Case Management Midterm Study
Guide Question and Answers
Updated 2026
Which is true about the case management definition?
a. There is more than one national definition of case management that is used.
b. The American Nurses Association's definition is used the most.
c. No consumer-friendly definition has been developed to date.
d. There are numerous definitions created by many professionals and organizations - Answerd. There
are numerous definitions created by many professionals and organizations
In 1990, Yee defined case management as.
a. "the activities of monitoring patient care."
b. "to limit patient care to a bare minimum to reduce costs."
c. "the process of getting the right service to the right client."
d. "reviewing patient charts for ways to decrease hospital lengths of stay." - Answerc. "the process of
getting the right service to the right client."
The differences between case management and managed care include.
a. management is people orientated and managed care is system orientated.
b. case management focuses on financial benefits and managed care focuses on patients.
c. managed care negotiates to help patients and case managers negotiate to limit care.
term-101
d. managed care emphasizes quality care, and case managers focus on financial restraint. - Answera.
management is people orientated and managed care is system orientated.
Definitions of managed care include.
a. insurance benefit limitations and exclusions.
b. hospital stay length determined by physicians.
c. caring for patient needs and quality of service.
d. patients have unlimited access to care and resources. - Answera. insurance benefit limitations and
exclusions.
,Case management evolution includes the milestone.
a. number of case managers exceed 100,000 in the mid 1980s.
b. use of case managers and private physician offices in the 1970s.
c. coordination of services for patients with polio in the 1920s.
d. insurance companies coordinate services for soldiers post World War II. - Answerd. insurance
companies coordinate services for soldiers post World War II.
During the late 1990s to early 2000s, case management was.
a. considered a position only for social workers.
b. practiced in every setting across the healthcare continuum.
c. in jeopardy due to changes in the political structure in the United States.
d. an ineffective position regarding managed care reimbursement. - Answerb. practiced in every
setting across the healthcare continuum.
Which is not included in the factors that impact models of case management.
a. the patient population.
b. reimbursement method.
c. the context of care setting.
d. the case manager training methods. - Answerd. the case manager training methods.
The "Acute Care Case Management Model".
a. utilizes mostly physicians as case managers.
b. provides management using one specific way.
c. is usually episodic and time limited care in the hospital setting.
d. does not have case managers practicing hands on care with any patients. - Answerc. is usually
episodic and time limited care in the hospital setting.
Patients with chronic illness, disabilities and catastrophic illnesses requiring short- or long-term
management of services are included in the.
a. "Large Case Management Model."
b. "Admitting Office Care Management Model."
c. "Emergency Department Case Management Model."
, d. "Palliative Care and Hospice Case Management Model." - Answera. "Large Case Management
Model."
10. "Disease management model" case managers.
a. apply evidence-based guidelines or protocols.
b. are usually utilized in hospital settings.
c. follow their patients for only a short amount of time.
d. must be experts on all diseases to effectively manage care. - Answera. apply evidence-based
guidelines or protocols.
For a foster child target population, the best choice for a case manager would be.
a. a nurse.
b. a social worker.
c. a respiratory therapist.
d. an occupational therapist. - Answerb. a social worker.
Social worker case managers differ from nursing case managers because they.
a. focus more on the patient's complex discharge planning and financial needs.
b. they're more effective at meeting the patient's medical needs on a long-term basis.
c. can anticipate needed medications better than nurse case managers?
d. are better able to handle the case manager role than professional nurses. - Answera. focus more
on the patient's complex discharge planning and financial needs.
For over five years, the nurse, case manager, social worker team was used in healthcare settings,
resulting in recommendations to.
a. place nurse case managers and social workers under one department.
b. of the social worker and nurse work completely independently of each other.
c. minimize in-service team programs and concentrate on each case individually.
d. overlap areas of the position for duplication of work to make sure it all gets done. - Answera. place
nurse case managers and social workers under one department.
Strategies to ensure effectiveness of the case management model include all of the following except.
a. develop a list of goals that are important to your organization.
