A nurse case manager is assigned to a client with recurring ...

[Coya19@aol.com]

A nurse case manager is assigned to a client with recurring substance abuse issues. Which of the following strategies would be most important in providing care to this client?
 
  1. Assessment and problem identification
  2. Ordering psychological testing
  3. Arranging for inpatient hospital care
  4. Administering medications

Question 2

A hospitalized client with a mood disorder is assessed to be high risk for suicide. The nurse should intervene by:
 
  1. Encouraging repetitive discussions of suicidal ruminations.
  2. Removing dangerous objects from the client's room.
  3. Evaluating suicide intention every three days.
  4. Using a strict regular schedule for client observation.

[hugthug12]

Answer to Question 1

1
Rationale: Assessment and problem identification is the most important strategy to develop a plan consistent with the needs of clients who have serious and persistent mental illnesses such as recurring substance abuse. The nurse case manager does not provide direct care, such as administering medications, and does not have the authority to order psychological testing unless the nurse is engaged in advanced practice. Arranging for inpatient hospital care may not be necessary, and a thorough assessment would determine if this level of care is needed.

Answer to Question 2

2
Rationale: The nurse is ensuring safety by removing dangerous objects from the client's room. Using a strict regular schedule for client observation allows the client to predict when staff will not be present. Evaluating suicide intention every three days does not capture the impulsivity of self-directed violence. It should be evaluated every shift. Encouraging repetitive discussions of suicidal ruminations reinforces the preoccupation with suicidal ideation.

[Coya19@aol.com]

Correct answers!

[hugthug12]

Great! Please up vote