which of the following best describes the role of a nurse case manager

ATI RN

Leadership ATI Proctored

1. Which of the following best describes the role of a nurse case manager?

A. To provide direct patient care
B. To manage healthcare facilities
C. To advocate for patient rights
D. To coordinate long-term care services

Correct answer: D

Rationale: The correct answer is D: 'To coordinate long-term care services.' A nurse case manager's primary role is to coordinate and manage long-term care services for patients, ensuring continuity and quality of care. Choice A is incorrect because providing direct patient care is typically the responsibility of nurses, not nurse case managers. Choice B is incorrect as managing healthcare facilities is a role usually fulfilled by healthcare administrators. Choice C is incorrect as advocating for patient rights is important but not the primary role of a nurse case manager.

2. A client requires a 24-hr urine collection. Which of the following statements by the client indicates an understanding of the teaching?

A. ''I had a bowel movement, but I was able to save the urine.''
B. ''I have a specimen in the bathroom from about 30 minutes ago.''
C. ''I drink a lot, so I will fill up the bottle and complete the test quickly.''
D. ''I flushed what I urinated at 7:00 a.m. and have saved all urine since.''

Correct answer: C

Rationale: Option C demonstrates an understanding of the need to collect urine over 24 hours. The client's statement shows awareness that increased fluid intake will help in filling up the collection bottle quickly, which is essential for an accurate test result. This choice reflects the correct understanding of the teaching. Options A, B, and D do not reflect the necessary comprehension for a 24-hr urine collection process. Option A involves a bowel movement, which is not relevant to a urine collection. Option B only mentions a specimen from 30 minutes ago, not over a 24-hour period. Option D indicates flushing urine, which contradicts the idea of saving all urine for the test.

3. The nurse determines a need for additional instruction when the patient with newly diagnosed type 1 diabetes says which of the following?

Correct answer: C

Rationale:

4. Two RNs are discussing the benefits of professional liability insurance. Which of the following is a reason for an RN to have a professional liability insurance policy?

A. No expenses are involved in frivolous lawsuits.
B. If a nurse is found guilty of malpractice, the institution can sue the nurse.
C. Liability policies may also cover charges of libel, slander, assault, and HIPAA violations.
D. Only doctors are sued for malpractice.

Correct answer: C

Rationale: Professional liability insurance is essential for nurses to have as it may cover charges of libel, slander, assault, and HIPAA violations. Option A is incorrect as there are expenses involved in frivolous lawsuits. Option B is incorrect because if a nurse is found guilty of malpractice, the institution can sue the nurse. Option D is incorrect as nurses can also be sued for malpractice, not just doctors.

5. Which of the following is an example of an ethical dilemma in nursing?

A. Choosing between two equally undesirable alternatives
B. Reporting a colleague's unethical behavior
C. Balancing patient confidentiality with the need to disclose information
D. Deciding whether to comply with a patient's request that conflicts with professional ethics

Correct answer: D

Rationale: The correct answer is D. An ethical dilemma in nursing involves deciding whether to comply with a patient's request that conflicts with professional ethics, balancing competing values and principles. Choices A, B, and C do not directly represent ethical dilemmas in nursing. Choice A describes a general ethical dilemma, choice B involves professional conduct rather than a dilemma, and choice C refers to a confidentiality issue rather than conflicting ethical principles.