NUR2502 EXAM 2 MDC3
MULTIDIMENSIONAL CARE 3 EXAM SCRIPT
TESTED QUESTIONS WITH ACCURATE
ANSWERS PRACTICE REVIEW
⩥ Responsibilities of case management.
Answer: Assessing clients, their homes, and their communities
Coordinating and planning client care
Collaborating with other healthcare professionals
Monitoring client's progress
Evaluating client outcomes
Advocacy
⩥ Case management advocacy.
Answer: No two client situations are identical.
Family dynamics can be difficult to work around.
The case manager's top priority is to ensure that the client is ultimately
discharged to a safe environment. This can mean not allowing the client
to return home with his/her family.
Sometimes the RN CM has the responsibility of almost playing referee
with family members.
The RN CM acts as a go-between with the MD, patient, and family.
,⩥ Special populations.
Answer: Disabilities or multiple chronic conditions
Mental illness or substance abuse
Cultural, racial, and ethnic minorities
Rural and urban poor
Undocumented immigrants
⩥ Disease management.
Answer: Comprehensive, integrated approach to care and reimbursement
of high-cost chronic illness
Goal is to address conditions with maximum efficiency across treatment
settings.
Early detection & early intervention
Prevents acute episodes/exacerbations
Focus is on populations of patients, rather than individuals
⩥ Requirements for Disease Management.
Answer: Multidisciplinary team
Standardized clinical guidelines called critical pathways
Critical pathways- standardized plan that helps track care to clients with
similar, predicable medical conditions.
Integrated data management
,Case manager/care coordinator
⩥ What is risk management.
Answer: Broadly- it is the identification, assessment and prioritization of
risks.
In healthcare- a means to reduce injury to patients, staff members and
visitors to a healthcare organization.
Risk managers work PRO-ACTIVELY to prevent an incident and
REACTIVELY to minimize damages after an event.
What can you do?
⩥ Types of law.
Answer: Criminal
Civil
Administrative
⩥ Criminal laws.
Answer: charges filed by state or federal attorney general for crimes
committed against individual or society
Guilty verdict- usually results in incarceration, probation, and/or fines.
Burden of proof- individual must be proven guilty beyond a reasonable
doubt
, ⩥ Civil laws.
Answer: one individual sues another for money to compensate for
perceived loss
Guilty verdict- monetary damages
Burden of proof- based on preponderance if evidence
⩥ Administrative laws.
Answer: individual is sued by state or federal government agency (ex.
State board of nursing)
Guilty verdict- suspension or loss of license
Burden of proof- Clear and convincing standard
⩥ Important terms of malpractice.
Answer: Negligence- the omission to do something that a reasonable
person would do (or doing something a reasonable person would not
do.)
Malpractice- failure of a person with professional training to act in a
legal or prudent manner. Also known as professional negligence.
Reasonable and prudent- the average judgement, foresight, intelligence
and skill that would be expected of a person with similar training and
judgement.
⩥ 5 components of negligence.
Answer: Duty to use due care
MULTIDIMENSIONAL CARE 3 EXAM SCRIPT
TESTED QUESTIONS WITH ACCURATE
ANSWERS PRACTICE REVIEW
⩥ Responsibilities of case management.
Answer: Assessing clients, their homes, and their communities
Coordinating and planning client care
Collaborating with other healthcare professionals
Monitoring client's progress
Evaluating client outcomes
Advocacy
⩥ Case management advocacy.
Answer: No two client situations are identical.
Family dynamics can be difficult to work around.
The case manager's top priority is to ensure that the client is ultimately
discharged to a safe environment. This can mean not allowing the client
to return home with his/her family.
Sometimes the RN CM has the responsibility of almost playing referee
with family members.
The RN CM acts as a go-between with the MD, patient, and family.
,⩥ Special populations.
Answer: Disabilities or multiple chronic conditions
Mental illness or substance abuse
Cultural, racial, and ethnic minorities
Rural and urban poor
Undocumented immigrants
⩥ Disease management.
Answer: Comprehensive, integrated approach to care and reimbursement
of high-cost chronic illness
Goal is to address conditions with maximum efficiency across treatment
settings.
Early detection & early intervention
Prevents acute episodes/exacerbations
Focus is on populations of patients, rather than individuals
⩥ Requirements for Disease Management.
Answer: Multidisciplinary team
Standardized clinical guidelines called critical pathways
Critical pathways- standardized plan that helps track care to clients with
similar, predicable medical conditions.
Integrated data management
,Case manager/care coordinator
⩥ What is risk management.
Answer: Broadly- it is the identification, assessment and prioritization of
risks.
In healthcare- a means to reduce injury to patients, staff members and
visitors to a healthcare organization.
Risk managers work PRO-ACTIVELY to prevent an incident and
REACTIVELY to minimize damages after an event.
What can you do?
⩥ Types of law.
Answer: Criminal
Civil
Administrative
⩥ Criminal laws.
Answer: charges filed by state or federal attorney general for crimes
committed against individual or society
Guilty verdict- usually results in incarceration, probation, and/or fines.
Burden of proof- individual must be proven guilty beyond a reasonable
doubt
, ⩥ Civil laws.
Answer: one individual sues another for money to compensate for
perceived loss
Guilty verdict- monetary damages
Burden of proof- based on preponderance if evidence
⩥ Administrative laws.
Answer: individual is sued by state or federal government agency (ex.
State board of nursing)
Guilty verdict- suspension or loss of license
Burden of proof- Clear and convincing standard
⩥ Important terms of malpractice.
Answer: Negligence- the omission to do something that a reasonable
person would do (or doing something a reasonable person would not
do.)
Malpractice- failure of a person with professional training to act in a
legal or prudent manner. Also known as professional negligence.
Reasonable and prudent- the average judgement, foresight, intelligence
and skill that would be expected of a person with similar training and
judgement.
⩥ 5 components of negligence.
Answer: Duty to use due care
