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Chapter 25: Case Management Nurse Exam Questions and Answers Latest Updated

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Chapter 25: Case Management Nurse Exam Questions and Answers Latest Updated 1.x Ax nursex whox isx usingx populationx managementx needsx tox bex ablex tox workx withx integratedx c arex deliveryx systems.x Whichx ofx thex followingx describesx thex rationalex forx thisx competency? a.x Managementx hasx shiftedx fromx inpatientx carex tox primaryx carex providersx asx pointsx of entry. b.x Emphasisx isx onx episodicx illnessx carex forx individualsx ratherx thanx onx population management. c.x Carex managementx servicesx andx programsx dox notx providex accessx andx accountability, asx providedx byx casex managementx services. d.x Assessmentx ofx thex needsx ofx thex populationx isx nox longerx necessary.x x CORRECTx ANSWER-ANS:x A Managementx hasx shiftedx fromx inpatientx carex asx ax pointx ofx entryx tox primaryx carex providersx a sx pointsx ofx entry.x Thex otherx statementsx arex false. DIF:x Cognitivex level:x Analyzingx TOP:x Nursingx process:x Implementation MSC:x NCLEX:x Safex andx Effectivex Carex Environment:x Managementx ofx Care 10.x Ax casex managerx hasx contactedx providersx andx hasx negotiatedx servicesx andx prices.x Whi chx ofx thex followingx phasesx ofx thex nursingx processx isx beingx demonstrated?

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Institution
Case Management Nurse
Course
Case Management Nurse

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Chapter 25: Case Management Nurse
Exam Questions and Answers Latest
Updated

1.xAxnursexwhoxisxusingxpopulationxmanagementxneedsxtoxbexablextoxworkxwithxintegratedxc
arexdeliveryxsystems.xWhichxofxthexfollowingxdescribesxthexrationalexforxthisxcompetency?
a.xManagementxhasxshiftedxfromxinpatientxcarextoxprimaryxcarexprovidersxasxpointsxof
entry.
b.xEmphasisxisxonxepisodicxillnessxcarexforxindividualsxratherxthanxonxpopulation
management.
c.xCarexmanagementxservicesxandxprogramsxdoxnotxprovidexaccessxandxaccountability,
asxprovidedxbyxcasexmanagementxservices.
d.xAssessmentxofxthexneedsxofxthexpopulationxisxnoxlongerxnecessary.x-
xCORRECTxANSWER-ANS:xA

Managementxhasxshiftedxfromxinpatientxcarexasxaxpointxofxentryxtoxprimaryxcarexprovidersxa
sxpointsxofxentry.xThexotherxstatementsxarexfalse.
DIF:xCognitivexlevel:xAnalyzingxTOP:xNursingxprocess:xImplementation
MSC:xNCLEX:xSafexandxEffectivexCarexEnvironment:xManagementxofxCare

10.xAxcasexmanagerxhasxcontactedxprovidersxandxhasxnegotiatedxservicesxandxprices.xWhi
chxofxthexfollowingxphasesxofxthexnursingxprocessxisxbeingxdemonstrated?
a.xAssessment
b.xDiagnosis
c.xPlanning/outcome
d.xImplementationx-xCORRECTxANSWER-ANS:xD
Theximplementationxphasexofxthexnursingxprocessxoccursxwhenxaxcasexmanagerxadvocate
sxforxclients'xinterestsxandxarrangesxforxthexdeliveryxofxservice.xExamplesxofxassessmentxin
cludexdevelopingxnetworksxwithxtargetxpopulationsxandxdisseminationxofxwrittenxmaterials.x
Diagnosisxincludesxthexidentificationxofxaxproblem/opportunity.xExamplesxofxactivitiesxused
xduringxthexdiagnosisxphasexincludexholdingxconferences,xdeterminingxconclusionsxonxthex

basisxofxassessment,xandxusingxinterprofessionalxteams.xExamplesxofxplanningxforxoutcom
esxincludexvalidatingxandxprioritizingxproblemsxandxselectingxevidence-
basedxinterventions.
DIF:xCognitivexlevel:xApplyingxTOP:xNursingxprocess:xImplementation
MSC:xNCLEX:xSafexandxEffectivexCarexEnvironment:xManagementxofxCare

