Relias - Case Management Assessment
A
Your patient recieved a cancer prognosis. You discover them crying on their bed. They
country they just were given divorced and do not have own family on the town. What could
be your PRIORITY motion?
Comfort your affected person, listen to their issues, and inform them of referrals to inpatient
psychosocial services and an oncology nurse navigator.
In your psychosocial aassessment you observed the figure of you 6-yr-vintage affected
person to be committing Munchhausen via Proxy Syndrome. What PRIORITY moves would
you're taking to guard your patient?
Immediately alert you patient's care team, document you suspicions to Child shielding
offerings, file you findings inthe patient's chart, and get psychiatry consult STAT to as it
should be speparate the figure from the kid or have the discern monitored within the room by
means of a sitter
You see a circle of relatives pal on your case management case load. You know you cannot
take care of this individual as it would be a conflict of hobby. If you had been to quickly
overview their scientific chart what felony act would you be violating?
HIPPA
Your patient is school-elderly and has unique desires. Their own family may be very involved
their child could be bullied because of those speical wishes. What conversation and planning
device might you advocate for the own family with contributors of the faculty earlier to begin
of school?
ARD
Your patient with a pre-existing circumstance bought an character healthcare plan on-line
directly from the coverage payer. They did no longer purchase it at the Healthcare Market
Exchange this is covered below the Affordable Care Act. They are disappointed that their
plan does not cowl pre-present situations for six months. What could be your response?
The insurance plan you obtained immediately from the coverage payer operates outdoor the
Healthcare Market Exchange included under the Affordable Care Act. As a result, it might
have unique terms and conditions, which includes ready periods for pre-present conditions.
What are the 3 key domains of a useful status evaluation?
ADLs, IADLs, Mobility (fall)
, You are the usage of aggregated prognosis corporations (ADGs) to categorise your patient's
care. In which ADG would you classify your affected person's infection?
Disease etiology
Your patient is solid and desires non-stop infusion remedy. You are completing the care
transition part of the plan of care and discharge plan. What would be the MOST appropriate
care shipping plan for the affected person?
Ensure a PICC or port get admission to is located within the health center. Then provide the
patient the name of an ambulatory infusion siteof care for their infusions.
What law changed into enacted to defend rights to get admission to to their records and
inspire patients to create an improve directive for hospital treatment wishes?
HIPAA
You are implementing a care plan to your affected person with schizophrenia. What
PRIORITY diagnoses would you bear in mind them to be at high chance?
More than one diagnoses (despair, mania) and violent/risky behavior
A affected person is admitted for inpatient sevices who has Medicare. Medicare Part A can
pay at 100% of the inpatient stay minus the affected person's Part A deductible (in the event
that they have now not met the deductible previously) for how many days?
Day 1- 60
What Social Determinate of Health (SDOH) element does the 2023 HEDIS measures have
an updated recognition on the patient results?
Health fairness
Your affected person struggles with polysubstance use of alcohol and narcotics. Their own
family is strugging to support the affected person and a way to first-class care for them as
soon as out of the clinic. What community assist software?
Al Anon
Your affected person has an alcohol use ailment. They kingdom that they are considering
coming into an Alcoholics Anonymous software someday quickly however are unsure. What
nation of behavioral trade is your affected person in?
Contemplation
A
Your patient recieved a cancer prognosis. You discover them crying on their bed. They
country they just were given divorced and do not have own family on the town. What could
be your PRIORITY motion?
Comfort your affected person, listen to their issues, and inform them of referrals to inpatient
psychosocial services and an oncology nurse navigator.
In your psychosocial aassessment you observed the figure of you 6-yr-vintage affected
person to be committing Munchhausen via Proxy Syndrome. What PRIORITY moves would
you're taking to guard your patient?
Immediately alert you patient's care team, document you suspicions to Child shielding
offerings, file you findings inthe patient's chart, and get psychiatry consult STAT to as it
should be speparate the figure from the kid or have the discern monitored within the room by
means of a sitter
You see a circle of relatives pal on your case management case load. You know you cannot
take care of this individual as it would be a conflict of hobby. If you had been to quickly
overview their scientific chart what felony act would you be violating?
HIPPA
Your patient is school-elderly and has unique desires. Their own family may be very involved
their child could be bullied because of those speical wishes. What conversation and planning
device might you advocate for the own family with contributors of the faculty earlier to begin
of school?
ARD
Your patient with a pre-existing circumstance bought an character healthcare plan on-line
directly from the coverage payer. They did no longer purchase it at the Healthcare Market
Exchange this is covered below the Affordable Care Act. They are disappointed that their
plan does not cowl pre-present situations for six months. What could be your response?
The insurance plan you obtained immediately from the coverage payer operates outdoor the
Healthcare Market Exchange included under the Affordable Care Act. As a result, it might
have unique terms and conditions, which includes ready periods for pre-present conditions.
What are the 3 key domains of a useful status evaluation?
ADLs, IADLs, Mobility (fall)
, You are the usage of aggregated prognosis corporations (ADGs) to categorise your patient's
care. In which ADG would you classify your affected person's infection?
Disease etiology
Your patient is solid and desires non-stop infusion remedy. You are completing the care
transition part of the plan of care and discharge plan. What would be the MOST appropriate
care shipping plan for the affected person?
Ensure a PICC or port get admission to is located within the health center. Then provide the
patient the name of an ambulatory infusion siteof care for their infusions.
What law changed into enacted to defend rights to get admission to to their records and
inspire patients to create an improve directive for hospital treatment wishes?
HIPAA
You are implementing a care plan to your affected person with schizophrenia. What
PRIORITY diagnoses would you bear in mind them to be at high chance?
More than one diagnoses (despair, mania) and violent/risky behavior
A affected person is admitted for inpatient sevices who has Medicare. Medicare Part A can
pay at 100% of the inpatient stay minus the affected person's Part A deductible (in the event
that they have now not met the deductible previously) for how many days?
Day 1- 60
What Social Determinate of Health (SDOH) element does the 2023 HEDIS measures have
an updated recognition on the patient results?
Health fairness
Your affected person struggles with polysubstance use of alcohol and narcotics. Their own
family is strugging to support the affected person and a way to first-class care for them as
soon as out of the clinic. What community assist software?
Al Anon
Your affected person has an alcohol use ailment. They kingdom that they are considering
coming into an Alcoholics Anonymous software someday quickly however are unsure. What
nation of behavioral trade is your affected person in?
Contemplation
