Prof. exam 1
Which of the following Medicaid clients would most likely receive case management? a person who has a high-cost chronic disease an elderly person a person with acute illness a person receiving rehabilitation following an injury
a
Which of the following best describes case management? a. implemented with individual clients b. targeted toward a specific segment of the population c. a tool of health maintenance organizations d. used to monitor health status, resources, and outcomes for an aggregate
a
Which of the following best describes why planning for an individual is so challenging in today's health care system? a. because multiple providers, payers, and settings have to be coordinated b. because today's clients have high expectations of the health care system c. because so many different health care providers are in the acute care setting today d. because of the new high technology constantly being created and used for client treatment
a
Which of the following best explains why every client doesn't receive care from a case manager? case management time is demanding; thus it is restricted to complex cases case management time is demanding; thus it is restricted to complex cases many health agencies do not employ case managers most clients wound not benefit from case management
a
Which of the following community health nurse applicants is the least qualified for a position of case manager in a rural community? a 34-year-old who will be moving from a large city a 24-year-old who has a master's degree in public health a 44-year-old who was born and raised in the community a 54-year-old who, until recently, was a member of the community's school board
a
How did Florence Nightingale help bring about community health nursing? SELECT THE 2 THAT APPLY a.She kept careful records on what was done and what were the results b. She focused on all soldiers and their environment c. She convinced socially prominent wealthy women to volunteer to give care d. she interacted with each individual person, assessing his or her needs and acting to meet those needs
a, b
Two nurses plan to walk under a huge downtown bridge where various homeless persons live. Why would the nurse go to such an unsafe area? a. To share with various churches and other charities what is needed b. To demonstrate their courage and commitment c. To assess the needs of the homeless who live there d. To distribute some of their own surplus clothes to those who can use them
c
Which of the following best defines aggregate? a. A collections of individuals and families b. Another name for demographic group c. A collection of people who share one or more c characteristics d. A large group of person
c
The public health nursing care that Rosalina would expect to experience in the rural health settings includes (select all that apply and explain): a. Nursing care which is culturally diverse and appropriate to the needs of the community. b. Treatment aimed at preventing illness and promoting wellness. c. Education aimed at behavioral and mental health issues as well as substance abuse prevention. d. Nursing care provided within guidelines for Medicare funding. e. Illness care provided to the individual with referrals to acute care facilities in metropolitan locations.
a b c
Which of the following are the primary goals of case management? Select the 3 that apply. to ensure that care coordination occurs across the continuum to emphasize evidence-based clinical decision making to stress the advantages and benefits of community-based care to manage resource use and control expenses
a b c
There are several tools that case managers use, such as telehealth, disease management and the five "rights" of case management. Which of the following are the five rights? Select the 5 that apply. right provider right care right setting right computer right price right time
a b c e f
A nurse is caring for vulnerable populations in a local community. Which patients will the nurse care for in this community? SELECT THE 3 THAT APPLY a. A 47 year old immigrant who speaks only Spanish b. A 40 year old schizophrenic c. A 22 year old pregnant woman d. A 35 year old living in own home e. A 15 year old rape victim
a b e
A public health nurse is compiling information about how to promote early detection of breast cancer in women. Which document would most likely provide useful information about this topic? a.Health People 2020 b. Scope and Standards of Public Health Nursing c.The future of Public Health d. Patient Protection and Affordable Care Act
a
A nurse is assessing the status of a community's health. Which of the following will the nurse examine? a. Vital statistics b. Health facilities c. Health care manpower d. Community awareness
a
The instructor is teaching student nurses about identifying members of vulnerable populations when the nursing student asks, "Why is it not all poor people are considered members of vulnerable populations?" How should the nurse respond? a. "Members of vulnerable groups frequently have a combination of risk factors" b. "Poor poople are members of a vulnerable population only if they take drugs" c. "Poor people are members of a vulnerable population only if they are homeless" d. "All people are members of a vulnerable population"
a. "Members of vulnerable groups frequently have a combination of risk factors"
The community health nurse is administering flu shots to children at a local playground. What is the rationale for this nurse's action? a. To prevent community outbreak of illness b.To prevent needs of the local population groups c. To prevent individual illness d. To prevent outbreak of illness in the family
a. To prevent community outbreak of illness
Which of the following is the best brief definition of community? a. A group sharing a common bond such as a profession or occupation b. A geographic area or political division under common leadership c. A social group with common goals within a geographic area d. A group working together to confront a common problem
c
A community health nurse drives through her assigned community before visiting the community groups scheduled for the day. She then drives through the community again that evening before going home. Which of the following best describes the nurse's reason for driving through the community twice in the same day? a. Repeating the experience ensures that the nurse absorbed all the relevant details b. Driving through twice allows the nurse to see the community when many residents are at work or at school and then again when most are at home c. On the second trip, the nurse can carefully confirm the results of the first assessment d. When leaving in the evening, the nurse has more time to write down the results of the earlier assessment
b
A nurse is focusing on the process dimension of a community's health. Which of the following interventions will the nurse most likely implement? a. Assessing the health care services available in a community b. Implementing health promotion avtivities such as education programs c. Planning for new programs to be developed based on identified needs d. Establishing screening programs to diagnosis diseases as early as possible so treatment can begin
b
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? case management plans focus on the natural progression of the disease case management plans should be individualized for each client case management plans should be used only by nurses to manage care case management plans provide additional expense to the client and family
