Stanhope Chapter 13 Test Quizzes
with Complete/verified Solutions.
1. Which of the following best describes case management?
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 - Answer
ANS: C
Case management, in contrast to the definition of care management, involves activities
implemented with individual clients in the system.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 233
2. Which of the following best describes why planning care for an individual is so challenging in
today's health care system?
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 - Answer
ANS: 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: Cognitive Level: Understand (Comprehension) REF: p. 233
3. Which of the following best describes the primary problem that can result from health care
today being given by many different care providers?
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. - Answer ANS: D
A particularly challenging problem is the fragmenting of services, which can result in overuse,
underuse, gaps in care, and miscommunication.
DIF: Cognitive Level: Understand (Comprehension) REF: pp. 233-234
4. Which of the following public health nurse applicants is the least qualified for a position of
case manager in a rural county?
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 - Answer
ANS: 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: Cognitive Level: Apply (Application) REF: pp. 233-234
5. Which of the following best explains why every client doesn't receive care from a case
manager?
a. Case management time is demanding; thus it is restricted to complex cases.
b. Many health agencies do not employ case managers.
c. Most clients would not benefit from case management.
d. Most nurses do not know how to function as case managers. - Answer ANS: A
Case management can be labor intensive, time consuming, and costly. Because of the increasing
number of clients with complex problems in nurses' caseloads, the intensity and duration of
activities required to support the case management function may soon exceed the demands
that the direct caregiver can meet.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 235
6. The nurse suggests use of telehealth to assess how a client is progressing. Which of the
following resources must be available for continuing care to be implemented?
a. A physician who is willing to use wireless prescriptions and plans of care
b. Family permission for the nurse to make home visits
c. Long-distance telephone service or a computer with Internet access
d. Willingness of the caregiver to drive the client to the nearest clinic - Answer ANS: C
Telehealth is an organized health care delivery approach to triage and to provide advice,
counseling, and referral for a client's health problem using phones or computers with cameras.
The client is usually in the home, and the nurse is at an office, health care facility, or phone bank
location.
DIF: Cognitive Level: Apply (Application) REF: p. 235
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?
with Complete/verified Solutions.
1. Which of the following best describes case management?
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 - Answer
ANS: C
Case management, in contrast to the definition of care management, involves activities
implemented with individual clients in the system.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 233
2. Which of the following best describes why planning care for an individual is so challenging in
today's health care system?
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 - Answer
ANS: 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: Cognitive Level: Understand (Comprehension) REF: p. 233
3. Which of the following best describes the primary problem that can result from health care
today being given by many different care providers?
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. - Answer ANS: D
A particularly challenging problem is the fragmenting of services, which can result in overuse,
underuse, gaps in care, and miscommunication.
DIF: Cognitive Level: Understand (Comprehension) REF: pp. 233-234
4. Which of the following public health nurse applicants is the least qualified for a position of
case manager in a rural county?
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 - Answer
ANS: 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: Cognitive Level: Apply (Application) REF: pp. 233-234
5. Which of the following best explains why every client doesn't receive care from a case
manager?
a. Case management time is demanding; thus it is restricted to complex cases.
b. Many health agencies do not employ case managers.
c. Most clients would not benefit from case management.
d. Most nurses do not know how to function as case managers. - Answer ANS: A
Case management can be labor intensive, time consuming, and costly. Because of the increasing
number of clients with complex problems in nurses' caseloads, the intensity and duration of
activities required to support the case management function may soon exceed the demands
that the direct caregiver can meet.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 235
6. The nurse suggests use of telehealth to assess how a client is progressing. Which of the
following resources must be available for continuing care to be implemented?
a. A physician who is willing to use wireless prescriptions and plans of care
b. Family permission for the nurse to make home visits
c. Long-distance telephone service or a computer with Internet access
d. Willingness of the caregiver to drive the client to the nearest clinic - Answer ANS: C
Telehealth is an organized health care delivery approach to triage and to provide advice,
counseling, and referral for a client's health problem using phones or computers with cameras.
The client is usually in the home, and the nurse is at an office, health care facility, or phone bank
location.
DIF: Cognitive Level: Apply (Application) REF: p. 235
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?
