Virtual Experience Module 7: Case Management - Transitions of Care: Primary Care Clinic
1) The case manager is working with a panel of patients who have an early diagnosis of heart
failure. The goal is to keep these individuals in their homes as long as possible without
experiencing severe complications of their disease. Which statement about the levels of
prevention is the most accurate in this case management situation?
Response: The case manager will function at the secondary level of prevention by
teaching how to navigate the complexities of the health care system for prompt
treatment.
2) A community/public health nurse is collecting data regarding patients with heart failure who
have been readmitted to the hospital in the past 6 months in order to propose practice and
care management changes. In collecting this data, the nurse is acting in which role?
Response: Researcher
3) Which of the following are possible results of ineffective transitions of care? (Select all that
apply.)
Response: Increased severity of complications, Increased readmission
4) When working with a client using principles of motivational interviewing, the best strategy
for a community/public health nurse is to:
Response: help the client examine and resolve ambivalence around changing his or her
behavior.
5) A client needs to quit smoking as part of his overall plan to become healthier. The
community/public health nurse knows that the client is moving towards making a positive
change when he makes which of the following statements?
1) The case manager is working with a panel of patients who have an early diagnosis of heart
failure. The goal is to keep these individuals in their homes as long as possible without
experiencing severe complications of their disease. Which statement about the levels of
prevention is the most accurate in this case management situation?
Response: The case manager will function at the secondary level of prevention by
teaching how to navigate the complexities of the health care system for prompt
treatment.
2) A community/public health nurse is collecting data regarding patients with heart failure who
have been readmitted to the hospital in the past 6 months in order to propose practice and
care management changes. In collecting this data, the nurse is acting in which role?
Response: Researcher
3) Which of the following are possible results of ineffective transitions of care? (Select all that
apply.)
Response: Increased severity of complications, Increased readmission
4) When working with a client using principles of motivational interviewing, the best strategy
for a community/public health nurse is to:
Response: help the client examine and resolve ambivalence around changing his or her
behavior.
5) A client needs to quit smoking as part of his overall plan to become healthier. The
community/public health nurse knows that the client is moving towards making a positive
change when he makes which of the following statements?