Guide Question and Answers
Updated 2026
Which is true about the case management definition?
a. There is more than one national definition of case management that is used.
b. The American Nurses Association's definition is used the most.
c. No consumer-friendly definition has been developed to date.
d. There are numerous definitions created by many professionals and organizations - Answerd. There
are numerous definitions created by many professionals and organizations
In 1990, Yee defined case management as.
a. "the activities of monitoring patient care."
b. "to limit patient care to a bare minimum to reduce costs."
c. "the process of getting the right service to the right client."
d. "reviewing patient charts for ways to decrease hospital lengths of stay." - Answerc. "the process of
getting the right service to the right client."
The differences between case management and managed care include.
a. management is people orientated and managed care is system orientated.
b. case management focuses on financial benefits and managed care focuses on patients.
c. managed care negotiates to help patients and case managers negotiate to limit care.
term-101
d. managed care emphasizes quality care, and case managers focus on financial restraint. - Answera.
management is people orientated and managed care is system orientated.
Definitions of managed care include.
a. insurance benefit limitations and exclusions.
b. hospital stay length determined by physicians.
c. caring for patient needs and quality of service.
d. patients have unlimited access to care and resources. - Answera. insurance benefit limitations and
exclusions.
,Case management evolution includes the milestone.
a. number of case managers exceed 100,000 in the mid 1980s.
b. use of case managers and private physician offices in the 1970s.
c. coordination of services for patients with polio in the 1920s.
d. insurance companies coordinate services for soldiers post World War II. - Answerd. insurance
companies coordinate services for soldiers post World War II.
During the late 1990s to early 2000s, case management was.
a. considered a position only for social workers.
b. practiced in every setting across the healthcare continuum.
c. in jeopardy due to changes in the political structure in the United States.
d. an ineffective position regarding managed care reimbursement. - Answerb. practiced in every
setting across the healthcare continuum.
Which is not included in the factors that impact models of case management.
a. the patient population.
b. reimbursement method.
c. the context of care setting.
d. the case manager training methods. - Answerd. the case manager training methods.
The "Acute Care Case Management Model".
a. utilizes mostly physicians as case managers.
b. provides management using one specific way.
c. is usually episodic and time limited care in the hospital setting.
d. does not have case managers practicing hands on care with any patients. - Answerc. is usually
episodic and time limited care in the hospital setting.
Patients with chronic illness, disabilities and catastrophic illnesses requiring short- or long-term
management of services are included in the.
a. "Large Case Management Model."
b. "Admitting Office Care Management Model."
c. "Emergency Department Case Management Model."
, d. "Palliative Care and Hospice Case Management Model." - Answera. "Large Case Management
Model."
10. "Disease management model" case managers.
a. apply evidence-based guidelines or protocols.
b. are usually utilized in hospital settings.
c. follow their patients for only a short amount of time.
d. must be experts on all diseases to effectively manage care. - Answera. apply evidence-based
guidelines or protocols.
For a foster child target population, the best choice for a case manager would be.
a. a nurse.
b. a social worker.
c. a respiratory therapist.
d. an occupational therapist. - Answerb. a social worker.
Social worker case managers differ from nursing case managers because they.
a. focus more on the patient's complex discharge planning and financial needs.
b. they're more effective at meeting the patient's medical needs on a long-term basis.
c. can anticipate needed medications better than nurse case managers?
d. are better able to handle the case manager role than professional nurses. - Answera. focus more
on the patient's complex discharge planning and financial needs.
For over five years, the nurse, case manager, social worker team was used in healthcare settings,
resulting in recommendations to.
a. place nurse case managers and social workers under one department.
b. of the social worker and nurse work completely independently of each other.
c. minimize in-service team programs and concentrate on each case individually.
d. overlap areas of the position for duplication of work to make sure it all gets done. - Answera. place
nurse case managers and social workers under one department.
Strategies to ensure effectiveness of the case management model include all of the following except.
a. develop a list of goals that are important to your organization.
