CASE MANAGEMENT ACTUAL COMPLETE EXAM|
WITH ACCURATE QUESTIONS AND VERIFIED
ANSWERS|GRADED A
A nurse case manager must encompass a knowledge of the health care
environment with regards to what 4 aspects? Ans ✓✓✓ 1. Clinical
2. Business/Financial
3. Managerial
4. Professionalism
How are clinical pathways used in the case management process? (2)
Ans ✓✓✓ 1. Clinical pathways help case managers appropriately
manage a patient's care related to the admitting diagnosis
2. CP help to improve quality, decrease cost, manage length of stay and
avoid delays in care
How are clinical pathways used? (3) Ans ✓✓✓ 1. Permanent part of
medical record
2. Used in lieu of Care Plan and Orders
3. The nurse in charge and the attending physician will select the
appropriate on admission
How does the APRN follow up with transitional planning in the TCM
model? Ans ✓✓✓ The APRN visits after discharge from the hospital,
reaches out to patients by phone, and follows up on post-discharge care.
The accompany patients on their first visit to their primary care provider
post-discharge, and communicates with the PCP to ensure that important
,information has been exchanged. They also assist the patient in
identifying early signs and symptoms of worsening condition.
In the BOOST model, what method is used in patient education and
discharge instructions? Ans ✓✓✓ Uses the teach-back method
In the clinical setting, what type of assessment does the case manager
perform? Ans ✓✓✓ Patient and family interview and review of medical
record
In the CTI model of transition planning, does the coach assume home
care of case management responsibilites? Ans ✓✓✓ No, the coach
initiates contact while the patient is in the hospital, obtains patient
consent to participate, and completes a home visit 72 hours post-
discharge. They then complete three phone calls after the home visit that
focus on follow-up care with the primary care provider, medications,
and other support services.
In what settings are we now finding case management now that it has
moved past the acute care setting? (5) Ans ✓✓✓ 1. Home health
agencies
2. Physician practices
3. Medical respite programs
4. Faith based programs
5. Independent case management consulting firms
, What are 3 advantages of clinical pathways? Ans ✓✓✓ 1. Enhances
interdisciplinary collaboration
2. Helps to reduce unnecessary variations in patient care and outcomes,
improving quality
3. A tool to incorporate local and national guidelines into everyday
practices
What are 4 roles of the case manager in managing business/financial
concerns? Ans ✓✓✓ 1. Ensure that the level of care is appropriate and
services are medically necessary
2. Proactively identify delays in care, delays in discharge and risk of
readmission
3. Maintain competence of utilization review (inpatient vs. observation
status)
4. Document avoidable delays/days
What are 5 key functions and responsibilities of a case manager? Ans
✓✓✓ 1. Coordination and facilitation of care
2. Utilization and resource management
3. Tracking of avoidable delays
4. Transitional and discharge planning
5. Quality and process improvement
What are 5 key points that the case manager is responsible for in
instituting professionalism in the profession? Ans ✓✓✓ 1. Integrate
high ethical standards and core values
WITH ACCURATE QUESTIONS AND VERIFIED
ANSWERS|GRADED A
A nurse case manager must encompass a knowledge of the health care
environment with regards to what 4 aspects? Ans ✓✓✓ 1. Clinical
2. Business/Financial
3. Managerial
4. Professionalism
How are clinical pathways used in the case management process? (2)
Ans ✓✓✓ 1. Clinical pathways help case managers appropriately
manage a patient's care related to the admitting diagnosis
2. CP help to improve quality, decrease cost, manage length of stay and
avoid delays in care
How are clinical pathways used? (3) Ans ✓✓✓ 1. Permanent part of
medical record
2. Used in lieu of Care Plan and Orders
3. The nurse in charge and the attending physician will select the
appropriate on admission
How does the APRN follow up with transitional planning in the TCM
model? Ans ✓✓✓ The APRN visits after discharge from the hospital,
reaches out to patients by phone, and follows up on post-discharge care.
The accompany patients on their first visit to their primary care provider
post-discharge, and communicates with the PCP to ensure that important
,information has been exchanged. They also assist the patient in
identifying early signs and symptoms of worsening condition.
In the BOOST model, what method is used in patient education and
discharge instructions? Ans ✓✓✓ Uses the teach-back method
In the clinical setting, what type of assessment does the case manager
perform? Ans ✓✓✓ Patient and family interview and review of medical
record
In the CTI model of transition planning, does the coach assume home
care of case management responsibilites? Ans ✓✓✓ No, the coach
initiates contact while the patient is in the hospital, obtains patient
consent to participate, and completes a home visit 72 hours post-
discharge. They then complete three phone calls after the home visit that
focus on follow-up care with the primary care provider, medications,
and other support services.
In what settings are we now finding case management now that it has
moved past the acute care setting? (5) Ans ✓✓✓ 1. Home health
agencies
2. Physician practices
3. Medical respite programs
4. Faith based programs
5. Independent case management consulting firms
, What are 3 advantages of clinical pathways? Ans ✓✓✓ 1. Enhances
interdisciplinary collaboration
2. Helps to reduce unnecessary variations in patient care and outcomes,
improving quality
3. A tool to incorporate local and national guidelines into everyday
practices
What are 4 roles of the case manager in managing business/financial
concerns? Ans ✓✓✓ 1. Ensure that the level of care is appropriate and
services are medically necessary
2. Proactively identify delays in care, delays in discharge and risk of
readmission
3. Maintain competence of utilization review (inpatient vs. observation
status)
4. Document avoidable delays/days
What are 5 key functions and responsibilities of a case manager? Ans
✓✓✓ 1. Coordination and facilitation of care
2. Utilization and resource management
3. Tracking of avoidable delays
4. Transitional and discharge planning
5. Quality and process improvement
What are 5 key points that the case manager is responsible for in
instituting professionalism in the profession? Ans ✓✓✓ 1. Integrate
high ethical standards and core values
