COORDINATION FINAL TEST 2026
QUESTIONS WITH CORRECT ANSWERS
GRADED A+
◍ Care coordinators and IT professionals must complete their risk assessment.
Answer: then implement administrative, physical, and technical safeguards
to mitigate risks.
◍ -pt admitted ≥ 2 times in past year -pt unable to teach back -pt has low
degree of confidence to carry out self-care @ home.
Answer: identify some characteristics of high risk patients
◍ -pt admitted once in past year -pt is able to teach back most discharge info
-pt has a moderate degree of confidence to do self-care @ home.
Answer: identify some characteristics of moderate risk patients
◍ Six-steps of the care coordination process.
Answer: 4. Implementation and coordination of care activities: Puts the case
management plan into action.Example: The face-to-face meetings with the
IEHP team represent which phase of the care coordination process?5.
Evaluation of the case management plan and follow-up: Involves the
evaluation of the client's status and goals and the associated
outcomes.Example: The "Health Building" aspects of Charles's care
represent which phase of the care coordination process?6. Termination of
the case management process: Brings closure to the care and/or episode of
illness. The process focuses on discontinuing case management when the
client transitions to the highest level of function, the best possible outcome
has been attained, or the needs/desires of the client change.Example: The
"Achieving Goals" outcomes of Charles's care represent which phase of the
, care coordination process?
◍ -familiarize self w/ care coordination measures-serve on committees that
measure care coordination-advocate for funding.
Answer: what can the RN do to measure care coordination?
◍ 1. specific patient situation2. coordination mechanisms3. patient, team, and
organizational outcomes.
Answer: what are the 3 main domains of client-centered care coordination?
◍ -lead care coordination -foster environment for team members to practice to
full scope.
Answer: what can the RN do to accomplish optimal teamwork?
◍ care coordination.
Answer: central component of service delivery due to attaining optimal
patient outcomes and health care quality
◍ transition in care.
Answer: the coordination and community of healthcare during a movement
of a patient from one healthcare setting to another or to home; anytime a
patient's care changes
◍ Discuss care team supervision and why it is important.
Answer: Members of a care team need to be able to both give and receive
constructive criticism in a way that does not offend, but rather encourages
improvement.
◍ Key Skills:Active listening.
Answer: · defined as "a specific way of hearing what a person says and feels
and reflecting that information back to the speaker· Active listening during
interactions accomplishes the following:· Shows the patient that you care·
Establishes trust in a healthcare professional-patient relationship· Lessens
your chance of erroneous information capture or decision-making, based on
your own assumptions· Increases the chances that you will procure pertinent
information
,◍ -no hospital admission in past year -pt can teach back discharge info -pt has
high degree of confidence in self-care.
Answer: identify some characteristics of low risk patients
◍ -review elements of EHR-identify resources to support health info
technology.
Answer: what can the RN do to accomplish optimal documentation?
◍ Emergency room care unrelated to the terminal illness.
Answer: Emergency care facilities may only be covered if they are
necessitated by your loved one's hospice team; however, an out-of-pocket
copayment amount may be required in these cases.
◍ patient, family, and population.
Answer: what is centric to care coordination?
◍ -fragmented care-cost inefficiencies.
Answer: without care coordination models, what is true of the delivery of
care?
◍ assessment of individual patient situation.
Answer: assessment of the specific patient situation begins with what?
◍ Personal Communication.
Answer: ◦Additional factors that should be considered include:◦Eye contact,
screen gaze, and nonverbal cues◦Demonstration of empathy (attempting to
identify with or see a situation through another individual's point of
view)◦Special organization of the consultation room that allows for open eye
contact and few distractions
◍ Disease Management.
Answer: Focuses on groups of patients with conditions such as pregnancy or
chronic illnesses such as diabetes. Case Managers provide education and
facilitate compliance with treatment plan.
◍ Motivational Interview Interventions.
Answer: Giving patient feedback on high risk behaviors and
, health◦Advising on how changes can help◦Compiling a list of how risks can
be reduced◦Highlighting that it is the patient's responsibility to
change◦Exploring the patient's pros and cons for changing behavior◦Using a
positive, empathetic counseling style◦Showing confidence in the patient's
ability to change
◍ Health IT environment to determine if new risks are present. Examples of
Administrative Safeguards.
Answer: • Continual risk assessment of your health IT environment.•
Continual assessment of the effectiveness of safeguards for electronic health
information.• Detailed processes for viewing and administering electronic
health information.• Employee training on the use of health IT to
appropriately protect electronic health information.• Appropriately reporting
security breaches (e.g., to those entities required by law or contract) and
ensuring continued health IT operations.
◍ Primary Care Case Management-.
Answer: Combines the roles of caregiver and case manager and is often the
model for homecare and SNF's. Because of the dual roles there is potential
for ethical conflict. This is also the federally legislated model of case
management for the Medicaid plans of some states.
◍ What are HITEC regulations?.
Answer: address privacy and information security, especially as it pertains to
the use of mobile technologies.Communication technology (ie, the
electronic medical record, computerized provider order entry, email, and
pagers), which is a component of health information technology (HIT), may
help reduce some communication failures but increase others because of an
inadequate understanding of how communication technology is used.
Increasing use of health information and communication technologies is
likely to affect communication between nurses and physicians.
◍ 1. A friend of a patient asks you about another patient's condition..
Answer: Politely explain that you cannot discuss a patient's health condition
with others.