MANAGEMENT COMPREHENSIVE EXAM 2026
◉ Who can occupy case management positions? Answer:
Professionals such as nurses, social workers, or various therapists.
◉ What is a key responsibility of case managers? Answer: To be
knowledgeable about resources available to patients.
◉ How do case managers help contain healthcare costs? Answer: By
coordinating patient care to avoid unnecessary doctor visits and
finding lower-cost options for medications.
◉ What elements must a case manager implement for successful
patient care? Answer: Review the patient's chart, determine needed
care adjuncts, and ensure effective communication with the patient
and care team.
◉ What is the role of a case manager in a collaborative practice
team? Answer: To coordinate care among multiple disciplines and
ensure the patient plan of care is based on team recommendations.
,◉ What are the four essential elements of Clinical Pathways?
Answer: 1. Timeline of care, 2. Categories of care and interventions,
3. List of outcomes, 4. Variance record.
◉ What is the goal of disease management? Answer: To improve the
quality of care for patients with chronic conditions through
education and better management.
◉ How do disease management protocols assist patients? Answer:
By suggesting preventive health measures to avoid worsening
chronic conditions.
◉ What are the four functions of management? Answer: Planning,
organizing, directing, and controlling.
◉ Why is planning considered a critical function for nurse
managers? Answer: It ensures resources are available to meet
organizational goals and aligns with the organization's mission.
◉ What must nurse managers consider during the organizing
function? Answer: They must be aware of the work to be completed
and ensure the correct resources are used.
◉ What can happen if a nurse manager is unaware of facility
policies? Answer: They may place staff in positions that do not
,comply with organizational regulations, such as assigning new
graduate RNs to the ICU without proper experience.
◉ What is the difference between managers and leaders in
healthcare? Answer: Managers are typically assigned roles and focus
on meeting organizational goals, while leaders assume roles and
inspire others.
◉ What is the significance of communication in case management?
Answer: Effective communication is essential for coordinating care
and ensuring all team members are informed about the patient's
status.
◉ How can case managers educate patients about their conditions?
Answer: By providing information on managing their health at home
and using the correct equipment or medications.
◉ What is the purpose of a variance record in Clinical Pathways?
Answer: To document reasons why a patient did not receive
scheduled interventions or why they are not progressing towards
goals.
◉ What is a common characteristic of complex patient cases
managed by case managers? Answer: They often require
coordination among multiple healthcare providers and resources.
, ◉ What is the importance of understanding a patient's disease
process for a case manager? Answer: It helps in creating an effective
and personalized care plan for the patient.
◉ What role does collaboration play in case management? Answer:
It allows the case manager to integrate insights from various
healthcare disciplines to enhance patient care.
◉ What is the expected outcome of effective case management?
Answer: Improved patient outcomes and reduced healthcare costs.
◉ What can case managers do to prevent unnecessary emergency
room visits? Answer: Educate patients on managing their chronic
conditions and using appropriate home care.
◉ Why is it important for case managers to review daily progress
notes? Answer: To stay updated on the patient's condition and
adjust care plans as necessary.
◉ What is the relationship between case management and
interdisciplinary teams? Answer: Case managers work within
interdisciplinary teams to coordinate comprehensive care for
patients.