Question 1

A nurse is using a case management plan to maximize patient care outcomes. Which of the following describes an important consideration that should be made by the nurse?

Accepted Answer

A) Case management plans should be used only by nurses to manage care. 
B) Case management plans should be individualized for each client. 
C) Case managements plans provide additional expense to the client and family. 
D) Case management plans focus on the natural progression of the disease. 
A) Case management plans should be used only by nurses to manage care. 
B) Case management plans should be individualized for each client. 
C) Case managements plans provide additional expense to the client and family. 
D) Case management plans focus on the natural progression of the disease. B

Question 2

A nurse is using the problem identification phase of the case management process. To which of the following phases of the nursing process does this correspond?

Accepted Answer

A) Assessment phase 
B) Diagnosis phase 
C) Planning phase 
D) Implementation phase 
A) Assessment phase 
B) Diagnosis phase 
C) Planning phase 
D) Implementation phase B

Question 3

Which of the following best describes case management?

Accepted Answer

A) A tool of health maintenance organizations 
B) Targeted toward a specific segment of the population 
C) Implemented with individual clients 
D) Used to monitor the health status, resources, and outcomes for an aggregate 
A) A tool of health maintenance organizations 
B) Targeted toward a specific segment of the population 
C) Implemented with individual clients 
D) Used to monitor the health status, resources, and outcomes for an aggregate C

Question 4

A nurse is completing a case management advocacy activity which corresponds to the implementation phase of the nursing process. Which of the following activities would the nurse most likely use?

Accepted Answer

A) Asking the client what is most important 
B) Seeking appropriate referrals for the client 
C) Assuring the client that his wishes will be supported 
D) Determining the order in which actions will occur 
A) Asking the client what is most important 
B) Seeking appropriate referrals for the client 
C) Assuring the client that his wishes will be supported 
D) Determining the order in which actions will occur

Question 5

A case manager is concerned about his exposure to possible lawsuits. Which of the following are appropriate actions to take to minimize this risk? (Select all that apply.)

Accepted Answer

A) Assure clients they can appeal any decision. 
B) Carefully document client involvement and reasons for decisions. 
C) Share client information with the other involved providers and agencies. 
D) Confirm credentials and capabilities of providers or agencies to give care. 
A) Assure clients they can appeal any decision. 
B) Carefully document client involvement and reasons for decisions. 
C) Share client information with the other involved providers and agencies. 
D) Confirm credentials and capabilities of providers or agencies to give care.

Question 6

The nurse suggests use of telehealth to assess how a client is progressing. Which of the following resources must be available for continuing care to be implemented?

Accepted Answer

A) A physician who is willing to use wireless prescriptions and plans of care 
B) Family permission for the nurse to make home visits 
C) Long-distance telephone service or a computer with Internet access 
D) Willingness of the caregiver to drive the client to the nearest clinic 
A) A physician who is willing to use wireless prescriptions and plans of care 
B) Family permission for the nurse to make home visits 
C) Long-distance telephone service or a computer with Internet access 
D) Willingness of the caregiver to drive the client to the nearest clinic

Question 7

Which of the following is the primary goal of case management? (Select all that apply.)

Accepted Answer

A) To ensure that care coordination occurs across the continuum 
B) To emphasize evidence-based clinical decision making 
C) To manage resource use and control expenses 
D) To stress the advantages and benefits of community-based care 
A) To ensure that care coordination occurs across the continuum 
B) To emphasize evidence-based clinical decision making 
C) To manage resource use and control expenses 
D) To stress the advantages and benefits of community-based care

Question 8

Which of the following public health nurse applicants is the least qualified for a position of case manager in a rural county?

Accepted Answer

A) A 24-year-old who has a master's degree in public health 
B) A 34-year-old who will be moving from a large city 
C) A 44-year-old who was born and raised in the community 
D) A 54-year-old who, until recently, was a member of the community's school board 
A) A 24-year-old who has a master's degree in public health 
B) A 34-year-old who will be moving from a large city 
C) A 44-year-old who was born and raised in the community 
D) A 54-year-old who, until recently, was a member of the community's school board

Question 9

Which of the following best describes the primary problem that can result from health care today being given by many different care providers?

