Question 1

Population-based care management is the:

Accepted Answer

A)  assessment and planning of health initiatives within an area. 
B)  implementation and evaluation of health programs within a community. 
C)  integration and coordination of health services to a specific population. 
D)  organization and regulation of health professions across the country. 
A)  assessment and planning of health initiatives within an area. 
B)  implementation and evaluation of health programs within a community. 
C)  integration and coordination of health services to a specific population. 
D)  organization and regulation of health professions across the country. C

Question 2

Case management is an interventional strategy used by health care providers to:

Accepted Answer

A)  advocate for nurses. 
B)  coordinate health care delivery. 
C)  facilitate cost accounting. 
D)  investigate medical errors. 
A)  advocate for nurses. 
B)  coordinate health care delivery. 
C)  facilitate cost accounting. 
D)  investigate medical errors. B

Question 3

Population-based risk assessment is useful when:

Accepted Answer

A)  determining the best use of staff and resources. 
B)  evaluating a community health center. 
C)  instituting new health promotion programs. 
D)  providing care for terminally ill patients. 
A)  determining the best use of staff and resources. 
B)  evaluating a community health center. 
C)  instituting new health promotion programs. 
D)  providing care for terminally ill patients. A

Question 4

Which of the following statements is true about clinical pathways?

Accepted Answer

A)  They are a multidisciplinary, research-based plan of care. 
B)  They are developed by current practice patterns of the institution. 
C)  They optimize nursing and the patient's time management. 
D)  They outline optimal care for the high-risk patient. 
A)  They are a multidisciplinary, research-based plan of care. 
B)  They are developed by current practice patterns of the institution. 
C)  They optimize nursing and the patient's time management. 
D)  They outline optimal care for the high-risk patient.

Question 5

Health maintenance organizations (HMOs) and preferred provider organizations (PPOs) are examples of which type of organizational structures?

Accepted Answer

A)  Capitated care 
B)  Disease preventive care 
C)  Health promotion care 
D)  Managed care 
A)  Capitated care 
B)  Disease preventive care 
C)  Health promotion care 
D)  Managed care

Question 6

Disease management is the monitoring of:

Accepted Answer

A)  chronic illness across the health care continuum. 
B)  mental illness in the outpatient setting. 
C)  surgical illness across the health care continuum. 
D)  terminal illness in the hospice setting. 
A)  chronic illness across the health care continuum. 
B)  mental illness in the outpatient setting. 
C)  surgical illness across the health care continuum. 
D)  terminal illness in the hospice setting.

Question 7

A patient has a history of diabetes mellitus, myocardial infarctions, and hypertension. His HgbA1c level dropped from 7.8% to 6.2% 2 months after he began a walking exercise program. The nurse case manager had provided diabetic education and suggested ways to enhance his cardiac reserve. This is an example of:

Accepted Answer

A)  nursing empowerment. 
B)  nursing knowledge. 
C)  patient expertise. 
D)  patient participation in care. 
A)  nursing empowerment. 
B)  nursing knowledge. 
C)  patient expertise. 
D)  patient participation in care.

Question 8

Case management and disease management are similar because both are interventions designed to coordinate care for better outcomes and lowered costs. Which statements are true regarding the differences between the two terms (select all that apply)?

Accepted Answer

A)  Disease management is client focused. 
B)  Case management involves an intense focus on coordinating care of an individual. 
C)  Disease management is more population-based than client-centered. 
D)  Disease management is more episodic in its approach. 
E)  Case management is more population-focused. 
A)  Disease management is client focused. 
B)  Case management involves an intense focus on coordinating care of an individual. 
C)  Disease management is more population-based than client-centered. 
D)  Disease management is more episodic in its approach. 
E)  Case management is more population-focused.

