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Case Management Exam Questions and Solutions for Nursing Students, Exams of Nursing

Bryant and Stratton College-AlbanyNursing

A series of exam questions and answers related to case management in nursing. It covers topics such as population management, care management, disease management, and demand management. The questions assess understanding of the nursing process, including assessment, diagnosis, planning, implementation, and evaluation. It also addresses the roles and responsibilities of a case manager, critical paths, and interdisciplinary collaboration. This material is designed to test and reinforce knowledge of key concepts in case management, making it a valuable resource for nursing students and professionals.

Typology: Exams

2024/2025

Available from 05/20/2025

Nurseexcel
Nurseexcel 🇺🇸

832 documents

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1z/z23
Chapter 25: Case Management Final Test Exam Questions and Correct Solutions
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d. Assessmentzofzthezneedszofzthezpopulationzisznozlongerznecessary.:zANS:zAzManagementzhaszshi
ftedzfromzinpatientzcarezaszazpointzofzentryztozprimaryzcarezproviderszaszpointszofzentry.zThezotherzstateme
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Chapter 25: Case Management Final Test Exam Questions and Correct Solutions

  1. 1.zAznursezwhoziszusingzpopulationzmanagementzneedsztozbezableztozworkzwithzintegratedzcare zdeliveryzsystems.zWhichzofzthezfollowingzdescribeszthezrationalezforzthiszcompetency? a. Managementzhaszshiftedzfromzinpatientzcareztozprimaryzcarezproviderszaszpointszof entry. b. Emphasisziszonzepisodiczillnesszcarezforzindividualszratherzthanzonzpopula-ztion management. c. Carezmanagementzserviceszandzprogramszdoznotzprovidezaccesszandzac-zcountability, aszprovidedzbyzcasezmanagementzservices. d. Assessmentzofzthezneedszofzthezpopulationzisznozlongerznecessary.:z ANS:zAzManagementzhaszshi ftedzfromzinpatientzcarezaszazpointzofzentryztozprimaryzcarezproviderszaszpointszofzentry.zThezotherzstateme ntszarezfalse. DIF:zCognitivezlevel:zAnalyzingzTOP:zNursingzprocess:zImplementationzMSC:zNCLEX:zSafezan dzEffectivezCarezEnvironment:zManagementzofzCare
  2. 2.zAznurseziszusingzpopulationzmanagementzaszpartzofztheznursingzcarezthatziszprovided.zW hichzofzthezfollowingzactivitieszisztheznursezmostzlikelyzcompleting? a. Censusztakingztozdetermineztheztotalznumberzofzpeoplezinzthezpopulation b. Assessingzthezneedszofzthezclientzpopulationzthroughzcompilationzofzhealthzhistories c. Providingzcasezmanagementzserviceszforzeveryzcitizenzinzthezcommunity d. Selectingzprogramszforzwellnesszthatzarezrepeatedzannually:z ANS:zBzPopulationzmanagementzin volveszassessingzthezneedszofzthezclientzpopulationzthroughzhealthzhistories,zclaims,zuse-of- servicezpatterns,zandzriskzfactors.zPopulationzmanagementzdoesznotzincludezcensusztaking,zprovidingzcasez managementzserviceszforzall,zorzrepeatingzwellnesszprogramszonzanzannualzbasis. DIF:zCognitivezlevel:zAnalyzingzTOP:zNursingzprocess:zImplementationzMSC:zNCLEX:zSafezan dzEffectivezCarezEnvironment:zManagementzofzCare
  3. 3.zAnzenduringzprocesszinzwhichzazmanagerzestablisheszsystemszandzmon- zitorszthezhealthzstatus,zresources,zandzoutcomeszforzaztargetedzaggregatezofzthezpopulationziszref erredztozbyzwhatzterm? a. Casezmanagement b. Carezmanagement c. Diseasezmanagement

d. Demandzmanagement:z ANS:zB Carezmanagementziszanzenduringzprocesszinzwhichzazmanagerzestablisheszsystems

