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Chapter 9- Case Management Questions with Accurate Answers
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A client has been referred to a case management program. Which of the following actions would the nurse most likely take first? correct answer Determine the appropriateness for inclusion in the program. A health care provider has charged more than a managed care organization (MCO) typically pays for a procedure. Which of the following would most likely be the result? correct answer Provider would get the typical payment instead of what was charged. A hospital is going to start a care management program. Which of the following groups of clients would most likely be selected to first receive such services? correct answer Clients with chronic illnesses A nurse has been working as a case manager for the past 6 months and would like to become certified. Which of the following organizations should the nurse pursue certification through? correct answer Case Management Society of America (CMSA)
A nurse is explaining case management to a client. Which of the following statements would be the most appropriate for the nurse to make? correct answer "We collaborate with you to coordinate your care for the best outcome." A very skilled baccalaureate-prepared clinical nurse was asked to assume a case manager role. Which of the following will be most difficult for the nurse new to this role? correct answer Gaining knowledge of reimbursement structures and financial strategies The case manager gave the client a list of eight possible sources for the equipment needed for care after discharge. Which of the following best describes why the nurse did not just tell the client the best source for the equipment? correct answer The client has a right to select providers of needed resources. Which of the following best describes the aftermath of the deinstitutionalization of mentally ill patients into the community during the 1970s? correct answer Without follow-up care, many clients were readmitted to care. Which of the following best describes the purpose of case management from the client's perspective? correct answer To help clients navigate a complex, fragmented, confusing health care system to
Which of the following elderly persons are often the targets of case management? correct answer Those who are homebound and have multiple complex problems Which of the following has the largest influence on the case manager's role? correct answer The specific program that employs the case manager Who first created the idea of a continuum of care, which later evolved into the term "case management"? correct answer Those who coordinated services for discharged psychiatric patients after World War II (WWII) used the term