Page 1 of 64
NUR 443 FINAL EXAM NEWEST 2026 EXAM QUESTIONS
LATEST VERSION SOLVED QUESTIONS & ANSWERS
VERIFIED
Which of the following public health nurse applicants is the least qualified for
a position of case manager in a rural county?
A) A 24-year-old who has a master's degree in public health
B) A 34-year-old who will be moving from a large city
C) A 44-year-old who was born and raised in the community
D) A 54-year-old who, until recently, was a member of the community's school
board
B) A 34-year-old who will be moving from a large city
Case management competency requires the following knowledge and skills:
knowledge of community resources and financing methods; written and oral
communication and documentation skills; negotiation and conflict resolution skills;
critical thinking processes to identify and prioritize problems from the provider and
client views; and identification of best resources for the desired outcomes. Because
communities are unique, someone new to the area will lack knowledge of community
resources and financing methods. There is nothing in the descriptions of the other
public health nurses that indicates a lack of current knowledge or skills.
Which of the following best explains why every client doesn't receive care
from a case manager?
A) Case management time is demanding; thus it is restricted to complex
cases.
B) Many health agencies do not employ case managers.
C) Most clients would not benefit from case management.
D) Most nurses do not know how to function as case managers.
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A) Case management time is demanding; thus it is restricted to complex cases.
Case management can be labor intensive, time consuming, and costly. Because of
the increasing number of clients with complex problems in nurses' caseloads, the
intensity and duration of activities required to support the case management function
may soon exceed the demands that the direct caregiver can meet. Health agencies
continue to employ more case managers as the cost spent for the care saves the
agency money in the long term. Because case management is labor intensive and
costly, it is unrealistic for all clients to have a case manager although additional
clients could benefit from case management. Nurses fulfill the roles of advocate,
care coordinator, and referral agent which are necessary to function as case
managers.
The nurse suggests use of telehealth to assess how a client is progressing.
Which of the following resources must be available for continuing care to be
implemented?
A) A primary care provider who is willing to use wireless prescriptions and
plans of care
B) Family permission for the nurse to make home visits
C) Long-distance telephone service or a computer with Internet access
D) Willingness of the caregiver to drive the client to the nearest clinic
C) Long-distance telephone service or a computer with Internet access
Telehealth is an organized health care delivery approach to triage and to provide
advice, counseling, and referral for a client's health problem using phones or
computers with cameras. The client is usually in the home, and the nurse is at an
office, health care facility, or phone bank location. Wireless prescriptions and plans
of care are not necessary for a client who is receiving telehealth services. Home
visits may not be necessary for a telehealth client. Through the use of telehealth, the
need to visit clinics is decreased.
A nurse is using a case management plan to maximize patient care outcomes.
Which of the following describes an important consideration that should be
made by the nurse?
A) Case management plans should be used only by nurses to manage care.
B) Case management plans should be individualized for each client.
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C) Case management plans provide additional expense to the client and
family.
D) Case management plans focus on the natural progression of the disease.
B) Case management plans should be individualized for each client.
Adaptation of the case management care plan to each client's characteristics is a
crucial skill for standardizing the process and outcome of care. It links multiple
provider interventions to client responses and offers reasonable predictions to clients
about health outcomes. Institutions report that sharing case management plans with
clients empowers the clients to assume responsibility for monitoring and adhering to
the plan of care. Case management plans should link the care that is provided
together and involve multiple providers. Case management is part of the standard of
care that is provided and does not provide an additional expense to the client,
although it may cause an additional expense to the agency. Disease management,
not case management, focuses on the natural progression of the disease.
A client spends a great deal of time on the Internet or reading articles related
to diabetes and its long-term effects. One day, the client asks why the nurse
has not suggested a life care plan. Which of the following would be the best
response by the nurse?
A) "Life care plans are only for young persons who are newly diagnosed."
B) "Life care plans are primarily used to determine long-term financial needs
for legal reasons."
C) "You are receiving appropriate care for your diabetes without serious side
effects, so a life care plan isn't currently appropriate."
