NUR 388 FINAL EXAM PART 3 (MODULES 14-15) NEWEST 2026/2027
ACTUAL EXAM COMPLETE 120 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
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Which of the following public health nurse applicants is the least qualified for a
position of case manager in a rural county?
a. A 24-year-old who has a master's degree in public health
b. A 34-year-old who will be moving from a large city
c. A 44-year-old who was born and raised in the community
d. A 54-year-old who, until recently, was a member of the community's school
board - Correct Answer-b. A 34-year-old who will be moving from a large city
Case management competency requires the following knowledge and skills:
knowledge of community resources and financing methods; written and oral
communication and documentation skills; negotiation and conflict resolution skills;
critical thinking processes to identify and prioritize problems from the provider and
client views; and identification of best resources for the desired outcomes. Because
communities are unique, someone new to the area will lack knowledge of
community resources and financing methods. There is nothing in the descriptions
of the other public health nurses that indicates a lack of current knowledge or
skills.
Which of the following best explains why every client doesn't receive care from a
case manager?
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a. Case management time is demanding; thus it is restricted to complex cases.
b. Many health agencies do not employ case managers.
c. Most clients would not benefit from case management.
d. Most nurses do not know how to function as case managers. - Correct Answer-
a. Case management time is demanding; thus it is restricted to complex cases.
Case management can be labor intensive, time consuming, and costly. Because of
the increasing number of clients with complex problems in nurses' caseloads, the
intensity and duration of activities required to support the case management
function may soon exceed the demands that the direct caregiver can meet. Health
agencies continue to employ more case managers as the cost spent for the care
saves the agency money in the long term. Because case management is labor
intensive and costly, it is unrealistic for all clients to have a case manager although
additional clients could benefit from case management. Nurses fulfill the roles of
advocate, care coordinator, and referral agent which are necessary to function as
case managers.
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 primary care provider 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
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d. Willingness of the caregiver to drive the client to the nearest clinic - Correct
Answer-c. Long-distance telephone service or a computer with Internet access
Telehealth is an organized health care delivery approach to triage and to provide
advice, counseling, and referral for a client's health problem using phones or
computers with cameras. The client is usually in the home, and the nurse is at an
office, health care facility, or phone bank location. Wireless prescriptions and plans
of care are not necessary for a client who is receiving telehealth services. Home
visits may not be necessary for a telehealth client. Through the use of telehealth,
the need to visit clinics is decreased.
A nurse is using a case management plan to maximize patient care outcomes.
Which of the following describes an important consideration that should be made
by the nurse?
a. Case management plans should be used only by nurses to manage care.
b. Case management plans should be individualized for each client.
c. Case management plans provide additional expense to the client and family.
d. Case management plans focus on the natural progression of the disease. -
Correct Answer-b. Case management plans should be individualized for each
client.
Adaptation of the case management care plan to each client's characteristics is a
crucial skill for standardizing the process and outcome of care. It links multiple
provider interventions to client responses and offers reasonable predictions to
clients about health outcomes. Institutions report that sharing case management
plans with clients empowers the clients to assume responsibility for monitoring
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and adhering to the plan of care. Case management plans should link the care
that is provided together and involve multiple providers.
A client spends a great deal of 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."
c. "You are receiving appropriate care for your diabetes without serious side
effects, so a life care plan isn't currently appropriate."
d. "I was waiting for you to express interest in having a life care plan." - Correct
Answer-c. "You are receiving appropriate care for your diabetes without serious
side effects, so a life care plan isn't currently appropriate."
Life care plans are typically used for clients experiencing catastrophic illness or
adverse events resulting from professional malpractice. Others who benefit from
life care planning are those who have sustained injury when younger and whose
care requirements have changed as a result of aging. Life care plans are typically
used for clients experiencing catastrophic illness or adverse events resulting from
professional malpractice, not young persons with a newly diagnosed illness.
Which of the following Medicaid clients would most likely receive case
management?
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