Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

Exam 3 Questions Case Management with Accurate Answers, Exams of Nursing

Exam 3 Questions Case Management with Accurate Answers

Typology: Exams

2024/2025

Available from 07/03/2025

locaz-turus-1
locaz-turus-1 🇺🇸

2.9K documents

1 / 51

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
Exam 3 Questions Case Management
with Accurate Answers
1. A home health case manager is charged with identifying
opportunities for health promotion and illness prevention. The
fulfillment of this charge would best be demonstrated when the case
manager:
a. collaborates with a local chaplain to ensure that the spiritual needs
of cancer clients are addressed.
b. refers a new diabetic client to a nutrition counselor for dietary
teaching.
c. teaches a school nurse how to care for a client who will be returning
to school and will require new asthma treatments.
d. tracks the immunization status of clients and facilitates access to
immunization when needed. correct answer ANS: D
Case management involves assessment—in this case, screening—and
arrangement for delivery of services. Primary prevention includes case
management to identify at-risk clients and arrange for services to
prevent disease. Through nurse management activities, general
community deficiencies in the quality or quantity of health services are
often discovered. Case management activities with individual clients
and families will reveal the broader picture of health services in and
health status of the community. Community assessment, policy
development, and assurance activities that frame the core functions of
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23
pf24
pf25
pf26
pf27
pf28
pf29
pf2a
pf2b
pf2c
pf2d
pf2e
pf2f
pf30
pf31
pf32
pf33

Partial preview of the text

Download Exam 3 Questions Case Management with Accurate Answers and more Exams Nursing in PDF only on Docsity!

Exam 3 Questions Case Management

with Accurate Answers

  1. A home health case manager is charged with identifying opportunities for health promotion and illness prevention. The fulfillment of this charge would best be demonstrated when the case manager: a. collaborates with a local chaplain to ensure that the spiritual needs of cancer clients are addressed. b. refers a new diabetic client to a nutrition counselor for dietary teaching. c. teaches a school nurse how to care for a client who will be returning to school and will require new asthma treatments. d. tracks the immunization status of clients and facilitates access to immunization when needed. correct answer ANS: D Case management involves assessment—in this case, screening—and arrangement for delivery of services. Primary prevention includes case management to identify at-risk clients and arrange for services to prevent disease. Through nurse management activities, general community deficiencies in the quality or quantity of health services are often discovered. Case management activities with individual clients and families will reveal the broader picture of health services in and health status of the community. Community assessment, policy development, and assurance activities that frame the core functions of

public health actions are often the logical next step in the nurse case manager's practice to intervene at the community level to make changes. Therefore, the core components of case management and the nursing process are complementary. The nursing process function of assessment is complementary to the case management process function of case finding and includes such activities as applying screening tools according to program goals and objectives.

  1. Advantages of community health program planning include ensuring that available resources are used to meet the needs of the population and: a. applying for grants. b. identifying clients and soliciting board members' support. c. identifying resources, activities, and needs. d. increasing the visibility of the program. correct answer ANS: C Community health program planning is population focused and puts the well-being of the public above private interests. Systematic planning for meeting the needs of populations in a community has benefits for clients, nurses, employing agencies, and the community. It ensures that available resources are used to address the actual needs of people in the community, focuses attention on what the organization and health provider are attempting to do for clients, identifies resources and activities that are needed to meet the objectives of client services, reduces role ambiguity by giving responsibility to specific providers to meet program objectives, reduces uncertainty within the

d. When researching interventions that would improve care for a tuberculosis client correct answer A, C, D

  1. What is the purpose of implementing total quality management? a. To provide quality care within an organization b. To provide cost-efficient care across all age groups c. To provide necessary care to clients in a cost-effective system d. To provide efficient systems of primary care correct answer A
  2. A student has obtained a Bachelor of Science in Nursing degree. Why must the student be licensed as a registered nurse before beginning practice? a. To formally recognize the student as a competent professional b. To define the scope of professional practice c. To control the quality of professional practice d. To establish standards for educational programs correct answer C
  3. Which case management activity would most likely be implemented by a bachelor's prepared nurse rather than an advanced practice nurse (APN)? a. Working with community aggregates

b. Working with systems of disease c. Working with individuals d. Working with outcomes management processes correct answer ANS: C Working with community aggregates, systems of disease, and outcomes management processes are implemented by an APN.

