Stanhope: Public Health Nursing, 9th
Edition Chapter 22: Case Management
Final Exam and All Correct Answer.
1. A home health case manager is charged with identifying opportunities for health promotion
and illness prevention. The fulfillment of this charge would best be demonstrated when the
case manager:
a. collaborates with a local chaplain to ensure that the spiritual needs of cancer clients are
addressed.
b. refers a new diabetic client to a nutrition counselor for dietary teaching.
c. teaches a school nurse how to care for a client who will be returning to school and will
require new asthma treatments.
d. tracks the immunization status of clients and facilitates access to immunization when needed.
- Answer ANS: D
Case management involves assessment—in this case, screening—and arrangement for delivery
of services. Primary prevention includes case management to identify at-risk clients and arrange
for services to prevent disease. Through nurse management activities, general community
deficiencies in the quality or quantity of health services are often discovered. Case management
activities with individual clients and families will reveal the broader picture of health services in
and health status of the community. Community assessment, policy development, and
assurance activities that frame the core functions of public health actions are often the logical
next step in the nurse case manager's practice to intervene at the community level to make
changes. Therefore, the core components of case management and the nursing process are
complementary. The nursing process function of assessment is complementary to the case
management process function of case finding and includes such activities as applying screening
tools according to program goals and objectives.
2. During a home visit, a case manager for a community health center notes marked pitting
edema, shortness of breath, and increased fatigue in a 52-year-old male client who lives alone.
The client is admitted to the hospital, where he is diagnosed with congestive heart failure. The
case manager works with the hospital's utilization manager to devise a discharge plan. The case
manager's most logical next step would be to:
a. assess the client; obtain information on the scope of services covered by the benefit plan for
the client; if needed services are not covered, seek to identify and arrange for the resources to
provide these services.
b. call the client, reintroduce himself or herself, and explain his or her role as a case manager for
homebound clients.
, c. discuss with the family their schedule of availability to offer care in the client's home; ensure
that the client has daily visits by family members.
d. inve - Answer ANS: A
Case management has been described as a set of logical steps and process of interaction within
a service network that ensures that a client receives needed services in a supportive, effective,
efficient, and cost-effective manner. The National Case Management Task Force defines case
management as a collaborative process that assesses, plans, implements, coordinates,
monitors, and evaluates the options and services to meet an individual's needs, using
communication and available resources to promote quality cost-effective outcomes. Case
management has been defined in the public health nursing literature as the establishment of an
appropriate plan of care based on assessment of the client/family and coordination of the
necessary resources and services for the client's benefit. Therefore, a critical role of the case
manager is to help clients obtain the care they need to achieve a maximum level of health. The
nurse needs to understand what the client's insurance covers (broker). If necessary services or
equipment is not covered by insurance, the nurse may act as an advocate (facilitator) and
connect the client with other resources in the community (coordinator) if available.
3. A community health nurse is serving as a case manager for premature infants receiving home
health care. The case manager arranges for an in-home apnea monitor and daily home visits by
a registered nurse who specializes in high-risk pediatrics. The case manager is demonstrating
which of the following case manager roles?
a. Consultant and coordinator
b. Mentor and liaison
c. Monitor and reporter
d. Standardization monitor and negotiator - Answer ANS: A
The case manager is responsible for fulfilling a variety of roles. The nurse is acting as a
consultant when working with suppliers to arrange for the apnea monitor. The nurse is acting as
a coordinator when arranging for needed heath care services such as daily home visits by a
specially trained pediatric registered nurse.
4. A community health nurse is the case manager for a homebound client recovering from a hip
replacement. The nurse works with the client and his family to prioritize needs and services, and
to address these care needs. These activities represent which step in the nursing process?
a. Assessment and planning/outcome
b. Diagnosis and planning
c. Implementation
d. Planning/outcome - Answer ANS: D
Edition Chapter 22: Case Management
Final Exam and All Correct Answer.
1. A home health case manager is charged with identifying opportunities for health promotion
and illness prevention. The fulfillment of this charge would best be demonstrated when the
case manager:
a. collaborates with a local chaplain to ensure that the spiritual needs of cancer clients are
addressed.
b. refers a new diabetic client to a nutrition counselor for dietary teaching.
c. teaches a school nurse how to care for a client who will be returning to school and will
require new asthma treatments.
d. tracks the immunization status of clients and facilitates access to immunization when needed.
- Answer ANS: D
Case management involves assessment—in this case, screening—and arrangement for delivery
of services. Primary prevention includes case management to identify at-risk clients and arrange
for services to prevent disease. Through nurse management activities, general community
deficiencies in the quality or quantity of health services are often discovered. Case management
activities with individual clients and families will reveal the broader picture of health services in
and health status of the community. Community assessment, policy development, and
assurance activities that frame the core functions of public health actions are often the logical
next step in the nurse case manager's practice to intervene at the community level to make
changes. Therefore, the core components of case management and the nursing process are
complementary. The nursing process function of assessment is complementary to the case
management process function of case finding and includes such activities as applying screening
tools according to program goals and objectives.
2. During a home visit, a case manager for a community health center notes marked pitting
edema, shortness of breath, and increased fatigue in a 52-year-old male client who lives alone.
The client is admitted to the hospital, where he is diagnosed with congestive heart failure. The
case manager works with the hospital's utilization manager to devise a discharge plan. The case
manager's most logical next step would be to:
a. assess the client; obtain information on the scope of services covered by the benefit plan for
the client; if needed services are not covered, seek to identify and arrange for the resources to
provide these services.
b. call the client, reintroduce himself or herself, and explain his or her role as a case manager for
homebound clients.
, c. discuss with the family their schedule of availability to offer care in the client's home; ensure
that the client has daily visits by family members.
d. inve - Answer ANS: A
Case management has been described as a set of logical steps and process of interaction within
a service network that ensures that a client receives needed services in a supportive, effective,
efficient, and cost-effective manner. The National Case Management Task Force defines case
management as a collaborative process that assesses, plans, implements, coordinates,
monitors, and evaluates the options and services to meet an individual's needs, using
communication and available resources to promote quality cost-effective outcomes. Case
management has been defined in the public health nursing literature as the establishment of an
appropriate plan of care based on assessment of the client/family and coordination of the
necessary resources and services for the client's benefit. Therefore, a critical role of the case
manager is to help clients obtain the care they need to achieve a maximum level of health. The
nurse needs to understand what the client's insurance covers (broker). If necessary services or
equipment is not covered by insurance, the nurse may act as an advocate (facilitator) and
connect the client with other resources in the community (coordinator) if available.
3. A community health nurse is serving as a case manager for premature infants receiving home
health care. The case manager arranges for an in-home apnea monitor and daily home visits by
a registered nurse who specializes in high-risk pediatrics. The case manager is demonstrating
which of the following case manager roles?
a. Consultant and coordinator
b. Mentor and liaison
c. Monitor and reporter
d. Standardization monitor and negotiator - Answer ANS: A
The case manager is responsible for fulfilling a variety of roles. The nurse is acting as a
consultant when working with suppliers to arrange for the apnea monitor. The nurse is acting as
a coordinator when arranging for needed heath care services such as daily home visits by a
specially trained pediatric registered nurse.
4. A community health nurse is the case manager for a homebound client recovering from a hip
replacement. The nurse works with the client and his family to prioritize needs and services, and
to address these care needs. These activities represent which step in the nursing process?
a. Assessment and planning/outcome
b. Diagnosis and planning
c. Implementation
d. Planning/outcome - Answer ANS: D
