A nurse is acting in a case manager role. In this role, the nurse ...

[newbem]

A nurse is acting in a case manager role. In this role, the nurse is participating in the care of a client who has been diagnosed with colorectal cancer and who will receive chemotherapy before having surgery.
 
  What aspect of this client's care will most likely be performed by this nurse?
  A) Organizing the client's care to minimize cost and maximize benefit
  B) Ensuring that the client's psychosocial and spiritual needs are met during this difficult time
  C) Performing dressing (bandage) changes after the client has surgery
  D) Teaching other nurses how to safely handle and administer chemotherapy drugs

Question 2

A licensed practical/vocational nurse was working on a busy medicalsurgical nursing unit and saw a charge nurse violate principles of sterile technique.
 
  The licensed practical/vocational nurse approached the charge nurse privately about the matter, and the charge nurse stated that he was in charge, and he would perform the procedure the way he wanted. What action should the licensed practical/vocational nurse take?
  A) Do nothing because the charge nurse is his supervisor, and if he says anything, he may be assigned a heavy client load
  B) Follow the chain of command in the organization and contact the next person over the charge nurse about the matter
  C) Tell the registered nurse (RN) on his team and get help on what to do in this situation because he can trust the RN
  D) Tell the physician caring for the client so she can do something about the situation before her client ends up with a hospital-acquired infection

[Joy Chen]

Answer to Question 1

Ans: A
Feedback:
The case manager's job is to monitor a client's health care in an effort to provide safe and effective care and at the same time contain costs. Dressing changes, nurse education, and spiritual care are not normally performed by case managers.

Answer to Question 2

Ans: B
Feedback:
An organizational chart is a graphical portrayal of individuals' areas of responsibility and the relationships of accountability that exist between the individuals. It is best to always follow the chain of command in situations warranting action required by the administration of the institution. The licensed practical/vocational nurse appropriately began by having a crucial conversation with the charge nurse about the situation witnessed. Since the charge nurse was not going to take ownership for the care he delivered, the licensed practical/vocational nurse should go to the person in charge over that individual to discuss what was witnessed and what the charge nurse had stated. Doing nothing potentiates harm for clients and creates a bullying situation at work. Telling the RN or the physician avoids taking personal action as a client advocate to remedy the situation that is potentially harmful to the client.

[newbem]

Correct answers!

[Joy Chen]

Great! Please up vote