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Case Management Nclex Questions with Accurate Answers, Exams of Nursing

Case Management Nclex Questions with Accurate Answers

Typology: Exams

2024/2025

Available from 07/03/2025

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Case Management Nclex Questions with
Accurate Answers
A client who is experiencing an exacerbation of rheumatoid arthritis
(RA) is about to be discharged after a week's stay in the hospital. The
client tells the nurse, "I can't believe how much better I am feeling
now." The nurse is aware that the client's feeling is based on which of
the following?
A) The client appreciating the various levels of care given
B) Scheduling client care by all disciplines that allowed the client to rest
C) Keeping the client busy each day
D) The client's disease process having been stopped correct answer B)
When coordinating care for clients, the nurse should consider the
client's ability to tolerate activity and provide blocks of time for rest.
Keeping the client busy would work against the client's best interests
and not produce the desired results for overall healing. RA is a chronic
disease from which the client will not recover. Although the client may
appreciate the various levels of care, that appreciation would not
account for how much better the client is feeling after the hospital stay.
A nurse is caring for a client who had a total hip replacement 14 days
ago. The client is preparing for discharge in a few days. The nurse
facilitates a care conference with the physician, occupational therapist,
physical therapist, and the client and family to develop a plan of care
for the client prior to discharge. Which of the following roles is the
nurse demonstrating?
Select all that apply.
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Case Management Nclex Questions with

Accurate Answers

A client who is experiencing an exacerbation of rheumatoid arthritis (RA) is about to be discharged after a week's stay in the hospital. The client tells the nurse, "I can't believe how much better I am feeling now." The nurse is aware that the client's feeling is based on which of the following? A) The client appreciating the various levels of care given B) Scheduling client care by all disciplines that allowed the client to rest C) Keeping the client busy each day D) The client's disease process having been stopped correct answer B) When coordinating care for clients, the nurse should consider the client's ability to tolerate activity and provide blocks of time for rest. Keeping the client busy would work against the client's best interests and not produce the desired results for overall healing. RA is a chronic disease from which the client will not recover. Although the client may appreciate the various levels of care, that appreciation would not account for how much better the client is feeling after the hospital stay. A nurse is caring for a client who had a total hip replacement 14 days ago. The client is preparing for discharge in a few days. The nurse facilitates a care conference with the physician, occupational therapist, physical therapist, and the client and family to develop a plan of care for the client prior to discharge. Which of the following roles is the nurse demonstrating? Select all that apply.

A) Coordinator B) Collaborator C) Differentiated practitioner D) Team leader E) Expert correct answer A, B) The nurse is solving problems and planning care for the client by coordinating and collaborating with the other health team members who will participate in client care. All members of the team may be experts, but the level of expertise is not the role the nurse is exhibiting. The nurse is not responsible for how the members of the health team perform their jobs as a team leader would be. The nurse is not acting as an authoritarian in this case; the nurse is planning care and coordination. Differentiated practice involves nursing care from all levels of education and is not illustrated in this scenario. A nurse is responsible for the care coordination of a client with multiple sclerosis who is being treated at a multiservice outpatient clinic. The nurse is informed by the occupational therapist that the client needs specialized assistive devices in order to prepare meals but does not have the money to purchase them. The client's insurance company has denied approval to cover the devices. What is the most appropriate action for the nurse to take? A) Tell the occupational therapist that she will have to come up with another plan to meet the client's needs. B) Advocate with the insurance company to provide the appropriate coverage. C) Explain to the client that she will have to get family members or friends to prepare her meals.

B) Telling the family that it is impossible to provide care at home. C) Arranging for the child to be sent to a long-term healthcare facility. D) Contacting local nurses in the community to provide the assistance that the family needs to provide care for the client. correct answer A) The referral process is a systematic problem-solving approach that helps clients to use resources that meet their healthcare needs. The process involves knowledge of community resources and an ability to solve problems, set priorities, coordinate, and collaborate. The family's wishes for post-hospital care should be respected if other possibilities exist, which, in this case, they do. The nurse would not be responsible for a fundraiser. Contacting local nurses would not be an efficient way to coordinate care for the client. The nurse is helping in discharge planning for a diabetic client who needs extensive rehabilitation and is on a complicated medication schedule. The client and spouse currently live with their eldest son and the family is very involved in the client's care. The nurse would want to coordinate the client's care by including which individual(s) in this client's plan? Select all that apply. A) Pharmacist B) Client's children C) Physician D) Social worker E) Client's spouse correct answer B, E) Effective discharge planning necessitates health team conferences and family conferences and gives

the client, family, and healthcare professionals the opportunity to plan care and set goals. Involving the client's spouse and children would be important in this situation because of the complexity of the client's situation. The physician, pharmacist, and social worker may also be included, but by their own decision, not necessarily by the nurse's invitation, as is the case with coordination.