NURS 441 FINAL EXAM QUESTIONS AND ANSWERS

NURS 441 FINAL EXAM QUESTIONS AND ANSWERS USA - answer- This country spends more on healthcare than any other nation Decrease - answer- recent data do suggest that there is: 1. A _______ in the prevalence of chronic disability Earlier - answer- recent data do suggest that there is: An _________ diagnosis and treatment of disease Improved - answer- recent data do suggest that there is: _________ treatment of health problems Medicaid - answer- In the case study, Eleanor is currently on Medicare. She must spend down her $20,000 in savings in order to qualify for _______ Utilization - answer- Care management is also know as ______ management Care management - answer- Coordination of a plan or process to bring health services together as a common whole in a cost-effective way Evaluation of healthcare interventions, including need and appropriateness of care, and actions taken to attain effective and efficient outcomes Discuss anticipatory needs Case Management - answer- Development and coordination of care for a selected client and family. Sometimes involves disease management. - Commonly associated with care of patients of low income and at risk families -- Focus on chronic issues and prevention at secondary and tertiary levels -- HUMANIZE the patient! False - answer- True/False You must be a nurse to be a case manager Case manager - answer- - Roles of a ____ _______ a) Advocacy and education b) Clinical care coordination/facilitation c) Continuity/transition management d) Utilization/financial management e) Performance and outcomes management f) Psychosocial management g) Research and practice development True - answer- True/False Home healthcare supports the economy. It is cheaper for patient to be cared for at home DRG - answer- Patients are assigned a code at admission This calculates "how long the patient is eligible for care as inpatient" Your condition has to meet certain requirements for you to stay in the hospital It is the CASE MANAGERS job to qualify you for inpatient stay or to get you out if you do not qualify Case Manager - answer- It is the _______ ________'s job to qualify you for inpatient stay or to get you out if you do not qualify Private - answer- Type of home health agency AKA Voluntary Not for profit - Governed by voluntary board of directors and community-based advisory boards interested in fiscally sound, high-quality care for clients they decide will be their service population - Any profit is reinvested in operations of home health-care service - Example- visiting nurse association Hospital based - answer- Type of home health agency Provides continuum of care offered by the hospital, maintain quality, and increase collaboration. May be for profit or non profit - Example- Centra hospital has its own home health entity! (PT/OT) - Ex. Home Health Care Department of Boston General Hospital Proprietary - answer- Type of home health agency For-profit, offer services that provide home health aides and homemaking services to people in need of personal care and housekeeping. - Offer more things (personal care housekeeping, home care, etc.)They go above and beyond - Services often paid for privately by families, and any profit margin benefits owner and chain of agencies - Example- Generation Solutions Official - answer- Type of home health agency supported by public monies that often come from taxes. - Examples: County health department getting money for lead paint screening TB treatment (DOT), etc. Well-child clinics Water-testing facilities Public home care agency Home Bound - answer- This medicare eligibility requirement refers to a condition where it requires a taxing effort to leave the home Plan of Care - answer- This medicare eligibility requirement refers to an agency-generated written document guided by an assessment, OASIS Skilled Needs - answer- This medicare eligibility requirement refers to the needs of the client that are accomplished via skilled professionals such as registered nurse or her supervised designees. Includes skilled observation, assessment, teaching, management, and evaluation Ex. Catheter, dressing changed, PT/OT Intermittent Care Needs - answer- This medicare eligibility requirement refers to a situation in which skilled care is usually provided over several hours during the day, several times a week, for a certain time period Medicare requires specified time period to be 60 days with appropriate renewals if skilled continue to exist