first?
 
  a. Admit the client for services.
  b. Determine the appropriateness for inclusion in the program.
  c. Contact the physician to determine if services are necessary.
  d. Contact the most appropriate community agencies for additional assistance.

[cclemon1]

Answer to Question 1

ANS: D
States may delegate powers to the local government. Which powers they delegate vary widely from state to state. The federal government does not directly delegate power to the local level, this occurs through state government. Taxation and creation of a community do not provide the local government with authority.

Answer to Question 2

ANS: B
All clients referred for case management must undergo screening to determine their appropriateness for inclusion in the program. Thus, this is the action the nurse must take first. Not all referred clients need the services of a nurse case manager. Often, a nurse can arrange community services or instruct the client and family in the most appropriate follow-up based on client need and program design.

[ETearle]

TYSM

[bassamabas]

Thanks for the timely response, appreciate it