Accepted Answer

A) Clients are not sure which provider to see first. 
B) Health care providers have to make referrals to other providers. 
C) Clients sometimes are not sure who their primary provider is. 
D) Overuse, underuse, or gaps in care may result. 
A) Clients are not sure which provider to see first. 
B) Health care providers have to make referrals to other providers. 
C) Clients sometimes are not sure who their primary provider is. 
D) Overuse, underuse, or gaps in care may result.

Question 10

Which of the following best explains why every client doesn't receive care from a case manager?

Accepted Answer

A) Case management time is demanding; thus it is restricted to complex cases. 
B) Many health agencies do not employ case managers. 
C) Most clients would not benefit from case management. 
D) Most nurses do not know how to function as case managers. 
A) Case management time is demanding; thus it is restricted to complex cases. 
B) Many health agencies do not employ case managers. 
C) Most clients would not benefit from case management. 
D) Most nurses do not know how to function as case managers.

Question 11

A nurse reviews with the client what the client can expect during the next 3 days, as well as how the client should expect to feel each of those days. The client laughs and says, "You've got my care all mapped out." Which of the following tools is the nurse using to determine what will happen when?

Accepted Answer

A) Care planning 
B) Critical pathway 
C) Demand management 
D) Use management 
A) Care planning 
B) Critical pathway 
C) Demand management 
D) Use management

Question 12

Which of the following Medicaid clients would most likely receive case management?

Accepted Answer

A) An elderly person 
B) A person receiving rehabilitation following an injury 
C) A person who has a high-cost chronic disease 
D) A person with acute illness 
A) An elderly person 
B) A person receiving rehabilitation following an injury 
C) A person who has a high-cost chronic disease 
D) A person with acute illness

Question 13

Which of the following best describes why planning care for an individual is so challenging in today's health care system?

Accepted Answer

A) Because today's clients have high expectations of the health care system 
B) Because multiple providers, payers, and settings have to be coordinated 
C) Because of the new high technology constantly being created and used for client treatment 
D) Because so many different health care providers are in the acute care setting today 
A) Because today's clients have high expectations of the health care system 
B) Because multiple providers, payers, and settings have to be coordinated 
C) Because of the new high technology constantly being created and used for client treatment 
D) Because so many different health care providers are in the acute care setting today

Question 14

A case manager implements a primary prevention activity. Which of the following actions would the nurse most likely complete?

Accepted Answer

A) Advocating for the client whose values conflict with those of the medical service provider 
B) Collaborating between nursing and occupational health personnel 
C) Educating a group regarding community services that are available if ever needed 
D) Resolving conflict between a primary care clinic and a tertiary health care facility 
A) Advocating for the client whose values conflict with those of the medical service provider 
B) Collaborating between nursing and occupational health personnel 
C) Educating a group regarding community services that are available if ever needed 
D) Resolving conflict between a primary care clinic and a tertiary health care facility

Question 15

The case manager explains to two disagreeing parties that coming to an agreement will save personnel costs for both of them. Which of the following terms best describes this action?

Accepted Answer

A) Assertiveness 
B) Collaboration 
C) Cooperation 
D) Compromising 
A) Assertiveness 
B) Collaboration 
C) Cooperation 
D) Compromising

Question 16

A nurse, client, family, and other care providers meet to discuss what will be the best approach to use to continue care. Which of the following best describes why the nurse suggests changing the goal from obtaining appropriate long-term care placement to ensuring that the client's convalescence is beneficial and safe?

Accepted Answer

A) To consider all possible consequences of long-term care placement 
B) To encourage the group to review the client outcomes in the different settings 
C) To expand the goal so that different solutions can be generated and considered 
D) To help the group focus on the critical aspects the client's family considered most important 
A) To consider all possible consequences of long-term care placement 
B) To encourage the group to review the client outcomes in the different settings 
C) To expand the goal so that different solutions can be generated and considered 
D) To help the group focus on the critical aspects the client's family considered most important

Question 17

A client spends a great deal of his time on the Internet or reading articles related to diabetes and its long-term effects. One day the client asks why the nurse has not suggested a life care plan. Which of the following would be the best response by the nurse?