Question 9

Community health means meeting the:

Accepted Answer

A)  collective needs of a group by identifying problems and managing interactions. 
B)  needs of an individual within the community by identifying problems and managing interactions. 
C)  needs of the health care system within a population or area. 
D)  needs of a population by identifying problems and managing interactions. 
A)  collective needs of a group by identifying problems and managing interactions. 
B)  needs of an individual within the community by identifying problems and managing interactions. 
C)  needs of the health care system within a population or area. 
D)  needs of a population by identifying problems and managing interactions.

Question 10

Which of the following statements accurately describes disease management (select all that apply)?

Accepted Answer

A)  Disease management is care coordination that is organized to achieve specific client outcomes, given fiscal and other resource constraints. 
B)  Disease management supports the physician or practitioner/patient relationship and plan of care. 
C)  Disease management emphasizes prevention of exacerbations and complications, utilizing evidence-based practice guidelines and patient empowerment strategies. 
D)  Disease management evaluates clinical, humanistic, and economic outcomes on an ongoing basis with the goal of improving overall health. 
E)  Disease management is the medical management of chronic disease. 
A)  Disease management is care coordination that is organized to achieve specific client outcomes, given fiscal and other resource constraints. 
B)  Disease management supports the physician or practitioner/patient relationship and plan of care. 
C)  Disease management emphasizes prevention of exacerbations and complications, utilizing evidence-based practice guidelines and patient empowerment strategies. 
D)  Disease management evaluates clinical, humanistic, and economic outcomes on an ongoing basis with the goal of improving overall health. 
E)  Disease management is the medical management of chronic disease.

Question 11

Managed care is a:

Accepted Answer

A)  nursing organization that represents case managers. 
B)  set of health care guidelines designed to minimize cost. 
C)  purchasing of a network of health care organizations. 
D)  variety of strategies used to lower costs and optimize value. 
A)  nursing organization that represents case managers. 
B)  set of health care guidelines designed to minimize cost. 
C)  purchasing of a network of health care organizations. 
D)  variety of strategies used to lower costs and optimize value.

Question 12

Priorities must be established for population-based program planning. Which of the following are criteria that are used to determine the importance of planning a program (select all that apply)?

Accepted Answer

A)  Nurse's awareness of the problem 
B)  Motivation of community leadership and the nurse 
C)  Nurse's ability to influence solutions 
D)  Availability of relevant expertise 
E)  Severity of consequences
F) Speed with which a resolution can be achieved 
A)  Nurse's awareness of the problem 
B)  Motivation of community leadership and the nurse 
C)  Nurse's ability to influence solutions 
D)  Availability of relevant expertise 
E)  Severity of consequences
F) Speed with which a resolution can be achieved

Question 13

What are the three initiatives used in the realm of coordination of care (select three that apply)?

Accepted Answer

A)  Case management 
B)  Medication management 
C)  Disease management 
D)  Population health management 
E)  Environmental management 
A)  Case management 
B)  Medication management 
C)  Disease management 
D)  Population health management 
E)  Environmental management

Question 14

Which of the following efforts best helps individuals make long-lasting lifestyle changes to enhance their health?

Accepted Answer

A)  Behavior transformations 
B)  Increased awareness 
C)  Reflective insightfulness 
D)  Supportive environments 
A)  Behavior transformations 
B)  Increased awareness 
C)  Reflective insightfulness 
D)  Supportive environments

Question 15

A hospital case management system usually focuses on patients with:

Accepted Answer

A)  co-morbid conditions. 
B)  mental health issues. 
C)  outpatient procedures. 
D)  surgical diagnoses. 
A)  co-morbid conditions. 
B)  mental health issues. 
C)  outpatient procedures. 
D)  surgical diagnoses.

Question 16

Which of the following governmental agencies tracks population and health trends (select all that apply)?

Accepted Answer

A)  U.S. Census Bureau 
B)  The Joint Commission 
C)  CDC 
D)  Bureau of Labor Statistics (BLS) 
E)  Health Resources and Services Administration (HRS
A)  
A)  U.S. Census Bureau 
B)  The Joint Commission 
C)  CDC 
D)  Bureau of Labor Statistics (BLS) 
E)  Health Resources and Services Administration (HRS
A)

Question 17

Which of the following is an example of case management or would require the expertise of a case manager?

