©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
nurs 4600 midterm 1 Exam Questions
and Answers
-women & children
-persons of color
-immigrants
-gay pop.
-homeless
-mentally ill
-incarcerated,
-sub abuse - Ans:✔✔-ex's of vulnerable groups
case management
Page 1/27
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
(right service at the right time= care coordination) - Ans:✔✔-a collaborative process of assessment,
planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an
individual's and family's comprehensive health needs through communication and available resources to
promote quality, cost-effective outcomes
-negotiates managed care systems IOT (ideally) benefit pt first, then hospital
managed care - Ans:✔✔-system focused insurance strategy of managing care that attempts to manage
the COST of healthcare, quantity/quality of that healthcare, and ACCESS to that care, **economically
driven...
-goal of this approach is to is to encourage consumers, providers, and payers to all *become accountable
for the use of limited and ever-expensive healthcare resources
(Ex: needing to get a referral before seeing a dermatologist)
-provide quality healthcare
-dec fragmentation via coordinating continuity of care
Page 2/27
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-^QOL (POSITIVE PT OUTCOMES & satisfaction)***
-contain costs
-dec LOS - Ans:✔✔-goals & benefits of NCM (nursing case manag't)
-^chronic illness (^elderly pop)
- ^cost of healthcare d/t to no $ incentive to reduce cost of services...lead to DRGs (created bundled
predetermined price tags per condition) aka change from retrospective to prospective pay't
-^ in tech
- - Ans:✔✔-historical events that lead to the creation of NCM
vulnerable populations - Ans:✔✔-Any group that is Discriminated + Stigmatized + Politically
disenfranchised = Translates into lack of "social connectedness = inequality in social relationships with
partners, employees, gov't, service agencies etc"
Page 3/27
FIRST PUBLISH OCTOBER 2024
nurs 4600 midterm 1 Exam Questions
and Answers
-women & children
-persons of color
-immigrants
-gay pop.
-homeless
-mentally ill
-incarcerated,
-sub abuse - Ans:✔✔-ex's of vulnerable groups
case management
Page 1/27
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
(right service at the right time= care coordination) - Ans:✔✔-a collaborative process of assessment,
planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an
individual's and family's comprehensive health needs through communication and available resources to
promote quality, cost-effective outcomes
-negotiates managed care systems IOT (ideally) benefit pt first, then hospital
managed care - Ans:✔✔-system focused insurance strategy of managing care that attempts to manage
the COST of healthcare, quantity/quality of that healthcare, and ACCESS to that care, **economically
driven...
-goal of this approach is to is to encourage consumers, providers, and payers to all *become accountable
for the use of limited and ever-expensive healthcare resources
(Ex: needing to get a referral before seeing a dermatologist)
-provide quality healthcare
-dec fragmentation via coordinating continuity of care
Page 2/27
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-^QOL (POSITIVE PT OUTCOMES & satisfaction)***
-contain costs
-dec LOS - Ans:✔✔-goals & benefits of NCM (nursing case manag't)
-^chronic illness (^elderly pop)
- ^cost of healthcare d/t to no $ incentive to reduce cost of services...lead to DRGs (created bundled
predetermined price tags per condition) aka change from retrospective to prospective pay't
-^ in tech
- - Ans:✔✔-historical events that lead to the creation of NCM
vulnerable populations - Ans:✔✔-Any group that is Discriminated + Stigmatized + Politically
disenfranchised = Translates into lack of "social connectedness = inequality in social relationships with
partners, employees, gov't, service agencies etc"
Page 3/27
