MANAGING CARE EXAM 2025
QUESTIONS AND ANSWERS
a,b,d,e
(Rationale
When nurses embrace the expectations of care coordination, care will be provided that is
reliable, accessible, of the highest quality, and at the lowest cost. Rationing of care is not an
expectation of care coordination.) - ANS The nurse manager is evaluating care coordination
actions performed by the nursing staff. Which outcomes indicate that the nursing staff's actions
have been effective?
(Select all that apply.)
a Care is reliable.
b Care is of the highest quality.
c Care is being rationed.
d Care is being provided at the lowest cost.
e Care is readily accessible.
a,b,c,d
(Rationale
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,Care that is not coordinated can lead to fragmented services, medical errors, and unnecessary
duplication of tests, services, and treatments, as well as to omission of necessary services.
Collaboration can be initiated by the client, family member, or a member of the health care
team.) - ANS The nurse manager is concerned that client care coordination was not
successful. On which observations did the nurse manager base this concern?
(Select all that apply.)
a The client's abdominal wound dressing was changed twice in one shift.
b The client's fasting blood glucose level was drawn twice in one day.
c The client received two doses of a prescribed pain medication.
d Referral for home care has been delayed by two days.
e The family is requesting to discuss home care needs.
d,e
(Rationale
When functioning in the role of coordinator, the nurse will facilitate team and group activities
and use verbal communication skills with other disciplines to ensure completion of the client's
care. Delegation is a skill used in team nursing. Documentation is a basic nursing skill performed
by all nurses regardless of the care delivery method used. Discussing the client's need for a
medication with the insurance provider is a skill within the role of advocacy.) - ANS The nurse
is coordinating the care for a client recovering from a stroke. Which skills are appropriate for
the nurse to use when coordinating care for this client?
(Select all that apply.)
a Discuss the client's need for a prescribed medication with the insurance company
2 @COPYRIGHT THEBRIGHT 2025/2026
,b Document the client's responses to care
c Delegate morning care to unlicensed assistive personnel
d Communicate with other disciplines regarding the provision of care
e Facilitate team and group activities to avoid scheduling conflicts
a,c,d,e
(Rationale
Learning to manage care takes time because it requires strong communication, assessment,
and time management skills. Managing care also requires the ability to appropriately delegate
to unlicensed staff. The skill of medication administration is necessary for direct client care, not
managed care.) - ANS The staff development educator is preparing a seminar for staff nurses
prior to implementing managed care. Which skills should the educator include as necessary
when implementing this care delivery system?
(Select all that apply.)
a Assessment
b Medication administration
c Communication
d Time management
e Delegation
3 @COPYRIGHT THEBRIGHT 2025/2026
, 4 As charge nurse, you must assess the performance and attitude of the staff in relation to this
client. After data are gathered from the nurses, additional information can be obtained from
the records and the client as necessary. The educator may be of assistance if a knowledge
deficit or need for performance improvement is the problem. Focus: Supervision, prioritization;
QSEN: PCC, TC, QI; Concept: Pain - ANS You are the charge nurse. A client with chronic pain
reports to you that the nurses have not been responding to requests for pain medication. What
is your initial action?
1. Check the medication administration records (MARs) for the past several days.
2. Ask the nurse educator to provide in-service training about pain management.
3. Perform a complete pain assessment on the client and take a pain history.
4. Have a conference with the nurses responsible for the care of this client.
b,d
(Shared governance is an organizational model that encourages nurse participation in decision-
making at all levels within an organization. It can be used with other care delivery models.
Client and family participation in care delivery is a characteristic of client-focused care.
Differentiated practice is based upon competencies needed to provide client care. The case
method of care delivery is believed to be a precursor to primary nursing.) - ANS What are
characteristics of shared governance?
