The nurse is caring for a homeless client diagnosed with right-sided heart failure. The nurse anticipates that upon discharge the client will need assistance regarding medications, locating a shelter, and follow-up to ensure that the client can obtain transportation to the next appointment with the cardiologist. The nurse understands that this is an example of which content area of care management?

  • advocacy
  • delegation
  • ethical practice
  • continuity of care
  • advance directive
Number 1 is correct.
Advocacy is the process by which nurses promote and protect the client’s rights. This client will need a social services consult to identify available shelters, medication programs, and transportation to maintain optimal health. A nurse advocates for the client by knowing when to seek help from other disciplines. Delegation involves identifying a task to be handed off and the appropriate person to whom the task should be delegated. Ethical practice guides nurses in making choices regarding right versus wrong, as well as American Nurses Association guidelines for ethical practice. Continuity of care provides high-quality, cost-effective care by cooperation among health care providers. Transferring a client to another department and giving concise handoff reports to an oncoming shift are examples of continuity of care. An advance directive is a legal document in which the client specifies the kind of care and specific care actions he does or does not want if he becomes unable to speak for himself.