Deck 22: Case Management

Question 1

What are the five "rights" of case management?

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

Answer 1

Care, time, provider, setting, price

Question 2

The case manager who uses effective collaboration and team strategies to make arrangements for services is performing the role of:

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

Answer 2

Negotiator

Question 3

When the case manager contacts providers and negotiates services and price,which phase of the nursing process is used?

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

Answer 3

Implementation

Question 4

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

Question 5

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

Question 6

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

Question 7

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

A) Negotiation
B) Conflict management
C) Problem-purpose expansion method
D) Brainstorming

Question 8

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

Question 9

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

Question 10

Which type of management would be most appropriate for a nurse to use when helping clients improve their health status?

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

Question 11

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 phase of the nursing process is being used?

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

Question 12

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 13

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

Question 14

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

Question 15

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) Advocacy
D) Continuity of care

Question 16

A patient with a long history of asthma with many hospital admissions is referred to a case manager to assist in the management of her disease.Disease management targets:

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 17

Which activity would a nurse engage in when using population management?

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

Question 18

Which are examples of case-managed conditions?

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

Question 19

Why must a nurse who is using population management be able to work with integrated care delivery systems?

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

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 21

What action should a nurse take in order to reduce the risk of liability? 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.

Question 22

Which principle of justice is influenced when excessive attention to cost containment impairs the nurse's duty to provide measures to improve health?

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

Question 23

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) None of above

Question 24

Which ethical principle is influenced when care in a managed system is provided by less-experienced providers?

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

Question 25

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." The mother's statement is an example of:

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

Question 26

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

Question 27

The first stage of collaboration is:

A) Trust building
B) Consensus
C) Collegiality
D) Awareness

Question 28

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

Question 29

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

Question 30

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

A) Negotiating
B) Assertiveness
C) Conflict management
D) Cooperation

Question 31

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