A client who is a member of a health maintenance organization was ...

[joesmith1212]

A client who is a member of a health maintenance organization was hospitalized after a severe
  reaction to a psychotropic medication.
 
  He was treated for the reaction, a new medication was
  ordered, and he was closely observed for side effects for 24 hours. The case manager visited before
  the client's discharge to give him an appointment for an outpatient visit in 2 days and learned that
  the client had neglected to mention that he received notice of eviction from his apartment on the day
  he was admitted. The most appropriate intervention for the case manager is to
  a. cancel the client's discharge from the hospital.
  b. file a restraining order against the landlord who evicted the client.
  c. arrange a place for the client to stay until a new apartment can be found.
  d. call the health maintenance organization and obtain permission to transfer the
  client to a medical unit in the hospital.

Question 2

A nurse introduces the matter of a contract during the first session because contracts
 
  a. specify what the nurse will do for the client.
  b. are indicative of the feeling tone established between the participants.
  c. are binding and prevent either party from prematurely ending the relationship.
  d. spell out the participation and responsibilities of both parties.

[cadimas]

Answer to Question 1

ANS: C
The case manager should intervene by arranging temporary shelter for the client until an apartment
can be found. This is part of the coordination and delivery of services that falls under the case
manager role. None of the other options is a viable alternative.

Answer to Question 2

ANS: D
A contract emphasizes that the nurse works with the client rather than doing something for the client.
Working with is a process that suggests each party is expected to participate and share
responsibility for outcomes. Contracts do not, however, stipulate roles or feeling tone, and premature
termination is forbidden.