A patient is admitted with pneumonia. My case manager refers to a plan of care that specifically identifies dates when supplemental oxygen should be discontinued, positive pressure ventilation with bronchodilators should be changed to self-administer inhalers, and antibiotics should be changed from intravenous to oral treatment, based on assessment findings. This plan of care is referred to by what term?

Correct Answer: D

Rationale: The correct answer is D: clinical pathway. A clinical pathway is a detailed plan of care that outlines specific interventions and timelines based on assessment findings. In this scenario, the plan includes specific dates for discontinuing supplemental oxygen, changing ventilation methods, and transitioning antibiotics. This structured approach ensures consistent and efficient care delivery. A: Patient classification system categorizes patients based on their clinical needs, not specific care plans. B: Patient-centered plan of care focuses on individual preferences and goals, not necessarily specific interventions and timelines. C: Diagnosis-related group is a classification system for reimbursement based on diagnoses, not specific care plans. In summary, the other choices are incorrect because they do not accurately describe a detailed plan of care with specific interventions and timelines like a clinical pathway does.

Correct Answer: A

Rationale: The correct answer is A because photocopying a client's diagnostic test results without proper authorization violates the client's privacy and confidentiality. It is a breach of HIPAA regulations. - Choice B is correct as assistive personnel can document vital signs on the client's record under supervision. - Choice C is acceptable as long as the unit secretary is authorized to fax the client's results. - Choice D is appropriate as it involves educating the client about her vital signs, promoting client understanding and autonomy.

Correct Answer: C

Rationale: The correct answer is C: Your case manager will coordinate the resources you will need. This statement reassures the client that a professional will help organize the necessary support services. A social worker (A) may not specifically address self-care needs. Going to a skilled nursing facility (B) may not be necessary if resources can be coordinated at home. Hospice care (D) is typically for end-of-life care and may not address the client's concerns about self-care after discharge.

Correct Answer: A

Rationale: The correct answer is A: Interpreter. The nurse should include an interpreter in the discussion to ensure effective communication with the client. Clear communication is crucial for informed consent and understanding preoperative instructions. Social worker (B) may provide emotional support, not language translation. Occupational therapist (C) focuses on rehabilitation post-surgery. Spiritual advisor (D) addresses religious or spiritual needs, not language translation.

Correct Answer: C

Rationale: The correct answer is C: the length of the client's stay. Evaluating the cost-effectiveness of care involves considering the resources utilized, and the length of stay directly impacts costs. A shorter stay typically means lower costs without compromising quality. Age (A) does not directly impact cost-effectiveness. Community support groups (B) may contribute to the client's overall well-being but do not directly relate to cost-effectiveness. The type of insurance (D) may affect reimbursement but does not provide direct information on cost-effectiveness. Therefore, the length of the client's stay is the most relevant factor to assess cost-effectiveness.