Deck 22: Case Management

Question 1

A nurse is using a critical path when providing care for a client.Which of the following most likely describes the situation that the nurse is in?

A) Implementing the six "rights" of case management
B) Demonstrating competencies required for practicing case management
C) Attempting to achieve a measurable outcome for a specific client
D) Effectively managing conflict resolution

Answer 1

Attempting to achieve a measurable outcome for a specific client

Question 2

A nurse is using population management as part of the nursing care that is provided.Which of the following activities is the nurse most likely completing?

A) Census taking to determine the total number of people in the population
B) Assessing the needs of the client population through compilation of health histories
C) Providing case management services for every citizen in the community
D) Selecting programs for wellness that are repeated annually

Answer 2

Assessing the needs of the client population through compilation of health histories

Question 3

A case manager provides a formal communication link among all parties concerning the plan of care management.Which of the following roles of the nurse is being implemented?

A) Facilitator
B) Liaison
C) Coordinator
D) Negotiator

Answer 3

Liaison

Question 4

A case manager is fulfilling the role of coordinator.Which of the following nursing interventions would most likely be completed?

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

Question 5

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." Which of the following aspects of the advocacy process is being used?

A) Verification
B) Clarification
C) Amplification
D) Affirmation

Question 6

A case manager uses effective collaboration and team strategies to make arrangements for services.Which of the following roles is being applied?

A) Broker
B) Negotiator
C) Liaison
D) Facilitator

Question 7

A nurse is assisting clients to improve their health status.Which of the following types of management is being used by the nurse?

A) Care management
B) Case management
C) Disease management
D) Demand management

Question 8

An enduring process in which a manager establishes systems and monitors the health status,resources,and outcomes for a targeted aggregate of the population is called:

A) case management.
B) care management.
C) disease management.
D) demand management.

Question 9

What are the six "rights" of case management?

A) Care, time, provider, setting, price, and outcomes
B) Patient, medication, route, time, documentation, and evaluation
C) Place, setting, patient, plan, outcomes, and documentation
D) Disease process, time, place, beneficence, advocate, and care provider

Question 10

Which are examples of knowledge domains used in case management?

A) Legal issues, malpractice recognition, and community involvement
B) Teaching, counseling, and education skills
C) Advocacy, political campaigning and legislative change
D) Grant application, bargaining contracts, and securing funding

Question 11

Which model addresses the structure and processes of using the population-based tools of disease management and critical pathways to offer care for client populations?

A) Client-focused
B) System-focused
C) Social service
D) Long-term care

Question 12

A patient with a long history of asthma with many hospital admissions is referred to a case manager for disease management.Which of the following best describes the purpose of this referral?

A) Chronic and costly disease conditions that require long-term care interventions
B) Patients who cannot handle their disease
C) Those who seek to control use by providing clients with correct information
D) Patients who will need an advanced practice nurse instead of physician for monitoring

Question 13

A case manager has contacted providers and has negotiated services and prices.Which of the following phases of the nursing process is being demonstrated?

A) Assessment
B) Diagnosis
C) Planning/outcome
D) Implementation

Question 14

A nurse is working as a case manager and is in the process of performing interdisciplinary,family and client conferences.Which of the following phases of the nursing process is being implemented?

A) Assessment
B) Diagnosis
C) Planning for outcomes
D) Implementation

Question 15

A bachelor's prepared nurse is providing case management services.Which of the following activities would most likely be provided by this nurse?

A) Working with community aggregates
B) Working with systems of disease
C) Working with individuals
D) Working with outcomes management processes

Question 16

A nurse is using life care planning when working with a client.Which of the following would be the most appropriate time for this to be used?

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

Question 17

A public health nurse (PHN)is working with the chronically ill and families with young children needing age-specific health maintenance.Which of the following models of case management is being used?

A) Client-focused
B) System-focused
C) Social service
D) Long-term care

Question 18

A nurse is working as a case manager.Which of the following best describes the diagnoses that the case manager is most likely to encounter?

A) Bankruptcy, financial distress, and depression
B) Flu, colds, and frequent headaches
C) Malaria, bird flu, and Dengue fever
D) AIDS, spinal cord injury, and ventilator dependency

Question 19

A nurse who is using population management needs to be able to work with integrated care delivery systems.Which of the following describes the rationale for this competency?

A) Management has shifted from inpatient care to primary care providers as points of entry.
B) Emphasis is on episodic illness care for individuals rather than on population management.
C) Care management services and programs do not provide access and accountability, as provided by case management services.
D) Assessment of the needs of the population is no longer necessary.

Question 20

A nurse upholds a client's right to make a choice and to act on the choice.Which of the following best describes the action being taken by the nurse?

A) Affirming
B) Supporting
C) Informing
D) Amplifying

Question 21

A case manager supports a client's decision to return home after having a total hip replacement rather than go to a skilled nursing facility.Which of the following phases of the nursing process is being used?

A) Assessment
B) Planning/outcome
C) Implementation
D) Evaluation

Question 22

The first stage of collaboration is:

A) trust building.
B) consensus.
C) collegiality.
D) awareness.

Question 23

A nurse's excessive attention to cost containment impairs the nurse's duty to provide measures to improve health.Which of the following ethical principles is being influenced?

A) Autonomy
B) Beneficence
C) Veracity
D) Nonmaleficence

Question 24

Care in a managed system is provided by less experienced providers.Which of the following ethical principles is being influenced in this situation?

A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice

Question 25

The process of moving conflicting parties toward an outcome is called:

A) negotiation.
B) conflict management.
C) problem-purpose expansion method.
D) brainstorming.

Question 26

A nurse would like to take action to reduce the risk of liability.Which of the following interventions should be used by the nurse? (Select all that apply.)

A) Provide accurate documentation of client visits
B) Inform clients of their rights of appeal
C) Refer clients to the providers of their choice
D) Utilize care planning whenever possible
E) Promote strong community partnerships

Question 27

The nurse is involved in a conflict resolution situation with the parents of a 2-year-old boy.The parents are deciding if "spanking" the child is a disciplinary method that they will employ.The mother says,"I do not believe in spanking.I see it as abusive and demeaning." Which of the following best describes the statement by the mother?

A) Cooperation
B) Assertiveness
C) Bargaining
D) Collaboration

Question 28

A nurse is working with an individual who pursues neither his concerns nor another's concerns.Which of the following conflict management behaviors is being used?

A) Accommodating
B) Collaborating
C) Avoiding
D) Compromising

Question 29

Mutual benefit with limited loss for everyone is a goal of:

A) negotiating.
B) assertiveness.
C) conflict management.
D) cooperation.

Question 30

What knowledge and skills are required in order to become a competent case manager? (Select all that apply.)

A) Knowledge of community resources and financing mechanisms
B) Written and oral communication skills
C) Proficient negotiation and conflict-resolving practices
D) Application of evidence-based practices and outcomes measurements
E) Experience with ethical decision making

Question 31

A case manager submits documentation that a nursing visit was completed at a client's home,but it was never performed.According to the general areas of legal risk,how would this action best be categorized?

A) Liability for managing care
B) Fraud/abuse
C) Negligent referral
D) Confidentiality/security