  1. Which of the following are the major sources of information for program evaluation? (Select all that apply.) a. Community indices b. Media reports c. Program clients d. Program providers e. Program records correct answer ANS: A, C, E Both quantitative and qualitative methods may be used to conduct an evaluation. However, the strongest evaluation designs combine both qualitative and quantitative methods. Major sources of information for program evaluation are the program clients (especially user satisfaction information), program records (especially clinical records), and community indices (epidemiologic data).

d. Innovativenew innovations must be used when they become available correct answer B

  1. When working with a client, when would it be most appropriate for a nurse to use life care planning? a. When organizing a timeline of life events b. When documenting client information and requests c. When assessing present and future client needs d. When estimating future costs for medical care correct answer ANS: C Life care planning is a customized, medically-based document that provides assessment of present and future needs.
  2. An example of a voluntary approach to quality control used primarily for institutions is: a. Accreditation b. Licensure c. Certification d. Credentialing correct answer A
  3. When case managers provide a formal communication link among all parties concerning the plan of care management, they are assuming the role of: a. Facilitator

b. Liaison c. Coordinator d. Negotiator correct answer ANS: B The case manager provides a formal communication link among all parties concerning the plan of care management is performing the role of liaison.

  1. When a nurse assesses the necessity of receiving care before providing services, it is called a: a. Concurrent audit b. Retrospective audit c. Prospective utilization review d. Retrospective utilization review correct answer C
  2. Which nursing intervention does the case manager implement when fulfilling the role of coordinator? a. Providing information to all parties about the situations affecting the client b. Educating the client and providers in order to make informed decisions c. Supporting all parties to work toward mutual goals d. Arranging, regulating, and balancing needed health services for the client correct answer ANS: D

Case-managed conditions include many chronic conditions.

  1. A staff development program to teach nurses and other providers about how to reduce risk by properly documenting interventions provided is an example of which level of prevention? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quality care correct answer A
  2. The public health nurse working with the chronically ill and families with young children needing age-specific health maintenance is using which model of case management? a. Client-focused b. System-focused c. Social service d. Long-term care correct answer ANS: A The concern in client-focused models is with the relationship between case manager and client to support continuity of care and to access providers of care.
  1. A nurse is using a concurrent audit to review documentation following home health visits. Why is this type of audit most appropriate in this situation? a. It is less costly than a retrospective audit. b. It represents the total picture of care that the client receives. c. It provides more accurate data for planning corrective action. d. It identifies problems at the time that care is given. correct answer D
  2. In case management, the process of performing interdisciplinary, family, and client conferences would occur during which phase of the nursing process? a. Assessment b. Diagnosis c. Planning/outcome d. Implementation correct answer ANS: B Diagnosis includes the identification of a problem/opportunity. Examples of activities used during the diagnosis phase include holding conferences, determining conclusions on the basis of assessment, and using interprofessional teams.
  3. A nurse is working with a team to learn more about what its most important accomplishments have been and to identify what changes are desired. What is the best method to use to accomplish this task?

The implementation phase is similar to the advocacy process when the nurse aids the client in decision making and supports the client's decisions.

