Chapter 25: Case Management Final Test Exam Questions and Correct Solutions
1. 1. A nurse who is using population management needs to be able to work with integrated care
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zdelivery systems.Which of the following describes the rationale for this competency?
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a. Management has shifted from inpatient care to primary care providers as points of z z z z z z z z z z z z
entry.
b. Emphasis is on episodic illness care for individuals rather than on popula- tion
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management.
c. Care management services and programs do not provide access and ac- countability,
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as provided by case management services.
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d. Assessment of the needs of the population is no longer necessary.: ANS: A Management has shi
z z z z z z z z z z z z z z z
fted from inpatient care as a point of entry to primary care providers as points of entry. The other stateme
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nts are false.
z z
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation MSC: NCLEX: Safe an
z z z z z z z z z z z
d Effective Care Environment: Management of Care
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2. 2. A nurse is using population management as part of the nursing care that is provided. W
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hich of the following activities is the nurse most likely completing?
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a. Census taking to determine the total number of people in the population
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b. Assessing the needs of the client population through compilation of health histories
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c. Providing case management services for every citizen in the communityz z z z z z z z z
d. Selecting programs for wellness that are repeated annually: ANS: B Population management in
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volves assessing the needs of the client population through health histories, claims, use-of-
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service patterns, and risk factors.Population management does not include census taking, providing case
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management services for all, or repeating wellness programs on an annual basis.
z z z z z z z z z z z
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation MSC: NCLEX: Safe an
z z z z z z z z z z z
d Effective Care Environment: Management of Care
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3. 3. An enduring process in which a manager establishes systems and mon-
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zitors the health status, resources, and outcomes for a targeted aggregate of the population is ref
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erred to by what term? z z z z
a. Case management z
b. Care management z
c. Disease management z
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,d. Demand management: ANS: B
z z z
Care management is an enduring process in which a manager establishes systems
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, and
monitors the health status, resources, and outcomes for a targeted aggregate of the population. Case man
z z z z z z z z z z z z z z z
agement is defined as a collaborative process of assess-
z z z z z z z z
zment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to facilit
z z z z z z z z z z z z z
ate an individual's and family's comprehensive health needs through communication and available reso
z z z z z z z z z z z z
urces to promote quality cost-
z z z z
effective outcomes. Disease management constitutes systematic activities to coordinate health care int
z z z z z z z z z z z
erventions and communications for populations with disease condi- tions in which client self-
z z z z z z z z z z z z
care efforts are significant. Demand management seeks to control use by providing clients with correct inf
z z z z z z z z z z z z z z z
ormation and education strategies to make healthy choices, to use healthy and health-
z z z z z z z z z z z z
seeking behaviors to improve their health status, and to make fewer demands on the health care system.
z z z z z z z z z z z z z z z z
DIF: Cognitive level: Remembering TOP: Nursing process: Assessment
z z z z z z z
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
z z z z z z z z z
4. 4. A patient with a long history of asthma with many hospital admissions is referred to a case m
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anager for disease management.Which of the following best describes the purpose of this referr
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al?
a. Chronic and costly disease conditions that require long-term care interven- tions
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b. Patients who cannot handle their disease z z z z z
c. Those who seek to control use by providing clients with correct information
z z z z z z z z z z z
d. Patients who will need an advanced practice nurse instead of physician for monitoring: ANS: A
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Disease management activities target chronic and costly disease conditions that require
z z z z z z z z z z
long-term care interventions. Demand management seeks to control use by provid-
z z z z z z z z z z
zing clients with correct information. Patients who cannot handle their disease or who need an advanced pr
z z z z z z z z z z z z z z z z
actice nurse instead of a physician do not explain the referral to disease management.
z z z z z z z z z z z z z
DIF: Cognitive level: Applying TOP: Nursing process: Implementation MSC: NCLEX: Safe and
z z z z z z z z z z z
zEffective Care Environment: Management of Care z z z z z
5. 5. A nurse is assisting clients to improve their health status.Which of the following types of
z z z z z z z z z z z z z z z z z
management is being used by the nurse? z z z z z z
a. Care management z
b. Case management z
c. Disease management z
d. Demand management: ANS: D z z z
Demand management seeks to control use by providing clients with correct in-
z z z z z z z z z z z
3z/z23
1. 1. A nurse who is using population management needs to be able to work with integrated care
z z z z z z z z z z z z z z z z
zdelivery systems.Which of the following describes the rationale for this competency?
z z z z z z z z z z z
a. Management has shifted from inpatient care to primary care providers as points of z z z z z z z z z z z z
entry.
