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1 p/p 17 Chapter 12 Care Management Case Management and Home Healthcare Test Guide Questions and Answers 100%
- 1.pThepnursepdiscussesphomepcarepoptionspwithpanp 85 - year- oldpclientpwhoprecentlypfracturedpherphumeruspinpapfallpinpherphouse.pShepisprecoveringpwell pnowpbutpsayspthepexperiencephaspmadepherpseepthatpitpisptimepforpherptopchangepherplivingparra ngements.pThepclientpcanpstillpbathepherselfpandpcookpmealsponpoccasionpbutpsayspshepwoul dplikeptoplivepwherepnursingpcarepispavailableponsitepandpwherepcommunalpdiningpandprecreat ionpoptionsparepoffered.pWhichpofpthepfollowingplivingparrangementspcouldpthepnurseprecom mend? A) Assistedplivingpfacility B) Independentplivingpinpapseniorplivingpfacility C) Nursingphome D) Apartmentplocatedpnearpaphospital:p Ans:pA. Feedback:pAssistedplivingpispaptypepofpcommunity-basedpcarepthatpcombinespquasi-in- pdependentplivingpwithpthepavailabilitypofpnursingpcareponsitepandpthroughphomepcarepvisits.pItpisp generallypaplevelpofpcarepforppeoplepwhopcannotpliveponptheirpown,pbutparepnotpyetpreadypforpapnur singphome.pThisptypepofplivingparrangementpispdifferentpfromplivingpindependentlypinpone'spownpa partment,psuchpasplivingpinpapseniorplivingpfacility,pinpthatpmanypactivitiesparepprovidedpcommun allyp(e.g.,peating,precreation)pandptherepispanporganizedpeffortptopcreatepap"caringpcommunity"pw herepresidents'pneedsparepsupervisedpandpmet.
- 2.pApcommunitypcarepnursepatpaphealthcarepagencypassistspinpcoordinatingpapplanpforpprovi dingphealthpservicespinpthepmostpcost- effectivepwayppossibleptopaplargepnumberpofpmembersplivingpinpthepregion.pThispworkpispkno wnpas: A) Casepmanagement B) Homephealthcare C) Interdisciplinarypcollaboration D) Carepmanagement:p Ans:pD
2 p/p 17 Feedback:pCarepmanagementpispthepcoordinationpofpapplanporpprocessptopbringphealthpservicespto getherpaspapcommonpwholepinpapcost- effectivepway.pCasepmanagementpispthepdevelopmentpandpcoordinationpofpcarepforpapselectedp clientpandpfamily.pHomephealthcarepispapprovisionpofphealthcarepthatpoccurspinpthepsettingpclien tspconsiderptheirphome.pInterdisciplinarypcollaborationpispthepsharingpofpevidenced- basedppracticepandpskillspaspanpintegrationpstrategypwithpclientspandpfamiliespinphomespandpoth erphealthcarepsettings.
- 3.pThepcasepmanagerpworkspwithpapclientpwhophasptypep 2 pdiabetespandpheartpdisease.pInpt hisprole,pwhichpactionspshouldpthepnurseptakepinpmanagingpthepclient'spdiseases?p(Selectpal lpthatpapply.)
4 p/p 17 spofppeoplepwithpconditionspinpwhichpclientpself- carepeffortsparepsignificant.pDiseasepmanagementpemphasizesppreventionpatpthepsecondarypan dptertiaryplevelpusingpevidence- basedppracticepguidelines.pInterdisciplinarypcollaborationpispsharingpofpevidence- basedppracticepandpskillspbypseveralpdisciplinespaspanpintegrationpstrategypwithpclientspandpfamilie spinphomespandpotherphealthcarepsettings.