D) "I was waiting for you to express interest in having a life care plan."
C) "You are receiving appropriate care for your diabetes without serious side effects,
so a life care plan isn't currently appropriate."
Life care plans are typically used for clients experiencing catastrophic illness or
adverse events resulting from professional malpractice. Others who benefit from life
care planning are those who have sustained injury when younger and whose care
requirements have changed as a result of aging. Life care plans are typically used
for clients experiencing catastrophic illness or adverse events resulting from
professional malpractice, not young persons with a newly diagnosed illness. The life
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care plan is a customized, medical-based document that provides assessment of all
present and future needs (i.e., medical, financial, psychological, vocational, spiritual,
physical, and social), including services, equipment, supplies, and living
arrangements for a client. These plans may be used by either a plaintiff or a defense
lawyer to analyze damages. They are also used to set financial rewards, which can
be used to pay for care in the future and create a lifetime care plan.
Which of the following Medicaid clients would most likely receive case
management?
A) An elderly person
B) A person receiving rehabilitation following an injury
C) A person who has a high-cost chronic disease
D) A person with acute illness
C) A person who has a high-cost chronic disease
Some states, through their Medicaid programs, are developing disease management
programs for high-cost chronic diseases among their populations, such as asthma
and diabetes. An elderly person is most likely to receive Medicare services, not
Medicaid services. Additionally, there is not any information that states that the
elderly person has a high-cost chronic disease. A person who is receiving
rehabilitation following an injury or who has an acute illness does not have a
diagnosis that warrants case management, as case management is reserved for
those with high-cost chronic diseases.
Which of the following best describes the goal or priority of the nurse
advocate?
A) To gain organizational and governmental support for the promotion of
nursing objectives
B) To improve community service needs identified by research findings
C) To integrate evidence-based practice guidelines in the provision of
community nursing service
D) To promote the client's rights and self-determination
D) To promote the client's rights and self-determination
In today's practice, the nurse advocate makes the client's rights the priority. Thus,
the goal of advocacy is to promote self-determination in a constituency or client
NUR 443 FINAL EXAM NEWEST 2026 EXAM QUESTIONS
LATEST VERSION SOLVED QUESTIONS & ANSWERS
VERIFIED
Which of the following public health nurse applicants is the least qualified for
a position of case manager in a rural county?
A) A 24-year-old who has a master's degree in public health
B) A 34-year-old who will be moving from a large city
C) A 44-year-old who was born and raised in the community
D) A 54-year-old who, until recently, was a member of the community's school
board
B) A 34-year-old who will be moving from a large city
Case management competency requires the following knowledge and skills:
knowledge of community resources and financing methods; written and oral
communication and documentation skills; negotiation and conflict resolution skills;
critical thinking processes to identify and prioritize problems from the provider and
client views; and identification of best resources for the desired outcomes. Because
communities are unique, someone new to the area will lack knowledge of community
resources and financing methods. There is nothing in the descriptions of the other
public health nurses that indicates a lack of current knowledge or skills.
Which of the following best explains why every client doesn't receive care
from a case manager?
A) Case management time is demanding; thus it is restricted to complex
cases.
B) Many health agencies do not employ case managers.
C) Most clients would not benefit from case management.
D) Most nurses do not know how to function as case managers.
, Page 2 of 64
A) Case management time is demanding; thus it is restricted to complex cases.
Case management can be labor intensive, time consuming, and costly. Because of
the increasing number of clients with complex problems in nurses' caseloads, the
intensity and duration of activities required to support the case management function
may soon exceed the demands that the direct caregiver can meet. Health agencies
continue to employ more case managers as the cost spent for the care saves the
agency money in the long term. Because case management is labor intensive and
costly, it is unrealistic for all clients to have a case manager although additional
clients could benefit from case management. Nurses fulfill the roles of advocate,
care coordinator, and referral agent which are necessary to function as case
managers.
The nurse suggests use of telehealth to assess how a client is progressing.
Which of the following resources must be available for continuing care to be
implemented?