b. Emphasis is on episodic illness care for individuals rather than on popula- tion
z z z z z z z z z z z z
management.
c. Care management services and programs do not provide access and ac- countability,
z z z z z z z z z z z
as provided by case management services.
z z z z z
d. Assessment of the needs of the population is no longer necessary.: ANS: A Management has shi
z z z z z z z z z z z z z z z
fted from inpatient care as a point of entry to primary care providers as points of entry. The other stateme
z z z z z z z z z z z z z z z z z z z
nts are false.
z z
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation MSC: NCLEX: Safe an
z z z z z z z z z z z
d Effective Care Environment: Management of Care
z z z z z z
2. 2. A nurse is using population management as part of the nursing care that is provided. W
z z z z z z z z z z z z z z z z
hich of the following activities is the nurse most likely completing?
z z z z z z z z z z
a. Census taking to determine the total number of people in the population
z z z z z z z z z z z
b. Assessing the needs of the client population through compilation of health histories
z z z z z z z z z z z
c. Providing case management services for every citizen in the communityz z z z z z z z z
d. Selecting programs for wellness that are repeated annually: ANS: B Population management in
z z z z z z z z z z z z
volves assessing the needs of the client population through health histories, claims, use-of-
z z z z z z z z z z z z
service patterns, and risk factors.Population management does not include census taking, providing case
z z z z z z z z z z z z z z
management services for all, or repeating wellness programs on an annual basis.
z z z z z z z z z z z
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation MSC: NCLEX: Safe an
z z z z z z z z z z z
d Effective Care Environment: Management of Care
z z z z z z
3. 3. An enduring process in which a manager establishes systems and mon-
z z z z z z z z z z z
zitors the health status, resources, and outcomes for a targeted aggregate of the population is ref
z z z z z z z z z z z z z z z
erred to by what term? z z z z
a. Case management z
b. Care management z
c. Disease management z
1z/z23
,d. Demand management: ANS: B
z z z
Care management is an enduring process in which a manager establishes systems
z z z z z z z z z z z
2z/z23
, and
monitors the health status, resources, and outcomes for a targeted aggregate of the population. Case man
z z z z z z z z z z z z z z z
agement is defined as a collaborative process of assess-
z z z z z z z z
zment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to facilit
z z z z z z z z z z z z z
ate an individual's and family's comprehensive health needs through communication and available reso
z z z z z z z z z z z z
urces to promote quality cost-
z z z z
effective outcomes. Disease management constitutes systematic activities to coordinate health care int
z z z z z z z z z z z
erventions and communications for populations with disease condi- tions in which client self-
z z z z z z z z z z z z
care efforts are significant. Demand management seeks to control use by providing clients with correct inf
z z z z z z z z z z z z z z z
ormation and education strategies to make healthy choices, to use healthy and health-
z z z z z z z z z z z z
seeking behaviors to improve their health status, and to make fewer demands on the health care system.
z z z z z z z z z z z z z z z z
DIF: Cognitive level: Remembering TOP: Nursing process: Assessment
z z z z z z z
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
z z z z z z z z z
4. 4. A patient with a long history of asthma with many hospital admissions is referred to a case m
z z z z z z z z z z z z z z z z z z
anager for disease management.Which of the following best describes the purpose of this referr
z z z z z z z z z z z z z z
al?
a. Chronic and costly disease conditions that require long-term care interven- tions
z z z z z z z z z z
b. Patients who cannot handle their disease z z z z z
c. Those who seek to control use by providing clients with correct information
z z z z z z z z z z z
d. Patients who will need an advanced practice nurse instead of physician for monitoring: ANS: A
z z z z z z z z z z z z z z
Disease management activities target chronic and costly disease conditions that require
z z z z z z z z z z
long-term care interventions. Demand management seeks to control use by provid-
z z z z z z z z z z
zing clients with correct information. Patients who cannot handle their disease or who need an advanced pr
z z z z z z z z z z z z z z z z
actice nurse instead of a physician do not explain the referral to disease management.
z z z z z z z z z z z z z
DIF: Cognitive level: Applying TOP: Nursing process: Implementation MSC: NCLEX: Safe and
z z z z z z z z z z z
zEffective Care Environment: Management of Care z z z z z
5. 5. A nurse is assisting clients to improve their health status.Which of the following types of
z z z z z z z z z z z z z z z z z
management is being used by the nurse? z z z z z z
a. Care management z
b. Case management z
c. Disease management z
d. Demand management: ANS: D z z z
Demand management seeks to control use by providing clients with correct in-
z z z z z z z z z z z
3z/z23
