Deck 12: Care Management, Case Management, and Home Healthcare

Question 1

The nurse discusses home care options with an 85-year-old client who recently fractured her humerus in a fall in her house. The client is recovering well now but says the experience has made her see that it is time for her to change her living arrangements. The client can still bathe herself and cook meals on occasion but says she would like to live where nursing care is available onsite and where communal dining and recreation options are offered. Which living arrangements should the nurse point out will best fit the situation?

A) Assisted living facility
B) Independent living in a senior living facility
C) Nursing home
D) Apartment located near a hospital

Answer 1

Assisted living facility

Question 2

A community care nurse at a healthcare agency assists in coordinating a plan for providing health services in the most cost-effective way possible to a large number of members living in the region. Which type of work is this nurse exhibiting?

A) Case management
B) Home healthcare
C) Interdisciplinary collaboration
D) Care management

Answer 2

Care management

Question 3

The case manager works with a client who has type 2 diabetes and heart disease. In this role, which actions would be most appropriate for the nurse to take in assisting the client to manage diseases? (Select all that apply.)

A) Provide weekly coaching sessions by telephone for blood glucose management
B) Supervise cardiac stress tests in the exercise room of the local hospital
C) Administer emergency insulin when the client arrives at the hospital in a diabetic coma
D) Demonstrate use of a glucose meter to the client
E) Review heart-healthy and diabetic-friendly food options with the client and his family.

Answer 3

Provide weekly coaching sessions by telephone for blood glucose management
Demonstrate use of a glucose meter to the client
Review heart-healthy and diabetic-friendly food options with the client and his family.

Question 4

The case manager works with a 10-year-old girl who has asthma. Because the client's family has trouble affording inhalers, the case manager researches client assistance programs through which they could receive free medications. Which aspect of case management is this nurse portraying with this action?

A) Care management
B) Advocacy
C) Disease management
D) Interdisciplinary collaboration

Question 5

The case manager for a 12-year-old boy who is obese and prediabetic. To help the client develop a diet that will promote weight loss and control of his glucose level, the case manager decides to consult with a dietitian, who provides several current journal articles that present findings on various diets. Which aspect of case management is employed with this action?

A) Care management
B) Advocacy
C) Disease management
D) Interdisciplinary collaboration

Question 6

A student is considering becoming a home health nurse. In researching this type of nursing, the student finds that several key factors have played a part in the development of home healthcare as it is today. Which key factors has this student most likely discovered? (Select all that apply.)

A) Increase in the number of hospitals nationwide
B) Reduction in the incidence of chronic diseases
C) Development of health insurance
D) Rising costs in healthcare
E) Increase in medical and nursing specialization

Question 7

The nurse has recently been appointed to a community-based advisory board of an agency that is interested in providing fiscally sound, high-quality care for clients they decide will be their service population. Any profit margin that is acquired is reinvested in the operations of the home healthcare service. Which type of agency is this?

A) Private/voluntary
B) Hospital based
C) Proprietary
D) Official

Question 8

The nurse recently took a position in a national chain of home healthcare agencies directed at caring for clients who are on home hemodialysis. The services provided are often paid for privately by families, and any profit margin is used to benefit the owner of the agency. Which type of agency is this?

A) Private/voluntary
B) Hospital based
C) Proprietary
D) Official

Question 9

A nurse is relocating to a new community and is trying to decide where to seek employment. The nurse has learned that there are several similar agencies providing care, some of which are nonprofit and others are for-profit. Which type of agency is the nurse considering for employment?

A) Private/voluntary
B) Hospital based
C) Proprietary
D) Official

Question 10

The nurse takes care of a dependent family member whose husband is in the military. Which government funding is most likely going to be used for home healthcare services for this client?

A) Medicare
B) Medicaid
C) TRICARE
D) Veterans Administration

Question 11

The nurse is researching the latest provisions governing home healthcare. Who should the nurse check with to discover if any new regulations have been passed to regulate the provisions of home healthcare? (Select all that apply.)

A) Insurance companies
B) Local government
C) State government
D) Federal government
E) Veterans Administration

Question 12

The nurse is assisting a client to apply for home healthcare. Which criteria must an individual meet to receive Medicare for home health services? (Select all that apply.)

A) Home bound
B) Specific plan of care
C) Skilled healthcare needs
D) Intermittent care needs
E) Continuous 24-hour necessity for care

Question 13

The nurse provides care covered by Medicare for a client over 2 hours during the day, 3 days during the week, for 60 days. Which type of care is the nurse providing?

A) Interdisciplinary
B) Skilled
C) Intermittent
D) Part time

Question 14

The client wants to know how long Medicare will pay for skilled needs. How long can the nurse continue to provide this care before she must seek a renewal if skilled needs continue to exist?

A) 30 days
B) 45 days
C) 60 days
D) 90 days

Question 15

The nurse reviews the official document called the Scope and Standards of Home Health Nursing Practice. Which factors will the nurse anticipate being included in the standards of care? (Select all that apply.)

A) Assessment by collecting data about home care clients
B) Implementation of nurse-centered actions in collaboration with healthcare providers
C) Diagnosis through the analysis of data
D) Outcome identification that helps identify nurse-sensitive measures
E) Planning nurse-sensitive interventions directed at the identified outcomes

Question 16

The clinic is preparing a program which will provide telehealth to the clinics. What services will most likely be available after telehealth is implemented? (Select all that apply.)

A) Chronic care
B) Home telenursing
C) Electronic referrals to specialists in expert health facilities
D) Transmission of healthcare information to people in the same geographical area
E) Specialty consultations

Question 17

A nurse graduate is seeking a position of a faith community nurse. Which interventions will this nurse most likely be performing in this position? (Select all that apply.)

A) Teaching a class to faith community members on managing high blood pressure
B) Providing counsel on preventing upper respiratory illness to member
C) Referring a faith community member to a nutritionist for dietary counsel
D) Assisting an obstetrician in the birth of a faith community member's child
E) Administering vaccinations at a local health clinic

Question 18

The home care agency has just received a client referral from a healthcare provider and assigned the case. How soon should the client expect to be contacted by the nurse for the initial visit?

A) 12 hours
B) 24 hours
C) 36 hours
D) 48 hours

Question 19

The community health nurse can receive a referral to a home health agency at any time. Which phases will this nurse most likely utilize in this process? (Select all that apply.)

A) Plan personal safety of visit
B) Initiating a visit
C) Preparation
D) Actual visit
E) Termination of the visit

Question 20

The home health nurse has to ensure that a safety plan is in place to address falls. Based on statistics that 55% of fall-related injuries occur inside the home, which areas should the nurse prioritize for safety concerns?

A) Living room and hallway
B) Kitchen and bathroom
C) Hallway and bedroom
D) Living room and bedroom

Question 21

The nurse works with 68-year-old client who is having great difficulty managing his blood glucose level. The nurse finds that the client is not following the diet that he had agreed to follow and is eating portions that are far too large. He apologizes and explains that he is grieving the loss of his wife, who died 2 weeks ago. The nurse shares condolences with him on his loss and explains that it is perfectly understandable to have trouble following a new diet while grieving. In this scenario, the nurse is utilizing which principal approach in motivational interviewing?

A) Expressing empathy
B) Supporting self-efficacy
C) Rolling with resistance
D) Finding a discrepancy