Clinical Nurse Leader Practice Exam

A nurse notices a homeless patient has been readmitted for COPD multiple times. What is a key action to take during admission?

1. Consult a social worker upon admission

2. Notify the physician immediately

3. Arrange for a clinical case manager for discharge planning

4. Request financial counseling for the patient

The correct answer is: Consult a social worker upon admission

Consulting a social worker upon admission is pivotal in addressing the complex needs of a homeless patient, particularly one with chronic health issues like COPD. This patient may face barriers that extend beyond medical care, such as lack of stable housing, access to nutritious food, and appropriate follow-up care. Social workers are trained to assess these psychosocial factors and can provide resources and services that enable the patient to manage their health condition effectively. By involving a social worker early in the admission process, the nurse can ensure a comprehensive approach to care that includes planning for social support, identifying community resources, and facilitating connections to services that can alleviate some of the challenges the patient faces. This proactive strategy can significantly improve health outcomes and reduce the likelihood of readmission, showcasing the critical role social determinants play in healthcare management.