Accepted Answer

A)  A blood pressure screening clinic is started at the senior citizen center. 
B)  A person with multiple chronic illnesses is admitted to the hospital. 
C)  A program is started to address diabetes in the Native American population. 
D)  An initiative is developed to promote fluoride treatments in schools. 
A)  A blood pressure screening clinic is started at the senior citizen center. 
B)  A person with multiple chronic illnesses is admitted to the hospital. 
C)  A program is started to address diabetes in the Native American population. 
D)  An initiative is developed to promote fluoride treatments in schools.

Question 18

_____ has garnered considerable attention in health care because of its potential to save money, improve effectiveness, and increase quality of care.

Accepted Answer

A)  Disease management 
B)  Development research groups 
C)  Case management 
D)  Diagnosis-related groups 
A)  Disease management 
B)  Development research groups 
C)  Case management 
D)  Diagnosis-related groups

Question 19

Which of the following collaborative processes assesses, plans, implements, coordinates, monitors, and evaluates options and services required to meet an individual's optimal health needs?

Accepted Answer

A)  Care management 
B)  Case management 
C)  Disease management 
D)  Population health management 
A)  Care management 
B)  Case management 
C)  Disease management 
D)  Population health management

Question 20

A population health approach:

Accepted Answer

A)  aims to improve the health of the entire population. 
B)  is funded by local, state, and national governments. 
C)  strives to care for people who already exhibit optimal health. 
D)  treats community-acquired diseases in area clinics. 
A)  aims to improve the health of the entire population. 
B)  is funded by local, state, and national governments. 
C)  strives to care for people who already exhibit optimal health. 
D)  treats community-acquired diseases in area clinics.

Exam 12: Case Population Health Management

Population-based care management is the:

Case management is an interventional strategy used by health care providers to:

Population-based risk assessment is useful when:

Which of the following statements is true about clinical pathways?

Health maintenance organizations (HMOs) and preferred provider organizations (PPOs) are examples of which type of organizational structures?

Disease management is the monitoring of:

Case management and disease management are similar because both are interventions designed to coordinate care for better outcomes and lowered costs. Which statements are true regarding the differences between the two terms (select all that apply)?

Community health means meeting the:

Which of the following statements accurately describes disease management (select all that apply)?

Managed care is a:

Priorities must be established for population-based program planning. Which of the following are criteria that are used to determine the importance of planning a program (select all that apply)?

What are the three initiatives used in the realm of coordination of care (select three that apply)?

Which of the following efforts best helps individuals make long-lasting lifestyle changes to enhance their health?

A hospital case management system usually focuses on patients with:

Which of the following governmental agencies tracks population and health trends (select all that apply)?

Which of the following is an example of case management or would require the expertise of a case manager?

_____ has garnered considerable attention in health care because of its potential to save money, improve effectiveness, and increase quality of care.

Which of the following collaborative processes assesses, plans, implements, coordinates, monitors, and evaluates options and services required to meet an individual's optimal health needs?

A population health approach:

Leadership and Management Principles

Change and Innovation

Organizational Climate and Culture

Critical Thinking and Decision-Making Skills

Managing Time and Stress

Legal and Ethical Issues

Communication Leadership

Team Building and Working With Effective Groups

Delegation

Power and Conflict

Workplace Diversity

Organizational Structure

Decentralization Shared Governance

Professional Practice Models

Evidence-Based Practice: Strategies for Nursing Leaders

Quality and Safety

Measuring and Managing Outcomes

Strategic Management

Confronting the Nursing Shortage

Staffing and Scheduling

Budgeting, Productivity and Costing Out Nursing

Performance Appraisal

Prevention of Workplace Violence

All-Hazards Disaster Preparedness

Data Management and Clinical Informatics

Marketing

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