NUR 214 Practice Tests with Answers Unit

____ 1. The nurse manager has the task of introducing staff to the use of clinical pathways. The nurse manager will need to explain that clinical pathways are used in managed care settings to a. identify obstacles to effective care. b. stabilize aggressive clients. c. relieve nurses of planning responsibilities. d. streamline the care process and save money. ____ 2. Planning for clients with mental illness is facilitated by understanding that under behavioral health managed care, inpatient hospitalization is generally reserved for clients who a. are noncompliant with medication at home. b. present a clear danger to self or others. c. develop new symptoms during the course of the illness. d. have no support systems in the community. ____ *3. 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. ____ 4. A client with a thought disorder is to be discharged home today, 4 days after having severe decompensation related to medication noncompliance. The client’s medication was restarted, and the client’s thought processes are now noted to be more logical and less interrupted by hallucinations. When the client’s husband comes to pick her up, he becomes upset and tells the nurse “She shouldn’t come home so soon. She’s still sick. You must keep her at least a month.” The nurse should a. call the psychiatrist to come to the unit to explain discharge rationale. b. explain that health insurance won’t pay for a longer stay for the client. c. explain that the client will continue to improve if she takes medication regularly. d. call security to handle the disturbance and escort the husband off the unit. ____ *5. The nurse receives three telephone calls regarding a newly admitted client. The psychiatrist wishes to see the client for an assessment interview, the medical doctor wants to perform a physical examination, and the client’s lawyer wishes to set up an appointment to see the client. The nurse schedules the three activities for the client. This exemplifies the role of the nurse known as a. advocate. b. milieu manager. c. care manager.