- 5.pThepcasepmanagerpforpap 12 - year-oldpboypwhopispobesepandpprediabetic. Tophelppthepclientpdeveloppapdietpthatpwillppromotepweightplosspandpcontrolpofphispglucosepl evel,pthepcasepmanagerpdecidesptopconsultpwithpapdietician,pwho
5 p/p 17 providespseveralpcurrentpjournalparticlespthatppresentpfindingsponpvariouspdiets.pThispaspectpo fpcasepmanagementpispknownpas: A) Carepmanagement B) Advocacy C) Diseasepmanagement D) Interdisciplinarypcollaboration:p Ans:pD Feedback:pInterdisciplinarypcollaborationpispsharingpofpevidence- basedppracticepandpskillspbypseveralpdisciplinespaspanpintegrationpstrategypwithpclientspandpfam iliespinphomespandpotherphealthcarepsettings.pAdvocacypispalwayspmovingpthepneedspofpclients,p families,pandpcommunitiesptopappointpofpawarenesspthatpwillpadvancepchangepandpincreasepqual itypofpaplifepandpexperience.pCarepmanagementpispthepcoordinationpofpapplanporpprocessptopbringp healthpservicesptogetherpaspapcommonpwholepinpapcost- effectivepway.pDiseasepmanagementpispapsystempofpcoordinatedphealthcarepinterventionspandp communicationspforpgroupspofppeoplepwithpconditionspinpwhichpclientpself- carepeffortsparepsignificant.pDiseasepmanagementpemphasizesppreventionpatpthepsecondarypan dptertiaryplevelpusingpevidence-basedppracticepguidelines.
- 6.pApstudentpispconsideringpbecomingpaphomephealthpnurse.pInpresearchingpthisptypepofpn ursing,pthepstudentpfindspthatpseveralpkeypfactorsphavepplayed appartpinpthepdevelopmentpofphomephealthcarepaspitpisptoday?pThesepinclude:p(Selectpallpthatp apply.) A) Increasepinpthepnumberpofphospitalspnationwide B) Reductionpinpthepincidencepofpchronicpdiseases C) Developmentpofphealthpinsurance D) Risingpcostspinphealthcare E) Increasepinpmedicalpandpnursingpspecialization:p Ans:pC,pD,pE Feedback:pThepdevelopmentpofphealthpinsurance,prisingpcostspinphealthcarepinpgener- pal,pandpmedicalpandpnursingpspecializationpallphavepplayedpappartpinpthepdevelopmentpofphomephe althcarepaspitpisptoday.pHospitalsphavepnotpincreasedpinpnumberpnationwidepinprecentpyearspandpth epincidencepofpchronicpdiseasesphaspincreased,pnotpdecreased.
7 p/p 17 C) Proprietary D) Official:p Ans:pA Feedback:pVoluntarypagenciesparepgenerallypestablishedpaspnot-for- profitpentities,palthoughptheypoperatepwithpthepsamepfiscalpobjectivespasp"for- profitpagencies."pAphospital- basedpagencypispaphomephealthpagencypthatpispnotpfreestandingpinpthepcommunitypbutpisponep ofpmanypspecialtypservicespofferedpatpaphospitalpsetting. Approprietarypagencypispaphomephealthpagencypthatpispmotivatedpbypapfor- profitpphilosophy.pOfficialpagenciesparepsupportedpbyppublicpmoniespthatpoftenpcomepfromptaxe s.pTheppublicpmoniespcanpcomepfromplocal,pstate,porpfederalpgovernments.
- 8.pThepnurseprecentlyptookpappositionpinpapnationalpchainpofphomephealthcarepagenciespdir ectedpatpcaringpforpclientspwhopareponphomephemodialysis.pThepservicespprovidedparepoftenp paidpforpprivatelypbypfamilies,pandpanypprofitpmarginpispusedptopbenefitpthepownerpofpthepagenc y.pWhichptypepofpagencypispthis? A) Private/voluntary B) Hospitalpbased C) Proprietary D) Official:p Ans:pC Feedback:pApproprietarypagencypispapprivatepagencypthatpplansptopandpwantsptopmakepapprofit.pItpca npbeppartpofpaplocal,pnational,porpinternationalpchainpofphomephealthcarepagenciespdirectedptow ardpanypgrouppofpclientspwithpparticularphealthcarepproblemsporpchallenges.pApvoluntarypagenc ypispgenerallypestablishedpaspapnot-for- profitpentity,palthoughpitpoperatespwithpthepsamepfiscalpobjectivespasp"for- profitpagencies."pAphospital- basedpagencypispaphomephealthpagencypthatpispnotpfreestandingpinpthepcommunitypbutpisponepofp manypspecialtypservicespofferedpatpaphospitalpsetting.pOfficialpagenciesparepsupportedpbyppublicp moniespthatpoftenpcomepfromptaxes.pTheppublicpmoniespcanpcomepfromplocal,pstate,porpfederalp governments.
- 9.pWhichptypepofpagencypcanpbepeitherpprofitporpnonprofit?