A) A primary care provider who is willing to use wireless prescriptions and
plans of care
B) Family permission for the nurse to make home visits
C) Long-distance telephone service or a computer with Internet access
D) Willingness of the caregiver to drive the client to the nearest clinic
C) Long-distance telephone service or a computer with Internet access
Telehealth is an organized health care delivery approach to triage and to provide
advice, counseling, and referral for a client's health problem using phones or
computers with cameras. The client is usually in the home, and the nurse is at an
office, health care facility, or phone bank location. Wireless prescriptions and plans
of care are not necessary for a client who is receiving telehealth services. Home
visits may not be necessary for a telehealth client. Through the use of telehealth, the
need to visit clinics is decreased.
A nurse is using a case management plan to maximize patient care outcomes.
Which of the following describes an important consideration that should be
made by the nurse?
A) Case management plans should be used only by nurses to manage care.
B) Case management plans should be individualized for each client.
, Page 3 of 64
C) Case management plans provide additional expense to the client and
family.
D) Case management plans focus on the natural progression of the disease.
B) Case management plans should be individualized for each client.
Adaptation of the case management care plan to each client's characteristics is a
crucial skill for standardizing the process and outcome of care. It links multiple
provider interventions to client responses and offers reasonable predictions to clients
about health outcomes. Institutions report that sharing case management plans with
clients empowers the clients to assume responsibility for monitoring and adhering to
the plan of care. Case management plans should link the care that is provided
together and involve multiple providers. Case management is part of the standard of
care that is provided and does not provide an additional expense to the client,
although it may cause an additional expense to the agency. Disease management,
not case management, focuses on the natural progression of the disease.
A client spends a great deal of time on the Internet or reading articles related
to diabetes and its long-term effects. One day, the client asks why the nurse
has not suggested a life care plan. Which of the following would be the best
response by the nurse?
A) "Life care plans are only for young persons who are newly diagnosed."
B) "Life care plans are primarily used to determine long-term financial needs
for legal reasons."
C) "You are receiving appropriate care for your diabetes without serious side
effects, so a life care plan isn't currently appropriate."
D) "I was waiting for you to express interest in having a life care plan."
C) "You are receiving appropriate care for your diabetes without serious side effects,
so a life care plan isn't currently appropriate."
Life care plans are typically used for clients experiencing catastrophic illness or
adverse events resulting from professional malpractice. Others who benefit from life
care planning are those who have sustained injury when younger and whose care
requirements have changed as a result of aging. Life care plans are typically used
for clients experiencing catastrophic illness or adverse events resulting from
professional malpractice, not young persons with a newly diagnosed illness. The life
, Page 4 of 64
care plan is a customized, medical-based document that provides assessment of all
present and future needs (i.e., medical, financial, psychological, vocational, spiritual,
physical, and social), including services, equipment, supplies, and living
arrangements for a client. These plans may be used by either a plaintiff or a defense
lawyer to analyze damages. They are also used to set financial rewards, which can
be used to pay for care in the future and create a lifetime care plan.
Which of the following Medicaid clients would most likely receive case
management?
A) An elderly person
B) A person receiving rehabilitation following an injury
C) A person who has a high-cost chronic disease
D) A person with acute illness
C) A person who has a high-cost chronic disease
Some states, through their Medicaid programs, are developing disease management
programs for high-cost chronic diseases among their populations, such as asthma
and diabetes. An elderly person is most likely to receive Medicare services, not
Medicaid services. Additionally, there is not any information that states that the
elderly person has a high-cost chronic disease. A person who is receiving
rehabilitation following an injury or who has an acute illness does not have a
diagnosis that warrants case management, as case management is reserved for
those with high-cost chronic diseases.
Which of the following best describes the goal or priority of the nurse
advocate?
A) To gain organizational and governmental support for the promotion of
nursing objectives
B) To improve community service needs identified by research findings
C) To integrate evidence-based practice guidelines in the provision of
community nursing service
D) To promote the client's rights and self-determination
D) To promote the client's rights and self-determination
In today's practice, the nurse advocate makes the client's rights the priority. Thus,
the goal of advocacy is to promote self-determination in a constituency or client
