Question 1

Mutual benefit with limited loss for everyone is a goal of:

Accepted Answer

A)   negotiating.
B)   assertiveness.
C)   conflict management.
D)   cooperation. C

Question 2

A nurse is using a critical path when providing care for a client.Which of the following most likely describes the situation that the nurse is in?

Accepted Answer

A)   Implementing the six "rights" of case management
B)   Demonstrating competencies required for practicing case management
C)   Attempting to achieve a measurable outcome for a specific client
D)   Effectively managing conflict resolution C

Question 3

A case manager has contacted providers and has negotiated services and prices.Which of the following phases of the nursing process is being demonstrated?

Accepted Answer

A)   Assessment
B)   Diagnosis
C)   Planning/outcome
D)   Implementation D

Question 4

A case manager submits documentation that a nursing visit was completed at a client's home,but it was never performed.According to the general areas of legal risk,how would this action best be categorized?

Accepted Answer

A)   Liability for managing care
B)   Fraud/abuse
C)   Negligent referral
D)   Confidentiality/security

Question 5

The first stage of collaboration is:

Accepted Answer

A)   trust building.
B)   consensus.
C)   collegiality.
D)   awareness.

Question 6

A patient with a long history of asthma with many hospital admissions is referred to a case manager for disease management.Which of the following best describes the purpose of this referral?

Accepted Answer

A)   Chronic and costly disease conditions that require long-term care interventions
B)   Patients who cannot handle their disease
C)   Those who seek to control use by providing clients with correct information
D)   Patients who will need an advanced practice nurse instead of physician for monitoring

Question 7

A nurse's excessive attention to cost containment impairs the nurse's duty to provide measures to improve health.Which of the following ethical principles is being influenced?

Accepted Answer

A)   Autonomy
B)   Beneficence
C)   Veracity
D)   Nonmaleficence

Question 8

A case manager supports a client's decision to return home after having a total hip replacement rather than go to a skilled nursing facility.Which of the following phases of the nursing process is being used?

Accepted Answer

A)   Assessment
B)   Planning/outcome
C)   Implementation
D)   Evaluation

Question 9

A case manager is fulfilling the role of coordinator.Which of the following nursing interventions would most likely be completed?

Accepted Answer

A)   Providing information to all parties about the situations affecting the client
B)   Educating the client and providers in order to make informed decisions
C)   Supporting all parties to work toward mutual goals
D)   Arranging, regulating, and balancing needed health services for the client

Question 10

Which are examples of knowledge domains used in case management?

Accepted Answer

A)   Legal issues, malpractice recognition, and community involvement
B)   Teaching, counseling, and education skills
C)   Advocacy, political campaigning and legislative change
D)   Grant application, bargaining contracts, and securing funding

Question 11

Care in a managed system is provided by less experienced providers.Which of the following ethical principles is being influenced in this situation?

Accepted Answer

A)   Autonomy
B)   Beneficence
C)   Nonmaleficence
D)   Justice

Question 12

A nurse is working as a case manager.Which of the following best describes the diagnoses that the case manager is most likely to encounter?

Accepted Answer

A)   Bankruptcy, financial distress, and depression
B)   Flu, colds, and frequent headaches
C)   Malaria, bird flu, and Dengue fever
D)   AIDS, spinal cord injury, and ventilator dependency

Question 13

A nurse is working as a case manager and is in the process of performing interdisciplinary,family and client conferences.Which of the following phases of the nursing process is being implemented?

Accepted Answer

A)   Assessment
B)   Diagnosis
C)   Planning for outcomes
D)   Implementation

Question 14

A nurse is working with an individual who pursues neither his concerns nor another's concerns.Which of the following conflict management behaviors is being used?

Accepted Answer

A)   Accommodating
B)   Collaborating
C)   Avoiding
D)   Compromising

Question 15

A case manager provides a formal communication link among all parties concerning the plan of care management.Which of the following roles of the nurse is being implemented?

Accepted Answer

A)   Facilitator
B)   Liaison
C)   Coordinator
D)   Negotiator

Question 16

A nurse is assisting clients to improve their health status.Which of the following types of management is being used by the nurse?

Accepted Answer

A)   Care management
B)   Case management
C)   Disease management
D)   Demand management

Question 17

A public health nurse (PHN)is working with the chronically ill and families with young children needing age-specific health maintenance.Which of the following models of case management is being used?

Accepted Answer

A)   Client-focused
B)   System-focused
C)   Social service
D)   Long-term care

Question 18

A nurse who is using population management needs to be able to work with integrated care delivery systems.Which of the following describes the rationale for this competency?

Accepted Answer

A)   Management has shifted from inpatient care to primary care providers as points of entry.
B)   Emphasis is on episodic illness care for individuals rather than on population management.
C)   Care management services and programs do not provide access and accountability, as provided by case management services.
D)   Assessment of the needs of the population is no longer necessary.

Question 19

A bachelor's prepared nurse is providing case management services.Which of the following activities would most likely be provided by this nurse?

Accepted Answer

A)   Working with community aggregates
B)   Working with systems of disease
C)   Working with individuals
D)   Working with outcomes management processes

Question 20

The nurse is involved in a conflict resolution situation with the parents of a 2-year-old boy.The parents are deciding if "spanking" the child is a disciplinary method that they will employ.The mother says,"I do not believe in spanking.I see it as abusive and demeaning." Which of the following best describes the statement by the mother?

Accepted Answer

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

Exam 22: Case Management