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health- seekingzbehaviorsztozimproveztheirzhealthzstatus,zandztozmakezfewerzdemandszonzthezhealthzcarezsystem.zC arezmanagementziszanzenduringzprocesszinzwhichzazmanagerzestablisheszsystemszandzmonitorszthezhealt hzstatus,zresources,zandzout- zcomeszforzaztargetedzaggregatezofzthezpopulation.zCasezmanagementziszdefinedzaszazcollaborativezprocessz ofzassessment,zplanning,zfacilitation,zcarezcoordination,zevalu- zation,zandzadvocacyzforzoptionszandzservicesztozfacilitatezanzindividual'szandzfamily'szcomprehensivezhealt hzneedszthroughzcommunicationzandzavailablezresourcesztozpromotezqualityzcost- effectivezoutcomes.zDiseasezmanagementzconstituteszsys- ztematiczactivitiesztozcoordinatezhealthzcarezinterventionszandzcommunicationszforzpopulationszwithzdisea sezconditionszinzwhichzclientzself- carezeffortszarezsignificant.zDIF:zCognitivezlevel:zAnalyzingzTOP:zNursingzprocess:zEvaluation MSC:zNCLEX:zSafezandzEffectivezCarezEnvironment:zManagementzofzCare

  1. 6.zAzbachelor'szpreparedznurseziszprovidingzcasezmanagementzservices.zWhichzofzthezfollowin gzactivitieszwouldzmostzlikelyzbezprovidedzbyzthisznurse? a. Workingzwithzcommunityzaggregates b. Workingzwithzsystemszofzdisease c. Workingzwithzindividuals d. Workingzwithzoutcomeszmanagementzprocesses:z ANS:zC Workingzwithzindividualszwouldzbezthezrolezofzthisznurse.zWorkingzwithzcommunityzaggregates,zsystemszofzdi sease,zandzoutcomeszmanagementzprocesseszarezimple-zmentedzbyzanzadvancedzpracticeznursez(APN). DIF:zCognitivezlevel:zApplyingzTOP:zNursingzprocess:zImplementationzMSC:zNCLEX:zSafezandz EffectivezCarezEnvironment:zManagementzofzCare
  2. 7.zAznursezusingzazcriticalzpathzwhenzprovidingzcarezforzazclientziszmostzlikelyzengagedzinzwhatzacti vity? a. Implementingzthezsixz"rights"zofzcasezmanagement b. Demonstratingzcompetencieszrequiredzforzpracticingzcasezmanagement c. Attemptingztozachievezazmeasurablezoutcomezforzazspecificzclient d. Effectivelyzmanagingzconflictzresolution:z ANS:zC Azcriticalzpathziszazcasezmanagementztoolzusedztozachievezazmeasurablezoutcomezforza specificzclientzcase.zThezcriticalzpathzdetailszthezessentialzandzsequentialzactivitieszinzcare,zsozthatzthezexp ectedzprogresszofzthezclientzwaszknownzatzazpointzinztime.zAzcriticalzpathzdoesznotzaddresszthezsixz"rights"zof zcasezmanagementzorzdemonstratezthezcompetencieszrequiredzforzpracticingzcasezmanagement.zAzcritic
  1. 8.zWhatzarezthezsixz"rights"zofzcasezmanagement? a. Care,ztime,zprovider,zsetting,zprice,zandzoutcomes b. Patient,zmedication,zroute,ztime,zdocumentation,zandzevaluation c. Place,zsetting,zpatient,zplan,zoutcomes,zandzdocumentation d. Diseasezprocess,ztime,zplace,zbeneficence,zadvocate,zandzcarezprovider:z- ANS:zA Care,ztime,zprovider,zsetting,zprice,zandzoutcomeszarezusedztozjudgezthezeffectivenesszofzcasezmanagement. DIF:zCognitivezlevel:zUnderstandingzTOP:zNursingzprocess:zAssessmentzMSC:zNCLEX:zSafeza ndzEffectivezCarezEnvironment:zManagementzofzCare
  2. 9.zAznurseziszworkingzaszazcasezmanagerzandziszinzthezprocesszofzperformingzinterdisciplinary,zfam ilyzandzclientzconferences.zWhichzofzthezfollowingzphaseszofztheznursingzprocessziszbeingzimpleme nted? a. Assessment b. Diagnosis c. Planningzforzoutcomes d. Implementation:z ANS:zB Diagnosiszincludeszthezidentificationzofzazproblem/opportunity.zExampleszofzactiv- zitieszusedzduringzthezdiagnosiszphasezincludezholdingzconferences,zdeterminingzconclusionszbasedzonza ssessment,zandzusingzinterprofessionalzteams.zExampleszofzassessmentzincludezdevelopingznetworksz withztargetzpopulationszandzdissemi- znationzofzwrittenzmaterials.zExampleszofzplanningzforzoutcomeszincludezvalidatingzandzprioritizingzproble mszandzselectingzevidence- basedzinterventions.zExampleszofzimplementationzincludezcontactingzproviderszandzcoordinatingzcarezac tivities. DIF:zCognitivezlevel:zApplyingzTOP:zNursingzprocess:zDiagnosis MSC:zNCLEX:zSafezandzEffectivezCarezEnvironment:zManagementzofzCare
  3. 10.zAzcasezmanagerzhaszcontactedzproviderszandzhasznegotiatedzserviceszandzprices.zWhichz ofzthezfollowingzphaseszofztheznursingzprocessziszbeingzdemonstrated? a. Assessment b. Diagnosis c. Planning/outcome d. Implementation:z ANS:zD Thezimplementationzphasezofztheznursingzprocesszoccurszwhenzazcasezmanagerzadvocateszforzclients'zint

