Foundations of Nursing in the Community 4e by Marcia Stanhope
Foundations of Nursing in the Community 4e by Marcia Stanhope
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Chapter 13: Case Management
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | A tool of health maintenance organizations |
| b. | Targeted toward a specific segment of the population |
| c. | Implemented with individual clients |
| d. | Used to monitor the health status, resources, and outcomes for an aggregate |
ANS:Â C
Case management, in contrast to the definition of care management, involves activities implemented with individual clients in the system.
DIF:Â Â Â Cognitive Level: Remember (Knowledge)Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â REF:Â Â p. 233
| a. | Because today’s clients have high expectations of the health care system |
| b. | Because multiple providers, payers, and settings have to be coordinated |
| c. | Because of the new high technology constantly being created and used for client treatment |
| d. | Because so many different health care providers are in the acute care setting today |
ANS:Â B
Case management practice is complex because of the coordinating activities of multiple providers, payers, and settings throughout a client’s continuum of care.
DIF:Â Â Â Cognitive Level: Understand (Comprehension)Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â REF:Â Â p. 233
| a. | Clients are not sure which provider to see first. |
| b. | Health care providers have to make referrals to other providers. |
| c. | Clients sometimes are not sure who their primary provider is. |
| d. | Overuse, underuse, or gaps in care may result. |
ANS:Â D
A particularly challenging problem is the fragmenting of services, which can result in overuse, underuse, gaps in care, and miscommunication.
DIF:Â Â Â Cognitive Level: Understand (Comprehension)Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â REF:Â Â pp. 233-234
| a. | A 24-year-old who has a master’s degree in public health |
| b. | A 34-year-old who will be moving from a large city |
| c. | A 44-year-old who was born and raised in the community |
| d. | A 54-year-old who, until recently, was a member of the community’s school board |
ANS:Â B
Case management competency requires the following knowledge and skills: knowledge of community resources and financing methods; written and oral communication and documentation skills; negotiation and conflict-resolution skills; critical-thinking processes to identify and prioritize problems from the provider and client views; and identification of best resources for the desired outcomes. Because communities are unique, someone new to the area will lack knowledge of community resources and financing methods. There is nothing in the descriptions of the other public health nurses that indicates a lack of current knowledge or skills.
DIF:Â Â Â Cognitive Level: Apply (Application)Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â REF:Â Â pp. 233-234
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