11.xAxcasexmanagerxusesxeffectivexcollaborationxandxteamxstrategiesxtoxarrangexforxservic
es.xWhichxofxthexfollowingxrolesxisxbeingxapplied?
a.xBroker
b.xNegotiator

, c.xLiaison
d.xFacilitatorx-xCORRECTxANSWER-ANS:xB
Thexcasexmanagerxwhoxusesxeffectivexcollaborationxandxteamxstrategiesxtoxmake
arrangementsxforxservicesxisxperformingxthexrolexofxnegotiator.xThexrolexofxbrokerxisxusedxw
henxactingxasxanxagentxforxproviderxservicesxthatxarexneededxbyxclientsxtoxstayxwithinxcover
agexaccordingxtoxbudgetxandxcostxlimitsxofxthexhealthxcarexplan.xWhenxactingxasxaxliaison,xt
hexnursexprovidesxaxformalxcommunicationxlinkxamongxallxpartiesxconcerningxthexplanxofxca
rexmanagement.xAsxaxfacilitator,xthexnursexsupportsxallxpartiesxinxworkxtowardxmutualxgoals
.
DIF:xCognitivexlevel:xApplyingxTOP:xNursingxprocess:xImplementation
MSC:xNCLEX:xSafexandxEffectivexCarexEnvironment:xManagementxofxCare

12.xAxcasexmanagerxprovidesxaxformalxcommunicationxlinkxamongxallxpartiesxconcerningxth
explanxofxcarexmanagement.xWhichxofxthexfollowingxrolesxofxthexnursexisxbeingximplemente
d?
a.xFacilitator
b.xLiaison
c.xCoordinator
d.xNegotiatorx-xCORRECTxANSWER-ANS:xB
Thexcasexmanagerxprovidingxaxformalxcommunicationxlinkxamongxallxpartiesxconcerningxth
explanxofxcarexmanagementxisxperformingxthexrolexofxliaison.xAsxaxfacilitator,xthexnurse
supportsxallxpartiesxinxworkxtowardxmutualxgoals.xWhenxworkingxasxaxcoordinator,xthexcasex
managerxarranges,xregulates,xandxcoordinatesxneededxhealthxcarexservicesxforxclientsxatxa
llxnecessaryxpointsxofxservices.xThexcasexmanagerxwhoxusesxeffectivexcollaborationxandxte
amxstrategiesxtoxarrangexforxservicesxisxperformingxthexrolexofxnegotiator.
DIF:xCognitivexlevel:xApplyingxTOP:xNursingxprocess:xImplementation
MSC:xNCLEX:xSafexandxEffectivexCarexEnvironment:xManagementxofxCare

13.xAxcasexmanagerxisxfulfillingxthexrolexofxcoordinator.xWhichxofxthexfollowingxnursing
interventionsxwouldxmostxlikelyxbexcompleted?
a.xProvidingxinformationxtoxallxpartiesxaboutxthexsituationsxaffectingxthexclient
b.xEducatingxthexclientxandxprovidersxinxorderxtoxmakexinformedxdecisions
c.xSupportingxallxpartiesxtoxworkxtowardxmutualxgoals
d.xArranging,xregulating,xandxbalancingxneededxhealthxservicesxforxthexclientx-
xCORRECTxANSWER-ANS:xD

Thexrolexofxcoordinatorxisxfulfilledxwhenxthexnursexarranges,xregulates,xandxbalancesxneed
edxhealthxservicesxforxthexclient.xProvidingxinformationxtoxallxpartiesxaboutxthexclient'sxsituat
ionxisxthexrolexofxthexmonitor/reporter.xEducatingxthexclientxandxproviderxinxorderxtoxmakexinf
ormedxdecisionsxisxthexrolexofxeducatorxandxsupportingxallxpartiesxtoxworkxtowardxmutualxg
oalsxisxthexrolexofxfacilitator.
DIF:xCognitivexlevel:xApplyingxTOP:xNursingxprocess:xImplementation
MSC:xNCLEX:xSafexandxEffectivexCarexEnvironment:xManagementxofxCare

14.xWhichxknowledgexdomainsxarexusedxinxcasexmanagement?
a.xLegalxissues,xmalpracticexrecognition,xandxcommunityxinvolvement
b.xTeaching,xcounseling,xandxeducationxskills

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