C HAPTER 10: P ERSON -C ENTERED C ARE
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. Case managed care may enhance profit in a for -profit health organization
by:
a. minimizing costs in high resource consumption areas.
b. combining licensed and non -licensed care providers in delivering
patient care.
c. increasing reimbursement from third -party payers.
d. reducing the amount of technology used to support clinical decision
making.
ANS: A
Case managed care is not revenue generating but rather revenue
protecting in that better coordination of care enables efficient
achievement of patient outcomes, can resul t in shorter length of stay,
and can prevent readmission.
TOP: AONE competency: Business Skills
2. Corrine, a student nurse, often hears that nurses are gatekeepers and
wonders what that term means. As a nurse leader, you explain that this is
a reference to the:
a. assessment and admission of patients into care.
, b. orientation of patients to services once they are admitted.
c. function of controlling which patients see the physician and which
do not.
d. coordination of care, services, advocacy, and access for patients
within the healthcare system.
ANS: D
As gatekeepers to the system, nurses advocate for and coordinate care,
services, and access for patients across all providers, settings, and
levels of care.
TOP: AONE competency: Professionalism
3. A 27-year-old woman is admitted to your ICU in a coma, following an
accident. The famil y of the patient, who is a Native American, places a
medicine pouch in the bed with the young woman. As the nurse in this
situation, it is important to:
a. explain to the famil y that the medici ne pouch may contain herbs
that may bother other patients.
b. ask the famil y about the significance of the medicine pouch for
them.
c. remove the pouch when the famil y is not present.
d. put the medicine pouch on the shelf beside the bed.
ANS: B
Diversit y encompasses more than differences in nationalit y or ethnicit y
and may include a variet y of ways that patients are different from their
healthcare providers. Nurses need to recognize the culture of their
, work setting, realizing that it may differ markedl y from the culture of
the consumer, and move beyond ethnocentrism to provide culturall y
competent care. This competence includes cultural knowledge, which
involves activel y learning about a communit y; cultural sensitivit y,
which entails valuing and respecting belief s, norms, and practices of
the people being served; and collaboration within a community. In this
instance, it is important to understand the meaning of the pouch for the
famil y; removal from the bed without discussion does not demonstrate
respect for the values and beliefs of this famil y.
TOP: AONE competency: Communication and Relationship -
Building
4. You are involved in designing a clinic for women in an inner -cit y
neighborhood. A goal of this clinic might be:
a. development of services that are identified i n various studies as
important for this target group.
b. partnership with area cit y councilors and health professionals to
provide services that are consistent with their vision and funding
sources.
c. provision of immunization and addictions services and health
screening services for women in the area.
d. development of services that have been identified by the women and
neighborhood advocates as necessary for their health care.
ANS: D
Involvement of persons in their own health care is a cornerstone of
healthcare reform and is important for improving health outcomes and
patient experiences. While studies and partnership with key informants
are important sources of information in the design of services,
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. Case managed care may enhance profit in a for -profit health organization
by:
a. minimizing costs in high resource consumption areas.
b. combining licensed and non -licensed care providers in delivering
patient care.
c. increasing reimbursement from third -party payers.
d. reducing the amount of technology used to support clinical decision
making.
ANS: A
Case managed care is not revenue generating but rather revenue
protecting in that better coordination of care enables efficient
achievement of patient outcomes, can resul t in shorter length of stay,
and can prevent readmission.
TOP: AONE competency: Business Skills
2. Corrine, a student nurse, often hears that nurses are gatekeepers and
wonders what that term means. As a nurse leader, you explain that this is
a reference to the:
a. assessment and admission of patients into care.
, b. orientation of patients to services once they are admitted.
c. function of controlling which patients see the physician and which
do not.
d. coordination of care, services, advocacy, and access for patients
within the healthcare system.
ANS: D
As gatekeepers to the system, nurses advocate for and coordinate care,
services, and access for patients across all providers, settings, and
levels of care.
TOP: AONE competency: Professionalism
3. A 27-year-old woman is admitted to your ICU in a coma, following an
accident. The famil y of the patient, who is a Native American, places a
medicine pouch in the bed with the young woman. As the nurse in this
situation, it is important to:
a. explain to the famil y that the medici ne pouch may contain herbs
that may bother other patients.
b. ask the famil y about the significance of the medicine pouch for
them.
c. remove the pouch when the famil y is not present.
d. put the medicine pouch on the shelf beside the bed.
ANS: B
Diversit y encompasses more than differences in nationalit y or ethnicit y
and may include a variet y of ways that patients are different from their
healthcare providers. Nurses need to recognize the culture of their
, work setting, realizing that it may differ markedl y from the culture of
the consumer, and move beyond ethnocentrism to provide culturall y
competent care. This competence includes cultural knowledge, which
involves activel y learning about a communit y; cultural sensitivit y,
which entails valuing and respecting belief s, norms, and practices of
the people being served; and collaboration within a community. In this
instance, it is important to understand the meaning of the pouch for the
famil y; removal from the bed without discussion does not demonstrate
respect for the values and beliefs of this famil y.
TOP: AONE competency: Communication and Relationship -
Building
4. You are involved in designing a clinic for women in an inner -cit y
neighborhood. A goal of this clinic might be:
a. development of services that are identified i n various studies as
important for this target group.
b. partnership with area cit y councilors and health professionals to
provide services that are consistent with their vision and funding
sources.
c. provision of immunization and addictions services and health
screening services for women in the area.
d. development of services that have been identified by the women and
neighborhood advocates as necessary for their health care.
ANS: D
Involvement of persons in their own health care is a cornerstone of
healthcare reform and is important for improving health outcomes and
patient experiences. While studies and partnership with key informants
are important sources of information in the design of services,
