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

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