PHARM NR 223Community Health Study Guide Exam 3.

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 b . To emphasize evidence-based clinical decision making c . To manage resource use and control expenses d To stress the advantages and benefits of community- . based care ANS: A, B, C 1. The following people enter the health clinic together: an unmarried man and his year-old son, an unmarried woman with a year-old daughter, and the mans married brother, who is separated from his wife. During the assessment it is determined that both men work and contribute to the household, where all of them live. Which of the following best describes the family? The group consists of three families: the man and his a son, the woman and her daughter, and the brother, who . is married even though he and his wife are separated. There are two families involved: first, the unmarried man and woman and their two children, and second, the b brother, who is married even though he and his wife are . separated. There is no family here, only three adults sharing c resources between themselves and two biologically . related children. d The family includes whoever the adults state are family . members. ANS: D 3. In taking a family history, the nurse in community health finds that this is the second marriage for the previously divorced parents and that the male partner is the stepparent to the oldest child. For which of the following aspects of the family assessment is data being gathered? a . Dynamics b . Function c . Structure d . System ANS: C 5. A nurse is working with a family who is confronting major challenges to their health. Which of the following approaches would be most helpful for the nurse to use? a . Allowing the family to be noncompliant b . Building on the familys strengths and resilience c . Labeling the family as resistant d . Recognizing that the family is dysfunctional ANS: B 6. The nurse is told that a healthy, functional family consisting of a 25-year-old man and a 24-year-old woman, who are expecting their first child, would appreciate a nurse coming to their apartment for anticipatory guidance in preparing themselves and their apartment for the baby. Based on that statement, which of the following assumptions can the nurse safely make about the family? a . The family is lacking a strong support system. b . The familys basic needs are being met. c The couples in-laws are unavailable to share their . expertise about child care. d . The married couple is excited about their first baby. ANS: B 13. A nurse is in the termination phase of the nurse-family relationship. Which of the following strategies would the nurse most likely implement?