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interventionszwouldzmostzlikelyzbezcompleted?

a. Providingzinformationztozallzpartieszaboutzthezsituationszaffectingzthezclient b. Educatingzthezclientzandzproviderszinzorderztozmakezinformedzdecisions c. Supportingzallzpartiesztozworkztowardzmutualzgoals d. Arranging,zregulating,zandzbalancingzneededzhealthzserviceszforzthezclient- :z ANS:zD Thezrolezofzcoordinatorziszfulfilledzwhenztheznursezarranges,zregulates,zandzbalanceszneededzhealthzservice szforzthezclient.zProvidingzinformationztozallzpartieszaboutzthezclient'szsituationziszthezrolezofzthezmonitor/repo rter.zEducatingzthezclientzandzproviderzinzorderztozmakezinformedzdecisionsziszthezrolezofzeducatorzandzsuppor tingzallzpartiesztozworkztowardzmutualzgoalsziszthezrolezofzfacilitator. DIF:zCognitivezlevel:zApplyingzTOP:zNursingzprocess:zImplementationzMSC:zNCLEX:zSafezandz EffectivezCarezEnvironment:zManagementzofzCare

  1. 14.zWhichzknowledgezdomainszarezusedzinzcasezmanagement? a. Legalzissues,zmalpracticezrecognition,zandzcommunityzinvolvement b. Teaching,zcounseling,zandzeducationzskills c. Advocacy,zpoliticalzcampaigning,zandzlegislativezchange d. Grantzapplication,zbargainingzcontracts,zandzsecuringzfunding:z ANS:zBzTeaching,zcounseling,z andzeducationzskillszarezanzimportantzpartzofzcasezmanage-zmentzin additionztozprogramzevaluationzandzresearch.zThezotherzdomainszlistedzareznotzusedzinzcasezmanagement. DIF:zCognitivezlevel:zUnderstandingzTOP:zNursingzprocess:zEvaluationzMSC:zNCLEX:zSafezan dzEffectivezCarezEnvironment:zManagementzofzCare
  2. 15.zAznurseziszusingzlifezcarezplanningzwhenzworkingzwithzazclient.zWhatzwouldzbezthezmostz appropriateztimezforzplanningztozbezused? a. Whenzorganizingzaztimelinezofzlifezevents b. Whenzdocumentingzclientzinformationzandzrequests c. Whenzassessingzpresentzandzfuturezclientzneeds d. Whenzestimatingzfuturezcostszforzmedicalzcare:z ANS:zC Lifezcarezplanningziszazcustomized,zmedicallyzbasedzdocumentzthatzprovideszassess- zmentzofzpresentzandzfuturezneeds.zTypically,zazlifezcarezplanzincorporateszmedical,zfinancial, psychological,zvocational,zbuiltzenvironment,zandzsocialzcostszduringzthezremainingzlifezofzthezclient.zLifezcar ezplanningziszaztoolzusedzinzcasezmanagement.zAzlifezcarezplanzassesseszthezcurrentzandzfuturezneedszofzazcli entzforzcatastrophiczorzchroniczdiseasezoverzazlifezspan. DIF:zCognitivezlevel:zApplyingzTOP:zNursingzprocess:zImplementationzMSC:zNCLEX:zSafezandz EffectivezCarezEnvironment:zManagementzofzCare

d. Long-termzcare:z ANS:zB Thezsystem-focusedzmodelzaddresseszthezstructurezandzprocesseszofzusingzthezpopulation- basedztoolszofzdiseasezmanagementzandzcriticalzpathwaysztozofferzcarezforzclientzpopulations.zThezconcer nzinzclient- focusedzmodelsziszwithzthezrelationshipzbetweenzcasezmanagerzandzclientztozsupportzcontinuityzofzcareza ndztozaccess