  1. Which action would a nurse take when using the specific approach to quality improvement? a. Evaluate an agencys ability to meet criteria or standards. b. Implement the plan/do/check/act cycle. c. Provide care to individual citizens. d. Use criteria set forth by regulatory agencies. correct answer B
  2. A community health nurse is conducting a community assessment as part of a program planning initiative and is seeking a tool that is low cost, allows clients to participate in identification of need, and would stimulate community support for the program. The nurse would most likely use which of the following? a. Community forum b. Focus group c. Indicators approach d. Survey correct answer ANS: B

There are several types of needs assessment tools, including community forums, focus groups, key informants, indicators approach, survey of existing agencies, and general surveys. Both community forums and focus groups are low-cost tools. The focus group provides clients with the opportunity to participate in identification of needs and can help increase community support for a program. The focus group method has several disadvantages, such as being time consuming to carry out and tending to focus on irrelevant or political "hot button" issues. Leading focus groups requires strong skills in group process to maintain the focus of the group.

  1. During a home visit, a case manager for a community health center notes marked pitting edema, shortness of breath, and increased fatigue in a 52-year-old male client who lives alone. The client is admitted to the hospital, where he is diagnosed with congestive heart failure. The case manager works with the hospital's utilization manager to devise a discharge plan. The case manager's most logical next step would be to: a. assess the client; obtain information on the scope of services covered by the benefit plan for the client; if needed services are not covered, seek to identify and arrange for the resources to provide these services. b. call the client, reintroduce himself or herself, and explain his or her role as a case manager for homebound clients. c. discuss with the family their schedule of availability to offer care in the client's home; ensure that the client has daily visits by family members. d. investi correct answer ANS: A

d. To document if health care quality is stable, improving, or declining over time correct answer D

  1. When would a nurse use a critical path? a. When implementing the five "rights" of case management b. When demonstrating competencies required for practicing case management c. When attempting to achieve a measurable outcome for a specific client d. When effectively managing conflict resolution correct answer ANS: C A critical path is a case management tool used to achieve a measurable outcome for a specific client case.
  2. Which statement about records is true? Select all that apply. a. Records provide complete information about the client. b. Records resolve legal issues in malpractice suits. c. Records provide information for education and research. d. Records allow anyone interested in a clients progress to view a chart. correct answer A, B, C
  3. A quality assurance manager does an audit and six months later returns to see if the problem has been eliminated. This step:

a. Involves selecting explicit criteria for quality care b. Includes the review of records c. Requires a peer review of all cases that do not meet criteria d. Completes the audit process correct answer D

  1. The process of moving conflicting parties toward an outcome is called: a. Negotiation b. Conflict management c. Problem-purpose expansion method d. Brainstorming correct answer ANS: A The process of moving conflicting parties toward an outcome is called negotiation.
  2. The first stage of collaboration is: a. Trust building b. Consensus c. Collegiality d. Awareness correct answer ANS: D Awareness is when one makes a conscious entry into a group process.
  3. When developing a quality improvement program, what is the most important aspect of the program that should be considered?

d. Provide equal access to care correct answer C

  1. A nurse records the number of clients seen daily as well as the mode of transportation and miles driven. What type of record is being used? a. Clinical record b. Provider service record c. Financial record d. Central index system correct answer B
  2. The nurse and client, a 20-year-old expectant mother, are discussing the advantages and disadvantages of breastfeeding. To enhance understanding of the implications of breastfeeding, the nurse says, "Tell me more about how you will work full time and breastfeed." Asking this question is an example of which aspect of the advocacy process? a. Verification b. Clarification c. Amplification d. Affirmation correct answer ANS: B Clarification is a process in which the nurse and client strive to understand meanings in a common way.
  1. Upholding a client's right to make a choice and to act on the choice involves: a. Affirming b. Supporting c. Informing d. Decision making correct answer ANS: B Supporters approve and support clients' actions.
  2. Which type of record is most appropriate to use when profiling the clients who are served by an agency as well as documenting services requested and provided? a. Clinical record b. Provider service record c. Financial record d. Central index system correct answer D
  3. An individual who pursues neither his or her concerns nor another's concerns is using which conflict management behavior? a. Accommodating b. Collaborating c. Avoiding d. Compromising correct answer ANS: C