University of San Francisco - NURS 320

Chapter 13: Case Management Test Bank

1)MULTIPLE CHOICE

1)Which of the following best describes case management?

1. 1. A tool of health maintenance organizations
   2. Targeted toward a specific segment of the population
   3. Implemented with individual clients
   4. Used to monitor the health status, resources, and outcomes for an aggregate

2. Which of the following best describes why planning care for an individual is so challenging in today’s health care system?
   1. Because today’s clients have high expectations of the health care system
   2. Because multiple providers, payers, and settings have to be coordinated
   3. Because of the new high technology constantly being created and used for client treatment
   4. Because so many different health care providers are in the acute care setting today

3. Which of the following best describes the primary problem that can result from health care today being given by many different care providers?
   1. Clients are not sure which provider to see first.
   2. Health care providers have to make referrals to other providers.
   3. Clients sometimes are not sure who their primary provider is.
   4. Overuse, underuse, or gaps in care may result.

4. Which of the following public health nurse applicants is the least qualified for a position of case manager in a rural county?
   1. A 24-year-old who has a master’s degree in public health
   2. A 34-year-old who will be moving from a large city
   3. A 44-year-old who was born and raised in the community
   4. A 54-year-old who, until recently, was a member of the community’s school board

5. Which of the following best explains why every client doesn’t receive care from a case manager?
   1. Case management time is demanding; thus it is restricted to complex cases.
   2. Many health agencies do not employ case managers.
   3. Most clients would not benefit from case management.
   4. Most nurses do not know how to function as case managers.

6. The nurse suggests use of telehealth to access client is progressing. Which of the following resources must be available for continuing care to be implemented?
   1. A physician who is willing to use wireless prescriptions and plans of care
   2. Family permission for the nurse to make home visits
   3. Long-distance telephone service or a computer with Internet access
   4. Willingness of the caregiver to drive the client to the nearest clinic

7. A nurse is using a case management plan to maximize patient care outcomes. Which of the following describes an important consideration that should be made by the nurse?
   1. Case management plans should be used only by nurses to manage care.
   2. Case management plans should be individualized for each client.
   3. Case managements plans provide additional expense to the client and family.
   4. Case management plans focus on the natural progression of the disease.

8. A client spends a great deal of his time on the Internet or reading articles related to diabetes and its long-term effects. One day the client asks why the nurse has not suggested a life care plan. Which of the following would be the best response by the nurse?
   1. “Life care plans are only for young persons who are newly diagnosed.”
   2. “Life care plans are primarily used to determine long-term financial needs for legal reasons.”
   3. “You are receiving appropriate care for your diabetes without serious side effects, so a life care plan isn’t really appropriate.”
   4. “I was waiting for you to express interest in having a life care plan.”

9. Which of the following Medicaid clients would most likely receive case management?

1. 1. An elderly person

1. 2. A person receiving rehabilitation following an injury
   3. A person who has a high-cost chronic disease
   4. A person with acute illness

10. Which of the following best describes the goal or priority of the nurse advocate?
    1. To gain organizational and governmental support for the promotion of nursing objectives
    2. To improve community service needs identified by research findings
    3. To integrate evidence-based practice guidelines in the provision of community nursing service
    4. To promote the client’s rights and self-determination

11. A case manager advocates for a client by helping an insurer understand the client’s needs and desires and by helping the client understand programs and benefits offered by the insurer. What role is the nurse?
    1. Arbitrator
    2. Counselor
    3. Mediator
    4. Negotiator

12. A nurse reviews with the client what the client can expect during the next 3 days, as well as how the client should expect to feel each of those days. The client laughs and says, “You’ve got my care all mapped out.” Which of the following tools is the nurse using to determine what will happen when?
    1. Care planning
    2. Critical pathway
    3. Demand management
    4. Use management

13. A nurse, client, family, and other care providers meet to discuss what will be the best approach to use to continue care. Which of the following best describes why the nurse suggests changing the goal from obtaining appropriate long-term care placement to ensuring that the client’s convalescence is beneficial and safe?
    1. To consider all possible consequences of long-term care placement
    2. To encourage the group to review the client outcomes in the different settings
    3. To expand the goal so that different solutions can be generated and considered
    4. To help the group focus on the critical aspects the client’s family considered most important

14. The case manager explains to two disagreeing parties that coming to an agreement will save personnel costs for both of them. Which of the following terms best describes this action?
    1. Assertiveness
    2. Collaboration
    3. Cooperation
    4. Compromising

15. A nurse is using the problem identification phase of the case management process. To which of the following phases of the nursing process does this correspond?
    1. Assessment phase
    2. Diagnosis phase
    3. Planning phase

1. 4. Implementation phase

16. A nurse is completing a case management advocacy activity which corresponds to the implementation phase of the nursing process. Which of the following activities would the nurse most likely use?
    1. Asking the client what is most important
    2. Seeking appropriate referrals for the client
    3. Assuring the client that his wishes will be supported
    4. Determining the order in which actions will occur