Question

A case manager is developing a discharge plan for a client who has a spinal cord injury and is in a rehabilitation facility. Which of the following actions should the nurse take first?

a) Assess the client's mobility and functional status.

b) Coordinate with the physical therapist for a home assessment.

c) Provide emotional support to the client and family.

d) Arrange for medical equipment delivery to the client's home.

Answer 1

The nurse should first assess the client's mobility and functional status in order to develop the discharge plan for a client with a spinal cord injury in a rehabilitation facility.

Step-by-step explanation:

The first action the nurse should take is to assess the client's mobility and functional status. This is important to understand the client's current abilities and limitations, which will inform the discharge plan. By assessing mobility and functional status, the nurse can determine the level of assistance and support the client will need upon returning home. It will also help identify any necessary modifications or accommodations that may be required.

In this situation, coordinating with the physical therapist for a home assessment and arranging for medical equipment delivery are important steps, but they should be done after the initial assessment of the client's mobility and functional status. Providing emotional support to the client and family is also crucial, but it should not be the first action taken in developing the discharge plan.