Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

When should the case manager for a brain-injured child start the process of re-entry into the school system?

1. At the time of diagnosis

2. Prior to discharge from the rehabilitation facility

3. After the first month of rehabilitation

4. Once the child is stable

The correct answer is: Prior to discharge from the rehabilitation facility

Starting the process of re-entry into the school system for a brain-injured child prior to discharge from the rehabilitation facility is essential for several reasons. This timeline allows the case manager to facilitate a smooth transition by coordinating with educational staff, therapists, and the family to ensure that the child's educational needs are anticipated and addressed. Engaging with the school system early enables the development of an individualized education plan (IEP) that accommodates the child’s unique challenges resulting from their brain injury. By initiating these discussions before discharge, the case manager can gather necessary documentation, outline specific support services, and ensure that accommodations such as modified classroom settings or specialized instruction are in place before the child re-enters school. Additionally, early planning is crucial not only for the educational adjustment but also for social reintegration and emotional support, as returning to school represents a significant change in the child’s environment post-rehabilitation. Such proactive measures promote a sense of continuity and readiness, enhancing the child's chances of academic success and overall well-being.