Nurse case manager test Questions
and Answers Updated 2026
Outcome indicators - AnswerMeasures of quality and cost of care. Metrics used to examine and
evaluate the results of the care delivered.
Outcome Management - AnswerThe use of information and knowledge gained from outcomes
monitoring to achieve optimal client outcomes through improved clinical decision making and
service delivery.
Outcomes Measurement - Answersystemic, quantitative observation, at a point in time, of outcome
indicators
Outcome Monitoring - Answerrepeated measurement over time of outcome indicators in a manner
that permits causal inferences about which patient characteristics, care processes, and resources
produced the observed patient outcomes.
Performance improv - AnswerThe continuous study and adaptation of the functions and processes of
a healthcare organization to increase the probability of achieving desired outcomes and to better
meet the needs of patients.
Quality Assurance - AnswerUse of activities and programs to ensure the quality of the patient care.
These activities are designed to monitor, prevent, and correct quality deficienceis and non-compliant
with the standards of care and practice.
Quality Improvement - AnswerUsed to identify/resolve problems in the system and to improve the
processes and outcomes of care.
Quality Indicator - AnswerA predetermined measure for assessing quality; a metric.
Quality Management - AnswerA total commitment by everyone in an organization to improve the
quality of procedures and products by reducing waste, errors, and defects.
Case management process: - AnswerScreening
Assessing
, Stratifying risk
planning
implementing
following up
transitioning
communication
evaluation
Stratifying Risk - Answerphase that determines the appropriate level of intervention by classifying
the pt as low or high risk.
SMART planning - AnswerSpecific
Measurable
Achievable
Realistic
Timely
3 types of measurements of performance improvement - Answer1) process
2) structure
3) outcome
Examples of hard savings: - Answertransfer to a lower level of care
decrease in length of stay
negotiation to a lower rate for a service
change to an in-network provider
Examples of soft savings: - Answeravoided hospital readmission
prevention of medical complications
avoided ER visits.
4 components of interpersonal communication - Answersender
and Answers Updated 2026
Outcome indicators - AnswerMeasures of quality and cost of care. Metrics used to examine and
evaluate the results of the care delivered.
Outcome Management - AnswerThe use of information and knowledge gained from outcomes
monitoring to achieve optimal client outcomes through improved clinical decision making and
service delivery.
Outcomes Measurement - Answersystemic, quantitative observation, at a point in time, of outcome
indicators
Outcome Monitoring - Answerrepeated measurement over time of outcome indicators in a manner
that permits causal inferences about which patient characteristics, care processes, and resources
produced the observed patient outcomes.
Performance improv - AnswerThe continuous study and adaptation of the functions and processes of
a healthcare organization to increase the probability of achieving desired outcomes and to better
meet the needs of patients.
Quality Assurance - AnswerUse of activities and programs to ensure the quality of the patient care.
These activities are designed to monitor, prevent, and correct quality deficienceis and non-compliant
with the standards of care and practice.
Quality Improvement - AnswerUsed to identify/resolve problems in the system and to improve the
processes and outcomes of care.
Quality Indicator - AnswerA predetermined measure for assessing quality; a metric.
Quality Management - AnswerA total commitment by everyone in an organization to improve the
quality of procedures and products by reducing waste, errors, and defects.
Case management process: - AnswerScreening
Assessing
, Stratifying risk
planning
implementing
following up
transitioning
communication
evaluation
Stratifying Risk - Answerphase that determines the appropriate level of intervention by classifying
the pt as low or high risk.
SMART planning - AnswerSpecific
Measurable
Achievable
Realistic
Timely
3 types of measurements of performance improvement - Answer1) process
2) structure
3) outcome
Examples of hard savings: - Answertransfer to a lower level of care
decrease in length of stay
negotiation to a lower rate for a service
change to an in-network provider
Examples of soft savings: - Answeravoided hospital readmission
prevention of medical complications
avoided ER visits.
4 components of interpersonal communication - Answersender