Accepted Answer

A) "Life care plans are only for young persons who are newly diagnosed." 
B) "Life care plans are primarily used to determine long-term financial needs for legal reasons." 
C) "You are receiving appropriate care for your diabetes without serious side effects, so a life care plan isn't really appropriate." 
D) "I was waiting for you to express interest in having a life care plan." 
A) "Life care plans are only for young persons who are newly diagnosed." 
B) "Life care plans are primarily used to determine long-term financial needs for legal reasons." 
C) "You are receiving appropriate care for your diabetes without serious side effects, so a life care plan isn't really appropriate." 
D) "I was waiting for you to express interest in having a life care plan."

Question 18

Which of the following best describes the goal or priority of the nurse advocate?

Accepted Answer

A) To gain organizational and governmental support for the promotion of nursing objectives 
B) To improve community service needs identified by research findings 
C) To integrate evidence-based practice guidelines in the provision of community nursing service 
D) To promote the client's rights and self-determination 
A) To gain organizational and governmental support for the promotion of nursing objectives 
B) To improve community service needs identified by research findings 
C) To integrate evidence-based practice guidelines in the provision of community nursing service 
D) To promote the client's rights and self-determination

Question 19

A case manager advocates for a client by helping an insurer understand the client's needs and desires and by helping the client understand programs and benefits offered by the insurer. What role is the nurse?

Accepted Answer

A) Arbitrator 
B) Counselor 
C) Mediator 
D) Negotiator 
A) Arbitrator 
B) Counselor 
C) Mediator 
D) Negotiator

Exam 13: Case Management

A nurse is using a case management plan to maximize patient care outcomes. Which of the following describes an important consideration that should be made by the nurse?

A nurse is using the problem identification phase of the case management process. To which of the following phases of the nursing process does this correspond?

Which of the following best describes case management?

A nurse is completing a case management advocacy activity which corresponds to the implementation phase of the nursing process. Which of the following activities would the nurse most likely use?

A case manager is concerned about his exposure to possible lawsuits. Which of the following are appropriate actions to take to minimize this risk? (Select all that apply.)

The nurse suggests use of telehealth to assess how a client is progressing. Which of the following resources must be available for continuing care to be implemented?

Which of the following is the primary goal of case management? (Select all that apply.)

Which of the following public health nurse applicants is the least qualified for a position of case manager in a rural county?

Which of the following best describes the primary problem that can result from health care today being given by many different care providers?

Which of the following best explains why every client doesn't receive care from a case manager?

A nurse reviews with the client what the client can expect during the next 3 days, as well as how the client should expect to feel each of those days. The client laughs and says, "You've got my care all mapped out." Which of the following tools is the nurse using to determine what will happen when?

Which of the following Medicaid clients would most likely receive case management?

Which of the following best describes why planning care for an individual is so challenging in today's health care system?

A case manager implements a primary prevention activity. Which of the following actions would the nurse most likely complete?

The case manager explains to two disagreeing parties that coming to an agreement will save personnel costs for both of them. Which of the following terms best describes this action?

A client spends a great deal of his time on the Internet or reading articles related to diabetes and its long-term effects. One day the client asks why the nurse has not suggested a life care plan. Which of the following would be the best response by the nurse?

Which of the following best describes the goal or priority of the nurse advocate?

A case manager advocates for a client by helping an insurer understand the client's needs and desires and by helping the client understand programs and benefits offered by the insurer. What role is the nurse?

Community-Oriented Nursing and Community-Based Nursing

The History of Public Health and Public and Community Health Nursing

The Us Health and Public Health Care Systems

Ethics in Community Health Nursing Practice

Cultural Influences in Nursing in Community Health

Environmental Health

Government, the Law, and Policy Activism

Economic Influences

Epidemiological Applications

Evidence-Based Practice

Using Health Education and Groups in the Community

Community Assessment and Evaluation

Disaster Management

Surveillance and Outbreak Investigation

Program Management

Managing Quality and Safety

Family Development and Family Nursing Assessment

Family Health Risks

Health Risks Across the Life Span

Vulnerability and Vulnerable Populations: an Overview

Rural Health and Migrant Health

Poverty, Homelessness, Mental Illness, and Teen Pregnancy

Alcohol, Tobacco, and Other Drug Problems in the Community

Violence and Human Abuse

Infectious Disease Prevention and Control

HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases

Nursing Practice at the Local, State, and National Levels in Public Health

The Faith Community Nurse

The Nurse in Home Health and Hospice

The Nurse in the Schools

The Nurse in Occupational Health

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