b
The nurse suggest use of telehealth to assess how a client is progressing. Which of the following resources must be available for continuing care to be implemented? family permission for the nurse to make home visits long-distance telephone service or a computer with Internet service willingness of the caregiver to drive the client to the nearest clinic a physician who is willing to use wireless prescriptions and plans of care
b
There are several exemplars to care coordination, including high-risk pregnancy and preterm infants, special needs children, frail elderly, transitional care and end-of life care. What other exemplar is listed for the concept of care coordination? sexual violence mental illness neuromuscular dysfunction valvular heart disease
b
What was the outcome of the Shattuck Report? a. Environmental sanitation efforts became an immediate priority b. Guidelines for modern public health organizations were eventually developed c. Efforts to control alcohol and drug abuse, as well as tobacco use, where initiated d. Local and state governments established boards of health after its publication
b
Which of the following best describes the primary problemn that can result from health care today being given by many different care providers? a. health care providers have to make referrals to other providers b. overuse, underuse, or gaps in care may result c. clients are not sure which provider to see first d. clients sometimes are not sure who their primary provider is
b
Case management is complex because of coordinating activities of multiple providers. What else causes case management to be complex? Select the 2 that apply: is simpler in rural areas multiple settings of a client's continuum of care multiple payers the use of electronic medical records
b c
Populations with the greatest need that benefit the most of case management are who? Select the 3 that apply. a. individuals with adequate health insurance b. children and older adults c. those with multimorbid chronic conditions d. vulnerable populations
b c d
Which of the following activities are considered to be part of the core competencies for public health professionals? SELECT THE 2 THAT APPLY a. Maintaining public health departments throughout the United States b. Defining variables relevant to current public health problems c. Obtaining and interpreting information regarding risks and benefits to the community d. Implementing nursing care and subsequent evaluation outcomes
b, c
A case manager implements a primary prevention activity. Which of the following actions would the nurse most likely complete? resolving conflict between a primary-care clinic and a tertiary health care facility advocating for the client whose values conflict with those of the medical service provider educating a group regarding community services that are available if ever needed collaborating between nursing and occupational health personnel
c
A colonist is working in the public health sector in early colonial America. Which of the following activities would have likely been completed? a.Developing public housing and almshouses b. Developing vaccines to administer to large numbers of people c. Collecting vital statistics and improving sanitation d. Establishing schools of nursing
c
A nurse is developing a plan to decrease the number of premature deaths in the community. Which of the following interventions would most likely be implemented by the nurse? a.Encourage employers to have wellness centers at each industrial site b. Ensure timely and effectie medical intervention and treatment for community members c. Increase the community's knowledge about hospice care d. Promote healthy lifestyle behavior choices among the community members
d
During the assessment phase, the nurse compiles and interprets available data and draws conclusions as to the community's strengths and concerns. Which of the following best describes why the nurse would also conduct interviews with key informants? a. To ensure that others agtree with the nurse's plans for interventions b. To encourage community partners to feel they "own" the data c. To confirm the nurse's initial findings and conclusions d. To generate nonstatistical data such as values, beliefs, and perceived needs
d
A new nurse is overwhelmed with the needs of the community. Which of the following should be the first priority of the nurse? a. A problem that is very easy and inexpensive to address b. A problem that affects the most disadvantaged residents in the community c. A problem in an area in which the nurse has a great deal of expertise d. A problem that is of high concern to the community
d
Persons often point out that smokers choose to light their cigarettes, alcoholics lift the glass to their mouth, and drug addicts inject or ingest their drugs. Which of the following statements best describes why nurses don't simply focus on helping persons who engage in poor health behaviors to behave appropriately? a. It is too rewarding to continue the behavior for a person to be able to change b. Addicts don't have the willpower to change their behavior c. Laws and policies mst reward good healty behaviors and punish unhealthy behaviors to help individuals recognize the importance of change d. Society must offer healthy choices, offer support, and practive helpful policies
d
The nurse often has to make resource allocation decisions. Which of the following best describes the criterion the nurse should use in such cases? a. The mosty rational porbable outcome b. The specific moral or ethical principle related to the situation c. The cheappest, most economical approach d. The needs of the aggregate rather than a few individuals
d
There are certain characteristics and skill requirements of case managers. Which of the following IS NOT and skill or characteristic? has good critical thinks and prioritization skills knowledgable of community resources has good written and oral communicatio skills is quick work that is inexpensive
d
Which of the following is an important role of the nurse in community health? effecient host primary care client advocate
d
Without care coordination, we can expect to see fragmented services and cost issues. What else might we see without care coordination? a.decrease in collaboration b. increase in primary care c. increased illness care d. poor health outcomes
d
A nurse is providing screening at a health fair. Which finding indicates the person may be a vulnerable patient who is most likely to develop health problems? a. One who uses nontraditional healing practices b. One who is pregnant c. One who has unlimited access to health care d. One who has excessive risks
d. One who has excessive risks
Case management and care coordination have been used interchangeably. a. true b. false
true
Collaboration skills for case management, the goal is to promote respect, understanding, and accuracy of communication of all team members' points of view. true false
true
Liability concerns of case managers can exist if the following conditions are met: the provider had a duty to provide reasonable care a breach occurred through an act or omission to act the act or omission caused injury or damage to the client true false
true