Chapter 12 Case Management

Chapter 12   Case Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) 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?

1. Cost containment and cost-efficiency.
2. Improved quality of life.
3. Decreased paperwork.
4. Financial viability.

Answer:  2

Explanation:  2. Improved quality of life is a client-centered goal or benefit of case management. Cost containment and cost-efficiency, decreased paperwork, and financial viability are system-centered goals or benefits of case management.

Nursing/Int.Conc:  Nursing Process: Planning

Client Need:  Safe and Effective Care Environment

Cognitive Level:  Application

Learning Outcome:  12-1

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

1. Reduced duplication of services.
2. Better coordination of care.
3. Access to affordable services.
4. Ability to function independently.

Answer:  1

Explanation:  1. A system-centered goal for case management is reducing the duplication and fragmentation of services. Better coordination of care, access to affordable services, and ability to function independently are client-centered goals or benefits of case management.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Safe and Effective Care Environment

Cognitive Level:  Application

Learning Outcome:  12-1

3) 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?

1. Negligence at the population level.
2. Breach of contract at the population level.
3. Abandonment at the individual level.
4. Variance of care at the individual level.

Answer:  1

Explanation:  1. Negligence is the failure to act in a situation as a reasonably prudent nurse would if faced with the same situation. Failure of a local health department to provide effective communicable disease control programs could be considered an example of negligence at the population level. Breach of contract occurs when a managed care organization drops a client from the plan without adequate justification or when the system fails to pay for care that should be covered by the plan. Abandonment occurs when the case manager terminates services to a client with continuing needs without notifying the client or arranging for services from another provider. Variances are deviations from the typical path, which is not the best description of this situation.

Nursing/Int.Conc:  Nursing Process: Evaluation

Client Need:  Safe and Effective Care Environment

Cognitive Level:  Analysis

Learning Outcome:  12-4

4) 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.)

1. History of drug abuse.
2. Homelessness.
3. Lack of insurance.
4. History of family violence.
5. Single parenthood.

Answer:  2, 3, 4, 5

Explanation:  2. Social indicators that show a need for case management include homelessness or an unhealthy home environment, being uninsured, evidence of family violence, and single parenthood. History of drug abuse is a personal indicator, not a social indicator.

3. Social indicators that show a need for case management include homelessness or an unhealthy home environment, being uninsured, evidence of family violence, and single parenthood. History of drug abuse is a personal indicator, not a social indicator.
4. Social indicators that show a need for case management include homelessness or an unhealthy home environment, being uninsured, evidence of family violence, and single parenthood. History of drug abuse is a personal indicator, not a social indicator.
5. Social indicators that show a need for case management include homelessness or an unhealthy home environment, being uninsured, evidence of family violence, and single parenthood. History of drug abuse is a personal indicator, not a social indicator.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  12-5