(Select all that apply.)
a Based upon competencies needed to provide client care
b Encourages decision-making at all organization levels
c Client and family participation in care delivery process
d Can be used with other care delivery methods
e Is a precursor to primary nursing
4 @COPYRIGHT THEBRIGHT 2025/2026
QUESTIONS AND ANSWERS
a,b,d,e
(Rationale
When nurses embrace the expectations of care coordination, care will be provided that is
reliable, accessible, of the highest quality, and at the lowest cost. Rationing of care is not an
expectation of care coordination.) - ANS The nurse manager is evaluating care coordination
actions performed by the nursing staff. Which outcomes indicate that the nursing staff's actions
have been effective?
(Select all that apply.)
a Care is reliable.
b Care is of the highest quality.
c Care is being rationed.
d Care is being provided at the lowest cost.
e Care is readily accessible.
a,b,c,d
(Rationale
1 @COPYRIGHT THEBRIGHT 2025/2026
,Care that is not coordinated can lead to fragmented services, medical errors, and unnecessary
duplication of tests, services, and treatments, as well as to omission of necessary services.
Collaboration can be initiated by the client, family member, or a member of the health care
team.) - ANS The nurse manager is concerned that client care coordination was not
successful. On which observations did the nurse manager base this concern?
(Select all that apply.)
a The client's abdominal wound dressing was changed twice in one shift.
b The client's fasting blood glucose level was drawn twice in one day.
c The client received two doses of a prescribed pain medication.
d Referral for home care has been delayed by two days.
e The family is requesting to discuss home care needs.
d,e
(Rationale
When functioning in the role of coordinator, the nurse will facilitate team and group activities
and use verbal communication skills with other disciplines to ensure completion of the client's
care. Delegation is a skill used in team nursing. Documentation is a basic nursing skill performed
by all nurses regardless of the care delivery method used. Discussing the client's need for a
medication with the insurance provider is a skill within the role of advocacy.) - ANS The nurse
is coordinating the care for a client recovering from a stroke. Which skills are appropriate for
the nurse to use when coordinating care for this client?
(Select all that apply.)
a Discuss the client's need for a prescribed medication with the insurance company
2 @COPYRIGHT THEBRIGHT 2025/2026
,b Document the client's responses to care
c Delegate morning care to unlicensed assistive personnel
d Communicate with other disciplines regarding the provision of care
e Facilitate team and group activities to avoid scheduling conflicts
a,c,d,e
(Rationale
Learning to manage care takes time because it requires strong communication, assessment,
and time management skills. Managing care also requires the ability to appropriately delegate
to unlicensed staff. The skill of medication administration is necessary for direct client care, not
managed care.) - ANS The staff development educator is preparing a seminar for staff nurses
prior to implementing managed care. Which skills should the educator include as necessary
when implementing this care delivery system?
(Select all that apply.)
a Assessment
b Medication administration
c Communication
d Time management
e Delegation
3 @COPYRIGHT THEBRIGHT 2025/2026
, 4 As charge nurse, you must assess the performance and attitude of the staff in relation to this
client. After data are gathered from the nurses, additional information can be obtained from
the records and the client as necessary. The educator may be of assistance if a knowledge
deficit or need for performance improvement is the problem. Focus: Supervision, prioritization;
QSEN: PCC, TC, QI; Concept: Pain - ANS You are the charge nurse. A client with chronic pain
reports to you that the nurses have not been responding to requests for pain medication. What
is your initial action?
1. Check the medication administration records (MARs) for the past several days.
2. Ask the nurse educator to provide in-service training about pain management.
3. Perform a complete pain assessment on the client and take a pain history.
4. Have a conference with the nurses responsible for the care of this client.
b,d
(Shared governance is an organizational model that encourages nurse participation in decision-
making at all levels within an organization. It can be used with other care delivery models.
Client and family participation in care delivery is a characteristic of client-focused care.
Differentiated practice is based upon competencies needed to provide client care. The case
method of care delivery is believed to be a precursor to primary nursing.) - ANS What are
characteristics of shared governance?
(Select all that apply.)
a Based upon competencies needed to provide client care
b Encourages decision-making at all organization levels
c Client and family participation in care delivery process
d Can be used with other care delivery methods
e Is a precursor to primary nursing
4 @COPYRIGHT THEBRIGHT 2025/2026
