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Care Management, Case Management, and Home Healthcare: Test Guide Q&A, Exams of Nursing

A series of test guide questions and answers related to care management, case management, and home healthcare. It covers topics such as assisted living facilities, the roles of community care nurses, disease management, advocacy in healthcare, and interdisciplinary collaboration. The questions are designed to assess understanding of key concepts and practices in healthcare settings, particularly in the context of home and community-based care. It also touches on the different types of home healthcare agencies and their operational models, offering insights into the fiscal and service delivery aspects of these organizations. This material is useful for students and professionals in nursing and healthcare management, providing a practical review of essential topics.

Typology: Exams

2024/2025

Available from 05/20/2025

Nurseexcel
Nurseexcel 🇺🇸

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1p/p
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Chapter 12 Care Management Case Management and Home Healthcare
Test Guide Questions and Answers 100%
1. 1.pThepnursepdiscussesphomepcarepoptionspwithpanp85-year-
oldpclientpwhoprecentlypfracturedpherphumeruspinpapfallpinpherphouse.pShepisprecoveringpwell
pnowpbutpsayspthepexperiencephaspmadepherpseepthatpitpisptimepforpherptopchangepherplivingparra
ngements.pThepclientpcanpstillpbathepherselfpandpcookpmealsponpoccasionpbutpsayspshepwoul
dplikeptoplivepwherepnursingpcarepispavailableponsitepandpwherepcommunalpdiningpandprecreat
ionpoptionsparepoffered.pWhichpofpthepfollowingplivingparrangementspcouldpthepnurseprecom
mend?
A) Assistedplivingpfacility
B) Independentplivingpinpapseniorplivingpfacility
C) Nursingphome
D) Apartmentplocatedpnearpaphospital:pAns: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. 2.pApcommunitypcarepnursepatpaphealthcarepagencypassistspinpcoordinatingpapplanpforpprovi
dingphealthpservicespinpthepmostpcost-
effectivepwayppossibleptopaplargepnumberpofpmembersplivingpinpthepregion.pThispworkpispkno
wnpas:
A) Casepmanagement
B) Homephealthcare
C) Interdisciplinarypcollaboration
D) Carepmanagement:pAns:pD
pf3
pf4
pf5
pf8
pf9
pfa
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1 p/p 17 Chapter 12 Care Management Case Management and Home Healthcare Test Guide Questions and Answers 100%

  1. 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. 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.

  1. 3.pThepcasepmanagerpworkspwithpapclientpwhophasptypep 2 pdiabetespandpheartpdisease.pInpt hisprole,pwhichpactionspshouldpthepnurseptakepinpmanagingpthepclient'spdiseases?p(Selectpal lpthatpapply.)

4 p/p 17 spofppeoplepwithpconditionspinpwhichpclientpself- carepeffortsparepsignificant.pDiseasepmanagementpemphasizesppreventionpatpthepsecondarypan dptertiaryplevelpusingpevidence- basedppracticepguidelines.pInterdisciplinarypcollaborationpispsharingpofpevidence- basedppracticepandpskillspbypseveralpdisciplinespaspanpintegrationpstrategypwithpclientspandpfamilie spinphomespandpotherphealthcarepsettings.

  1. 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.

  1. 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.

  1. 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.
  2. 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

  1. 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.

  1. 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.
  2. 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."

  1. 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.
  2. 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.

  1. 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.

  1. CarepManagementp(UtilizationpManagement):p plan/processptopbringphealthpservicespt ogetherpwhilepreducingpcosts
  2. CasepManagement:p Developmentpofpcarepforpapselectedpclientpandpfamily
  3. WhatpispmostpimportantpinpCasepManagement?:p Advocacy- pmakespawareptheppatientspneeds
  4. HomepCarepispmanagedpbypwho?:p RN
  5. Private/Voluntaryp Agency:p Non-profit
  6. Hospital- BasedpAgency:p notpfreestandingpnpthepcommunity,pspecialtypservicepbypthephospital
  7. PropriertarypAgency:p motivatedpbypapfor-profit
  8. OfficalpAgency:p existspb/cpofplegislation
  9. OASIS:p OutcomepandpAssessmentpInformationpSetpdonepb ypRN
  10. 5 pPhasespofpHomepVisit:p InitiatingpVisitpPrepa ration ActualpVisitpTerminat ionpofpvisitpPostpVisitpp lanning
  11. Healthpcarepreimburstpbypgovernment:p Medicare(fed)pTricarep (fed) VAp(fedpmilitary)pM edicaidp(state)
  12. HomepHealthpImprovedpOutcomes::p PainpthatpstopspADLspTransferr ing OralpMedicaitonspAmbulationpa ndpLocomotion