PHARM NR 223Community Health Study Guide Exam 3.
1. Which of the following best describes case management?
a
. A tool of health maintenance organizations
b
. Targeted toward a specific segment of the population
c
. Implemented with individual clients
d Used to monitor the health status, resources, and
. outcomes for an aggregate
ANS: C
6. 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 physician 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
ANS: C
8. A client spends a great deal of his 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.
You are receiving appropriate care for your diabetes
c without serious side effects, so a life care plan isnt really
. appropriate.
,d I was waiting for you to express interest in having a life
. care plan.
ANS: C
9. 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
ANS: C
11. A case manager advocates for a client by helping an insurer
understand the clients needs and desires and by helping the
client understand programs and benefits offered by the insurer.
What role is the nurse?
a
. Arbitrator
b
. Counselor
c
. Mediator
d
. Negotiator
ANS: D
15. A nurse is using the problem identification phase of the
case management process. To which of the following phases of
the nursing process does this correspond?
a
. Assessment phase
b
. Diagnosis phase
c Planning phase
, .
d
. Implementation phase
ANS: B
16. A nurse is completing a case management advocacy activity
which corresponds to the implementation phase of the nursing
process. Which of the following activities would the nurse most likely
use?
a
. Asking the client what is most important
b
. Seeking appropriate referrals for the client
c
. Assuring the client that his wishes will be supported
d
. Determining the order in which actions will occur
ANS: C
13. A nurse, client, family, and other care providers meet to discuss
what will be the best approach to use to continue care. Which of the
following best describes why the nurse suggests changing the goal
from obtaining appropriate long-term care placement to ensuring
that the clients convalescence is beneficial and safe?
a To consider all possible consequences of long-term care
. placement
b To encourage the group to review the client outcomes in
. the different settings
c To expand the goal so that different solutions can be
. generated and considered
d To help the group focus on the critical aspects the
. clients family considered most important
ANS: C
1. Which of the following is the primary goal of case management?
(Select all that apply.)
a To ensure that care coordination occurs across the
. continuum
1. Which of the following best describes case management?
a
. A tool of health maintenance organizations
b
. Targeted toward a specific segment of the population
c
. Implemented with individual clients
d Used to monitor the health status, resources, and
. outcomes for an aggregate
ANS: C
6. 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 physician 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
ANS: C
8. A client spends a great deal of his 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.
You are receiving appropriate care for your diabetes
c without serious side effects, so a life care plan isnt really
. appropriate.
,d I was waiting for you to express interest in having a life
. care plan.
ANS: C
9. 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
ANS: C
11. A case manager advocates for a client by helping an insurer
understand the clients needs and desires and by helping the
client understand programs and benefits offered by the insurer.
What role is the nurse?
a
. Arbitrator
b
. Counselor
c
. Mediator
d
. Negotiator
ANS: D
15. A nurse is using the problem identification phase of the
case management process. To which of the following phases of
the nursing process does this correspond?
a
. Assessment phase
b
. Diagnosis phase
c Planning phase
, .
d
. Implementation phase
ANS: B
16. A nurse is completing a case management advocacy activity
which corresponds to the implementation phase of the nursing
process. Which of the following activities would the nurse most likely
use?
a
. Asking the client what is most important
b
. Seeking appropriate referrals for the client
c
. Assuring the client that his wishes will be supported
d
. Determining the order in which actions will occur
ANS: C
13. A nurse, client, family, and other care providers meet to discuss
what will be the best approach to use to continue care. Which of the
following best describes why the nurse suggests changing the goal
from obtaining appropriate long-term care placement to ensuring
that the clients convalescence is beneficial and safe?
a To consider all possible consequences of long-term care
. placement
b To encourage the group to review the client outcomes in
. the different settings
c To expand the goal so that different solutions can be
. generated and considered
d To help the group focus on the critical aspects the
. clients family considered most important
ANS: C
1. Which of the following is the primary goal of case management?
(Select all that apply.)
a To ensure that care coordination occurs across the
. continuum
