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nurse-pt relationship; duty to pts to secure benefits on their behalf & to limit unnecessary expenditures can create dilemmas when goals are not uniformJustice – equal distribution of health care w/ reasonable quality; tiers of quality can be createdwhen quality providers refuse to accept reimbursement allowances from managed systemNonmaleficence – doing no harm; addressed when case managers incorporate outcomes measures, EBP & monitoring processes in plan of careVeracity – truth telling; abs necessary to practice of advocacy & building trust relationship3 of the most common dilemmas are conflicts in advocacy, priorities & dutiesA home health case manager is charged with identifying opportunities for health promotion and illness prevention. The fulfillment of this charge would best be demonstrated when the case manager: Tracks the immunization status of clients and facilitates access to immunization when needed.During a home visit, a case manager for a community health center notes marked pitting edema, shortness of breath, and increased fatigue in a 52-year-old male client who lives alone. The client is admitted to the hospital, where he is diagnosed with congestive heart failure. The case manager works with the hospital's utilization manager to devise a discharge plan. The case manager's most logical next step would be to: Assess the client; obtain information on the scope of services covered by the benefit plan for the client; if needed services are not covered, seek to identify and arrange for the resources to provide these services.A community health nurse is serving as a case manager for premature infants receiving home health care. The case manager arranges for an in-home apnea monitor and daily home visits by a registered nurse who specializes in high-risk pediatrics. The case manager is demonstrating which of the following case manager roles? Consultant and coordinator A community health nurse is the case manager for a homebound client recovering from a hip replacement. The nurse works with the client and his family to prioritize needs and services, and to address these care needs. These activities represent which step in the nursing process? Planning and outcomeA case manager employed by a health maintenance organization is charged with discontinuing home health services for a disabled homebound elderly client in an effort to reduce costs. The case manager reviews the client's record and determines that home health services are still indicated for this client. The ethical dilemma faced by the case manager is: beneficence A community health nurse involved in care management would most likely: Monitor the health status, resources, and outcomes for an aggregate.