Chapter 12 Care Management Case Management and Home Healthcare Test Guide Questions and Answers 100%

Chapter 12 Care Management Case Management and Home Healthcare
Test Guide Questions and Answers 100%


1. 1. The nurse discusses home care options with an 85-year-
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old client who recently fractured her humerus in a fall in her house. She is recovering well
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pnow but says the experience has made her see that it is time for her to change her living arra
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ngements.The client can still bathe herself and cook meals on occasion but says she woul
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d like to live where nursing care is available onsite and where communal dining and recreat
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ion options are offered. Which of the following living arrangements could the nurse recom
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mend?

A) Assisted living facility p p



B) Independent living in a senior living facility p p p p p p



C) Nursing home p



D) Apartment located near a hospital: Ans: A. p p p p p p



Feedback: Assisted living is a type of community-based care that combines quasi-in-
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dependent living with the availability of nursing care onsite and through home care visits. It is
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generally a level of care for people who cannot live on their own, but are not yet ready for a nur
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sing home. This type of living arrangement is different from living independently in one's own a
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partment, such as living in a senior living facility, in that many activities are provided commun
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ally (e.g., eating, recreation) and there is an organized effort to create a "caring community" w
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here residents' needs are supervised and met.
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2. 2. A community care nurse at a healthcare agency assists in coordinating a plan for provi
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ding health services in the most cost-
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effective way possible to a large number of members living in the region. This work is kno
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wn as: p




A) Case management p



B) Home healthcare p



C) Interdisciplinary collaboration p



D) Care management: Ans: D p p p


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,Feedback: Care management is the coordination of a plan or process to bring health services to
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gether as a common whole in a cost-
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effective way. Case management is the development and coordination of care for a selected
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client and family. Home healthcare is a provision of healthcare that occurs in the setting clien
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ts consider their home. Interdisciplinary collaboration is the sharing of evidenced-
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based practice and skills as an integration strategy with clients and families in homes and oth
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er healthcare settings.
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3. 3. The case manager works with a client who has type 2 diabetes and heart disease. In t
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his role, which actions should the nurse take in managing the client's diseases? (Select al
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l that apply.)
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2p/p
17

, A) Provide weekly coaching sessions by telephone for blood glucose manage- ment.
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B) Supervise cardiac stress tests in the exercise room of the local hospital. p p p p p p p p p p p



C) Administer emergency insulin when the client arrives at the hospital in a diabetic co p p p p p p p p p p p p p



ma.
D) Demonstrate use of a glucose meter to the client. p p p p p p p p



E) Review heart-healthy and diabetic- p p p



friendly food options with the client and his family.: Ans: A, D, E
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Feedback: Disease management often focuses on chronic illness such as heart disease, hear
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t failure, diabetes, pulmonary disease, urinary incontinence, and asth-
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pma. In disease management programs, in addition to medications, there is strong emphasis o
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n the use of telephone coaching, Internet resources, and intensive client and family teaching to
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advance self- p



care and adherence to wellness care. Recently, to help clients and families manage their health
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problems in an effective and efficient manner, there has been an effort to bundle disease state
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s together in light of many comorbidity patterns. Supervising a cardiac stress test and adminis
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tering emer- p



pgency glucose are clinical interventions that go beyond basic disease management.
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4. 4. The case manager works with a 10-year-
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old girl who has asthma. Because the client's family has trouble affording inhalers, the case
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manager researches client assistance programs through which they could receive free m
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edica- tions. This aspect of case management is known as:
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A) Care management p



B) Advocacy
C) Disease management p



D) Interdisciplinary collaboration: Ans: B p p p



Feedback: Advocacy is always moving the needs of clients, families, and communi-
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ties to a point of awareness that will advance change and increase quality of a life and experie
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nce. Care management is the coordination of a plan or process to bring health services togeth
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er as a common whole in a cost-effective way. Disease man-
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agement is a system of coordinated healthcare interventions and communications for group
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3p/p
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