Deck 15: Case Management and the Advanced Practice Nurse

Question 1

Place the following historical events of nursing case management in chronological order from past

A) Public health nurses provided case management services for immigrants and the poor.
B) The Veterans Administration established the first model for "one-stop" health care for veterans.
C) Health insurance companies initiated case management services and care coordination.
D) The U.S. Public Health Service developed a case management system for "community as client."
E) The Centers for Medicaid and Medicare Services (CMS) created accountable care organizations.

Answer 1

A, D, B, C, E

Question 2

Which of the following differentiates the advanced practice registered nurse (APRN) case manager's role from the baccalaureate-level case manager role?

A) Assessment skills
B) Clinical experience
C) Nursing knowledge
D) Outcome accountability

Answer 2

Outcome accountability

Question 3

Community-based case managers are experiencing an increased need for which of the following skills and knowledge? Select all that apply.

A) Cost containment
B) Discharge planning
C) Reimbursement systems
D) Extensive clinical expertise
E) Chronic disease management

Answer 3

Reimbursement systems
Extensive clinical expertise

Question 4

Which of the following best addresses the needs of older adults? Select all that apply.

A) Predictive model
B) Guided Care Model
C) Transitional Care Model
D) Patient-Centered Medical Home
E) Accountable care organizations

Question 5

Which of the following is essential to document financial outcomes of value-based purchasing agreements?

A) Predictive models
B) Risk management
C) Shared systems data
D) Reimbursement methods

Question 6

An advanced practice registered nurse (APRN) is providing care for a client with diabetes who is having difficulty adhering to the proposed plan of care. A successful APRN should possess which skill to procure the necessary items or services that will enable this patient to manage an illness?

A) Negotiation
B) Fiscal advocacy
C) Follow-through
D) Use management

Question 7

What knowledge would be most beneficial for an advanced practice registered nurse (APRN) leading a primary care practice?

A) Discharge planning
B) Reimbursement methods
C) Population health management
D) Electronic medical record system

Question 8

Which of the following is a result of the increase in use of case management services?

A) Increased patient risk
B) Lack of accountability
C) Lack of care coordination
D) Decreased patient adherence

Question 9

Case management services are looking to add an additional staff member to work directly with a population of migrant farm workers and their families. Which of the following would be the most appropriate to address the needs of this community?

A) Diploma registered nurse
B) Master's-APRN case manager
C) Baccalaureate nurse case manager
D) Master's-level functional case manager

Question 10

An office wants to add a staff member with expert knowledge of health-care financing and reimbursement methods. Which of the following roles would be best suited to fill this position?

A) Diploma registered nurse
B) Master's-APRN case manager
C) Baccalaureate nurse case manager
D) Master's-level functional case manager