Deck 12: Case Management

Question 1

The population nurse case manager is preparing a case management plan for a client. What should the nurse remember about this type of plan when creating it for the client?

A) It is generic.
B) It is static.
C) It is time-limited.
D) It is outcomes-based.

Answer 1

It is outcomes-based.

Question 2

The population health nurse case manager is determining a client's need for case management. Which indicators should the nurse identify as being social? (Select all that apply.)

A) History of drug abuse.
B) Homelessness.
C) Lack of insurance.
D) History of family violence.
E) Single parenthood.

Answer 2

Homelessness.
Lack of insurance.
History of family violence.
Single parenthood.

Question 3

A client being case managed has become unstable. What should the nurse case manager do?

A) Delegate the care to assistive personnel.
B) Refuse to continue care.
C) Retain care of the client.
D) Make an automatic referral.

Answer 3

Retain care of the client.

Question 4

The population nurse is reviewing goals with a newly hired case manager. Which goal should the nurse identify as being system-centered?

A) Reduced duplication of services.
B) Better coordination of care.
C) Access to affordable services.
D) Ability to function independently.

Question 5

The nurse is managing the care of a client with end-stage renal failure, anemia, and chronic pain from osteoarthritis. Within the case management system, which tier should be used to guide this client's care?

A) Tier one-self-care support.
B) Tier two-high-risk disease management.
C) Tier three-complex needs to be addressed.
D) Tier four-rehabilitation and ancillary service needs.

Question 6

The local health department has been criticized for not providing effective communicable disease control programs. What ethical problem should the population health nurse identify that the health department is committing?

A) Negligence at the population level.
B) Breach of contract at the population level.
C) Abandonment at the individual level.
D) Variance of care at the individual level.

Question 7

The population health nurse case manager is assisting a client identify the closest facility to have a required diagnostic test completed. Which principle of case management is the nurse performing with the client?

A) Incorporating client advocacy.
B) Promoting optimal client safety.
C) Navigating the health care system.
D) Linking with community resources.

Question 8

A client who has asthma is being assisted by the case manager to achieve control of the disease. Which type of care is the case manager providing to the client?

A) Case management.
B) Disease management.
C) Multidisciplinary care.
D) Risk management.

Question 9

The population health nurse is reviewing the goals for managing the care of a client. Which goal should the nurse identify as being client-centered?

A) Cost containment and cost-efficiency.
B) Improved quality of life.
C) Decreased paperwork.
D) Financial viability.

Question 10

The diabetes nurse education is telephoning clients to assess current Hgb A1c rates and the results of their last ophthalmologic examinations. Which case management model is the nurse using to provide care?

A) Linked.
B) Intensive.
C) Supportive.
D) Disease-specific.

Question 11

The population health nurse case manager addresses the client's holistic needs when managing the care of the client. What actions should the nurse expect to perform when adhering to this case management principle? (Select all that apply.)

A) Discuss ways to eliminate smoking.
B) Encourage to schedule an appointment for a mammogram.
C) Review the current medication regimen for type 2 diabetes mellitus.
D) Strategize ways to overcome feelings of inadequacy with unemployment.
E) Methodically review the steps to take to improve compliance with a low-fat diet.

Question 12

The case manager arranges for the transfer of the client's records from the primary care provider to the home health agency. In which role is the case manager functioning?

A) Clinical expert.
B) Consultant.
C) Coordinator of care.
D) Change agent.

Question 13

The nurse is making a referral for the client. What should be the nurse's first consideration for this referral?

A) Factors that might prevent the client from following through with the referral.
B) Client's eligibility for the service.
C) Cost of the referral services.
D) Acceptability of the referral to the client.

Question 14

The nurse is deciding tasks to delegate to other caregivers. What should the nurse use to help making these delegation decisions?

A) Age.
B) Education.
C) Ability for self-care.
D) Ability to pay for services.

Question 15

The population health nurse is evaluating outcomes for a group of clients based upon the best possible achievable outcome. Which action is the nurse completing?

A) Assessing.
B) Screening.
C) Delegation.
D) Benchmarking.