providerszofzcare.zThezsocialzservicezmodelszprovidezservicesztozclientsztozassistzthemzinzlivingzindependentlyz inzthezcommunityzandzinzmaintainingztheirzhealthzbyzeliminat- zingzorzreducingzthezneedzforzhospitalzadmissionszorzlong-termzcare.zLong- termzcarezisznotzazmodelzofzcasezmanagement. DIF:zCognitivezlevel:zUnderstandingzTOP:zNursingzprocess:zEvaluationzMSC:zNCLEX:zSafezan dzEffectivezCarezEnvironment:zManagementzofzCare

  1. 19.zTheznursezandzclient,zaz 20 - year- oldzexpectantzmother,zarezdiscussingzthezadvantageszandzdisadvantageszofzbreastfeeding.zTozenh ancezunderstandingzofzthezimplicationszof breastfeeding,ztheznursezsays,z"Tellzmezmorezaboutzhowzyouzwillzworkzfullztimezand breastfeed."zWhichzofzthezfollowingzaspectszofzthezadvocacyzprocessziszbeingzused? a. Verification b. Clarification c. Amplification d. Affirmation:z ANS:zB Clarificationziszazprocesszinzwhichztheznursezandzclientzstriveztozunderstandzmean- zingszinzazcommonzway.zVerificationziszthezprocesszusedzbyztheznursezadvocateztozestablishzaccuracyzandzre alityzinzthezinformingzprocess.zAffirmationziszbasedzonzanzadvocate'szbeliefzthatzazclient'szdecisionziszconsiste ntzwithzthezclient'szvalueszandzgoals.zAmplifyingzoccurszbetweenztheznursezandzthezclientztozassesszthezneeds zandzdemandszthatzwillzeventuallyzframezthezclient'szdecision. DIF:zCognitivezlevel:zApplyingzTOP:zNursingzprocess:zImplementationzMSC:zNCLEX:zSafezandz EffectivezCarezEnvironment:zManagementzofzCare
  2. 20.zAznursezupholdszazclient'szrightztozmakezazchoicezandztozactzonzthezchoice.zWhichzofzthezf ollowingzbestzdescribeszthezactionzbeingztakenzbyztheznurse? a. Affirming b. Supporting c. Informing d. Amplifying:z ANS:zB Supporterszapprovezandzsupportzclients'zactions.zAffirmingziszbasedzonzanzadvocate'szbeliefzthatzazclient'szdecisi onziszconsistentzwithzthezclient'szvalueszandzgoals.zInformingzincludeszeducatingzclientszaboutztheznaturezofzthei rzchoices,zthezcontentzofzthosezchoices,zandzthezconsequencesztozthezclientzandzisznotzazone- wayzactivity.zAmplifyingzoccurszbetweenztheznursezandzthezclientztozassesszthezneedszandzdemandszthatzwillze ventuallyzframezthezclient'szdecision.

a. Negotiating b. Assertiveness c. Conflictzmanagement d. Cooperation:z ANS:zC Mutualzbenefitzwithzlimitedzlosszforzeveryoneziszazgoalzofzconflictzmanagement.zThis

involveszusingzskillszdirectedztowardzlearningzallzparties'zneedszandzdesires,zdetectingztheirzareaszofzagreementz andzdisagreement,zdeterminingztheirzabilitiesztozcollaborate,zandzassistingzinzdiscoveringzalternativeszandzacti vitieszforzreachingzazgoal.zThezprocesszofzmovingzconflictingzpartiesztowardzanzoutcomeziszcalledznegotiation . Assertivenessziszthezabilityztozpresentzone'szownzneeds.zCooperationziszthezabilityztozunderstandzandzmeetzth ezneedszofzothers. DIF:zCognitivezlevel:zUnderstandingzTOP:zNursingzprocess:zAssessmentzMSC:zNCLEX:zPsych osocialzIntegrity

