(Top 2024/2025 EXAM REVIEW PAPERS / GRADED A+/ 100% Accurate) PRE-ASSESSMENT: EVIDENCED-BASED PRACTICE FOR CARE COORDINATION (JBO1) PJBO

PRE-ASSESSMENT: EVIDENCED-BASED PRACTICE FOR CARE COORDINATION (JBO1) PJBO Members of a culturally diverse interprofessional team within a hospital are functioning independently of each other. The team members need to come together to develop a strategy around collaboration. What is the first step the team should take? -Self-assessment A newly hired case manager asks a medical assistant to call an oncologist's office to refer a patient from a different culture. The assistant responds, "Good luck with that office staff. They only see high-profile patients that share their same beliefs." Which response shows the case manager wants to foster collaboration among the care team? - "It sounds like you have noticed a problem. Have you addressed this concern with the office staff?" A 60-year-old man has become increasingly depressed and isolated after the death of his wife. He rarely leaves home and has little social contact with friends or family. The case manager is using a model that views clients as resourceful and resilient in the face of adversity to update the care plan. Which case management model is being used? -Strengths-based A health services coordinator is working with a patient who has smoked for many years. Smoking cessation is being encouraged. The coordinator uses motivational interviewing in applying patientcentered collaborative care to help the patient adhere to the smoking cessation plan. Which statement by the coordinator demonstrates this technique? -"Let's work on small goals that you feel you can accomplish." A patient has been hospitalized for 21 days with a fractured femur following a motor vehicle accident, and the orthopedic surgeon has ordered a fall risk assessment. The discharge planner reviews the order and begins the discharge process. What is the appropriate referral process in preparation for discharge? -Arrange for physical therapy to evaluate the patient A social worker is prepared to discharge a patient with multiple health problems. The goal is to create an efficient plan that will coordinate care across many providers and geographic locations. Which action should the social worker take to meet this goal? -Schedule a virtual meeting with other providers to make a plan A healthcare provider is seeing a patient with a chronic condition for readmission to the hospital. According to the patient's chart, there have been multiple admissions to the hospital, and the patient is non-adherent with the treatment. The provider is hoping to make a new patient-centered care plan to improve adherence. What approach should the provider take to accomplish this goal? -Set new treatment goals with the patient A type 2 diabetic patient has been instructed to follow a new diet. The patient shares concerns about failure with the new diet, especially when it comes to watching carbohydrate and sugar intake. Which strategy should the dietician use to assist this patient? -Compromise A health services coordinator is developing a care plan for a patient from Somali who is soon to be discharged from the hospital following a hip replacement. An interpreter is present as the patient only speaks the Somali language. The coordinator wants to know the patient's current level of pain, and the interpreter mentions that the Somali term xanuun means both pain and illness. Which technique should the coordinator use to obtain the desired information? -Interpret the patient's nonverbal behaviors A health services coordinator is creating a continuing care plan for a patient with newly diagnosed type 1 diabetes. The coordinator wants to consider the best available evidence when creating the plan. Which documents should the coordinator review to support that goal? -Practice guidelines A health services coordinator is developing an individualized approach for obese adults and decides to utilize a public health strategy to encourage healthier eating choices. Which theory of change applies? -Nudge A case manager is hired by an insurance company to develop a life care plan for a claimant who sustained a spinal cord injury resulting in quadriplegia. Which assessment is part of this plan? -Expected medical expenses Patients with heart failure in a program to reduce hospital readmissions take the Minnesota Living with Heart Failure Questionnaire when they first join the program and again after 90 days. This survey provides information about the patient's quality of life. What is an appropriate intervention if the patient scores low on this assessment? -