8 p/p 17 A) Private/voluntary B) Hospitalpbased C) Proprietary D) Official:p Ans:pB Feedback:pAphospital- basedpagencypispaphomephealthpagencypthatpispnotpfreestandingpinpthepcommunitypbutpisponepofpm anypspecialtypservicespofferedpatpaphospitalpsetting.pItpcanpbepforpprofitporpnonprofitpdependingponp thepphilosophypofpthephospital.pVoluntarypagenciesparepgenerallypestablishedpaspnot-for- profitpentities,palthoughptheypoperatepwithpthepsamepfiscalpobjectivespasp"for- profitpagencies."pApproprietarypagencypispaphomephealthpagencypthatpispmotivatedpbypapfor- profitpphilosophy.pOfficialpagencies
10 p/p 17
- 13.pThepnursepprovidespcarepcoveredpbypMedicarepforpapclientpoverp 2 phourspduringpthepda y,p 3 pdayspduringpthepweek,pforp 60 pdays.pWhichptypepofpcarepispthepnursepproviding? A) Interdisciplinary B) Skilled
11 p/p 17 C) Intermittent D) Part-time:p Ans:pC Feedback:pIntermittentpcareprefersptopapsituationpinpwhichpskilledpcarepispusuallypprovidedpoverp severalphourspduringpthepday,pseveralpdayspduringpthepweek,pforpapspecifiedptimepperiod.pInterdi sciplinarypcarepispthatpprovidedpbypseveralpdisciplinespaspanpintegrationpstrategypwithpclientspan dpfamiliespinphomespandpotherphealthcarepsettings.pSkilledpcarepinvolvespthepprofessionalpabiliti espofpapregisteredpnurseporpher/hispsupervisedpdesignee.pNecessitypmeanspthatpthepservicepgive npbypaphomepcarepagencypispreasonablepbasedponpthepstatuspofpthepclient.
- 14.pThepclientpwantsptopknowphowplongpMedicarepwillppaypforpskilledpneeds.pHowplongpca npthepnursepcontinueptopprovidepthispcarepbeforepshepmustpseekpaprenewalpifpskilledpneedspc ontinueptopexist? A) 30 pdays B) 45 pdays C) 60 pdays D) 90 pdays:p Ans:pC Feedback:pMedicareprequirespthepspecifiedptimepperiodptopbep 60 pdayspwithpappropri- pateprenewalspifpskilledpneedspcontinueptopexist.
- 15.pThepnursepreviewspthepofficialpdocumentpcalledpthepScopepandpStan- pdardspofpHomepHealthpNursingpPractice.pUsingpknowledgepaboutpthepdocumentpprovidingpgu idelinespforpnursespinvolvedpinphomephealthcareppractice,pwhichparepincludedpinpthepstand ardspofpcare?p(Selectpallpthatpapply.) A) Assessmentpbypcollectingpdatapaboutphomepcarepclients B) Implementationpofpnurse-centeredpactionspinpcollaborationpwithpphysicians C) Diagnosispthroughpthepanalysispofpdata D) Outcomepidentificationpthatphelpspidentifypnurse-sensitivepmeasures E) Planningpnurse-sensitivepinterventionspdirectedpatpthepidentifiedpoutcomes- :p Ans:pA,pC,pD,pE Feedback:pThepstandardspofpcarepincludepthepfollowingpkeypelementspofpthepnursingpprocess:p( )passessmentpbypcollectingpdatapaboutphomepcarepclients;p(2)pdiagnosispthroughpthepanalysispo
13 p/p 17 B) Homeptelenursing C) Electronicpreferralsptopspecialistspinpexpertphealthpfacilities D) Transmissionpofphealthcarepinformationptoppeoplepinpthepsamepgeographicalparea:p Ans:pB, pC Feedback:pTelehealthpispapformpofpelectronicpcommunicationpusedptopdeliverp(1)pacutep(notpchroni c)pcarepandpspecialtypconsultations,p(2)phomeptelenursing,pandp(3)pelec- ptronicpreferralsptopspecialistspinpexpertphealthpfacilities.pAccordingptopThede,pitpinvolvesp"usingpele ctronicpcommunicationspforptransmittingphealthcarepinformationpsuchpasphealthppromotion,pdi seasepprevention,pprofessionalporplaypeducation,pdiagnosis,porpactualptreatmentptoppeopleploc atedpatpapdifferentpgeographicalparea."