  1. 24.zTheznurseziszinvolvedzinzazconflictzresolutionzsituationzwithzthezparentszofzaz 2 - year- oldzboy.zThezparentszarezdecidingzifz"spanking"zthezchildziszazdisciplinaryzmethodzthatztheyzwillzem ploy.zThezmotherzsays,z"Izdoznotzbelievezinzspanking.zIzseezitzaszabusivezandzdemeaning."zWhichzofz thezfollowingzbestzdescribeszthezstatementzbyzthezmother? a. Cooperation b. Assertiveness c. Bargaining d. Collaboration:z ANS:zB Thezmother'szstatementziszanzexamplezofzassertiveness,zthezabilityztozpresentzone'szown needs.zCooperationziszthezabilityztozunderstandzandzmeetzthezneedszofzothers. Bargainingziszpartzofztheznegotiationzprocesszwhenzdebateszincludezgathering factszbasedzonzreasoningzthatzwillzgeneratezunderstandingzandzpromotezrelearning.zCollaborationziszazdyna miczhighlyzinteractivezandzinterdependentzprocesszinzwhichzpeoplezworkztogetherztozsharezresourceszandzaz visionzforzazgoal. DIF:zCognitivezlevel:zApplyingzTOP:zNursingzprocess:zImplementationzMSC:zNCLEX:zPsychos ocialzIntegrity
  2. 25.zAznurseziszworkingzwithzanzindividualzwhozpursueszneitherzhiszconcernsznorzanother'szconce rns.zWhichzofzthezfollowingzconflictzmanagementzbehav-ziorsziszbeingzused? a. Accommodating b. Collaborating c. Avoiding d. Compromising:z ANS:zC Thezindividualzwouldzbez"avoiding."zAvoidingziszdefinedzaszwhenzanzindividualzpursues neitherzhiszorzherzconcernsznorzanother'szconcerns.zAccommodatingzoccurszwhenzan individualzneglectszpersonalzconcernsztozsatisfyzthezconcernszofzanother.zCollaborat-

thezgoalszofzbothzparties.zCompromisingzoccurszwhenzanzindividualzattemptsztozfindzazmutually acceptablezsolutionzthatzpartiallyzsatisfieszbothzparties. DIF:zCognitivezlevel:zApplyingzTOP:zNursingzprocess:zImplementationzMSC:zNCLEX:zPsychos ocialzIntegrity

  1. 26.zWhatziszthezfirstzstagezofzcollaboration? a. Trustzbuilding b. Consensus c. Collegiality d. Awareness:z ANS:zD Thezfirstzstagezofzcollaborationziszawareness,zwhenzonezmakeszazconsciouszentryzintozazgroupzprocess.zTh isziszfollowedzbyztentativezexplorationzandzmutualzacknowl- zedgement,ztrustzbuilding,zcollegiality,zconsensus,zcommitment,zandzcollaboration. DIF:zCognitivezlevel:zUnderstandingzTOP:zNursingzprocess:zAssessmentzMSC:zNCLEX:zSafeza ndzEffectivezCarezEnvironment:zManagementzofzCare
  2. 27.zAzcasezmanagerzsubmitszdocumentationzthatzaznursingzvisitzwaszcom- zpletedzatzazclient'szhome,zbutzitzwaszneverzperformed.zAccordingztozthezgeneralzareaszofzlegalzrisk,zh owzwouldzthiszactionzbestzbezcategorized? a. Liabilityzforzmanagingzcare b. Fraud/abuse c. Negligentzreferral d. Confidentiality/security:z ANS:zB Fraud/abusezoccurszwhenzfalsezstatementszofzclaimszarezmadezandzfiled.zConfidentiality/securityzoccurszw henzsensitivezinformationzisznotzsecured.zNegligentzreferralzoccurszwhenzreferralszorztreatmentszarezinapprop riate.zLiabilityzforzmanagingzcarezoccurszwhenzcasezmanagementzisznotzusedzappropriately,zwhenzthereziszha rassment,zorzwhenzcareziszinappropriatelyzdelegated. DIF:zCognitivezlevel:zApplyingzTOP:zNursingzprocess:zImplementationzMSC:zNCLEX:zSafezandz EffectivezCarezEnvironment:zManagementzofzCare
  3. 28.zAznurse'szexcessivezattentionztozcostzcontainmentzimpairsztheznurse'szdutyztozprovidezme asuresztozimprovezhealth.zWhichzofzthezfollowingzethicalzprinciplesziszbeingzinfluenced? a. Autonomy b. Beneficence c. Veracity d. Nonmaleficence:z ANS:zB

Beneficenceziszinfluencedzwhenzexcessivezattentionztozcostzcontainmentzsupersedeszor impairsztheznurse'szdutyztozprovidezmeasuresztozimprovezhealthzorzrelievezsuffering.