Chapter 25: Case Management
Stanhope: Public Health Nursing: Population-Centered Health Care in the
Community, 10th Edition
MULTIPLE CHOICE
1. A nurse who is using population management needs to be able to work with integrated care
delivery systems. Which of the following describes the rationale for this competency?
a. Management has shifted from inpatient care to primary care providers as points of
entry.
b. Emphasis is on episodic illness care for individuals rather than on population
management.
c. Care management services and programs do not provide access and accountability,
as provided by case management services.
d. Assessment of the needs of the population is no longer necessary.
ANS: A
Management has shifted from inpatient care as a point of entry to primary care providers as
points of entry. The other statements are false.
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. A nurse is using population management as part of the nursing care that is provided. Which
of the following activities is the nurse most likely completing?
a. Census taking to determineNURtheSItotal
NGTnumber
B.COofMpeople in the population
b. Assessing the needs of the client population through compilation of health histories
c. Providing case management services for every citizen in the community
d. Selecting programs for wellness that are repeated annually
ANS: B
Population management involves assessing the needs of the client population through health
histories, claims, use-of-service patterns, and risk factors. Population management does not
include census taking, providing case management services for all, or repeating wellness
programs on an annual basis.
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
3. An enduring process in which a manager establishes systems and monitors the health status,
resources, and outcomes for a targeted aggregate of the population is referred to by what
term?
a. Case management
b. Care management
c. Disease management
d. Demand management
ANS: B
NURSINGTB.COM
, Public Health Nursing 10th Edition Stanhope Test Bank
Care management is an enduring process in which a manager establishes systems and
monitors the health status, resources, and outcomes for a targeted aggregate of the
population. Case management is defined as a collaborative process of assessment, planning,
facilitation, care coordination, evaluation, and advocacy for options and services to facilitate
an individual’s and family’s comprehensive health needs through communication and
available resources to promote quality cost-effective outcomes. Disease management
constitutes systematic activities to coordinate health care interventions and communications
for populations with disease conditions in which client self-care efforts are significant.
Demand management seeks to control use by providing clients with correct information and
education strategies to make healthy choices, to use healthy and health-seeking behaviors to
improve their health status, and to make fewer demands on the health care system.
DIF: Cognitive level: Remembering TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. A patient with a long history of asthma with many hospital admissions is referred to a case
manager for disease management. Which of the following best describes the purpose of this
referral?
a. Chronic and costly disease conditions that require long-term care interventions
b. Patients who cannot handle their disease
c. Those who seek to control use by providing clients with correct information
d. Patients who will need an advanced practice nurse instead of physician for
monitoring
ANS: A
Disease management activities target chronic and costly disease conditions that require
NUDemand
long-term care interventions. RSINGmanagement
TB.COM seeks to control use by providing clients
with correct information. Patients who cannot handle their disease or who need an advanced
practice nurse instead of a physician do not explain the referral to disease management.
DIF: Cognitive level: Applying TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
5. A nurse is assisting clients to improve their health status. Which of the following types of
management is being used by the nurse?
a. Care management
b. Case management
c. Disease management
d. Demand management
ANS: D
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