- 17.pUsingpknowledgepofpthepparishporpfaithpcommunitypnurse,pwhichpinter- pventionspareplikelyptopperformponpthepbasispofpthepkeyprolespofpthisptypepofpnurse?p(Selectpa llpthatpapply.) A) Teachingpapclassptopfaithpcommunitypmembersponpmanagingphighpbloodppressure B) Providingpcounselponppreventingpupperprespiratorypillnessptopmember C) Referringpapfaithpcommunitypmemberptopapnutritionistpforpdietarypcounsel D) Assistingpanpobstetricianpinpthepbirthpofpapfaithpcommunitypmember'spchild E) Administeringpvaccinationspatpaplocalphealthpclinic:p Ans:pA,pB,pCpFeedback:pThepsemina lpworkpofpWestbergpidentifiedpsevenpkeyprolespofpthepparishporpfaithpcommunitypnurse:p(1)pheal thpeducator,p(2)ppersonalphealthpcounselor,p(3) referralpagent,p(4)pcoordinatorpofpvolunteers,p(5)pdeveloperpofpsupportivepgroups,p(6)pintegratorp ofpfaithpandphealth,pandp(7)phealthpadvocate.pApfaithpcommunitypnursepwouldpnotplikelypassistpanpo bstetricianpwithpapbirthporpadministerpvaccinationspatpaplocalphealthpclinic.
- 18.pThephomepcarepagencyphaspjustpreceivedpapclientpreferralpfrompapphysi- pcianpandpassignedpthepcase.pWithinphowpmanyphourspfrompreceivingpthepreferralpshouldpthepn ursepplanptopmakepthepinitialpvisitptopthispclient,ponpthepbasispofptypicalpagencyppolicy? A) 12 phours B) 24 phours C) 36 phours
14 p/p 17 D) 48 phours:p Ans:pB Feedback:pGenerally,phomepcarepagenciespmakepsurepthatpanpinitialpvisitpispmadepwithinp 24 phour spafterpreceivingpapreferral.
- 19.pThepcommunityphealthpnursepcanpreceivepapreferralptopaphomephealthpagencypatpanyp time.pWhichpphasesparepincludedpinpaphomepvisit?p(Selectpallpthat
16 p/p 17 D) Findingpapdiscrepancy:p Ans:pA Feedback:pEmpathypispanpapproachptopclientspthatpinvolvesptryingptopseepclients'plivespthroughpth eirpownplenspandptryingptopthinkpaboutptheirpexperiencespasptheypwouldpthinkpaboutpthem.pSelf- efficacypispthepbeliefponptheppartpofpthepclientpthatpchange isppossible.pInpmotivationalpinterviewing,pthephomepcarepnursepdoespnotpfightpclientpresistancep butp"rollspwithpit."pHomepcarepnursespalsopworkptopdeveloppopportunities
17 p/p 17 forpclientsptopdiscoverpdiscrepanciespbetweenptheirpcurrentpbehaviorpandpwhatptheypwantptopacc omplishpthroughpchangedpbehaviors.
- CarepManagementp(UtilizationpManagement):p plan/processptopbringphealthpservicespt ogetherpwhilepreducingpcosts
- CasepManagement:p Developmentpofpcarepforpapselectedpclientpandpfamily
- WhatpispmostpimportantpinpCasepManagement?:p Advocacy- pmakespawareptheppatientspneeds
- HomepCarepispmanagedpbypwho?:p RN
- Private/Voluntaryp Agency:p Non-profit
- Hospital- BasedpAgency:p notpfreestandingpnpthepcommunity,pspecialtypservicepbypthephospital
- PropriertarypAgency:p motivatedpbypapfor-profit
- OfficalpAgency:p existspb/cpofplegislation
- OASIS:p OutcomepandpAssessmentpInformationpSetpdonepb ypRN
- 5 pPhasespofpHomepVisit:p InitiatingpVisitpPrepa ration ActualpVisitpTerminat ionpofpvisitpPostpVisitpp lanning
- Healthpcarepreimburstpbypgovernment:p Medicare(fed)pTricarep (fed) VAp(fedpmilitary)pM edicaidp(state)
- HomepHealthpImprovedpOutcomes::p PainpthatpstopspADLspTransferr ing OralpMedicaitonspAmbulationpa ndpLocomotion
