CH 9 case mngmnt

Question 1

1.Assisting the family of a special needs child through the complex health care system is an
example of what type of case management?
a. Disease-specific case management
b. System-centered case management
c. Client-centered case management
d. Public health case management

Answer 1

c. Client-centered case management

Question 2

2.Which of the following was a result of the Patient Protection and Affordable Care Act of 2010?
a. Social Security benefits were denied to selected aggregates.
b. Third-party payers (e.g., preferred provider organizations and health maintenance
organizations) use prospective payments systems to negotiate reimbursement.
c. Value-based purchasing programs for hospitals were established.
d. Health care providers received a fixed amount of money based on the relative cost of
resources they use to treat Medicare patients within each diagnosis-related group.

Answer 2

c. Value-based purchasing programs for hospitals were established.

Question 3

3.For an RN to apply for certification for case management through the Case Management
Society of America (CMSA), the nurse must perform essential activities of case management.
Which of the following is NOT one of the required activities?
a. Diagnosis
b. Coordination
c. Evaluation
d. Outcomes
e. Assessment

Answer 3

a. Diagnosis

Question 4

4.In providing care for a client who recently had a liver transplant, a nurse case manager would
focus attention on all of the following except:
a. medication monitoring and management.
b. provision of direct clinical skilled care (e.g., dressing changes, medication
administration).
c. identification of potential problems and notification of the physician.
d. evaluation of progress to meeting projected outcomes or goals.

Answer 4

b. provision of direct clinical skilled care (e.g., dressing changes, medication
administration).

Question 5

5.In which case management setting is the nurse responsible for providing primary prevention to
employees to keep the work force healthy?
a. High-risk clinic setting
b. Occupational health setting
c. Home health and hospice setting
d. Public health clinic setting

Answer 5

b. Occupational health setting

Question 6

6.Which model of care was developed to provide collaborative, quality-driven, safe, primary
care?
a. Community case management model
b. Disease-specific case management model
c. Patient-centered medical home
d. Geriatric care management

Answer 6

c. Patient-centered medical home

Question 7

7.The case manager reviews the chart of a patient to determine appropriateness and timeliness of
medical care while the patient is in the hospital. This function of case management is referred to
as:
a. care coordination.
b. utilization review.
c. continuum of care.
d. care management.

Answer 7

b. utilization review.

Question 8

8.Which of the following is a goal of case management? (Select all that apply.)
a. Providing high-quality care
b. Decreasing fragmentation of health services
c. Containing cost of health care
d. Integrating specialty care
e. Enhancing quality of life for clients

Answer 8

a. Providing high-quality care
b. Decreasing fragmentation of health services
c. Containing cost of health care
e. Enhancing quality of life for clients

Question 9

9.Certification for registered nurses in the field of case management is provided through which
professional organization? (Select all that apply.)
a. American Nurses Association
b. American Nurses Credentialing Center
c. American Hospital Association
d. Case Management Society of America
e. National Association for Healthcare Quality

Answer 9

b. American Nurses Credentialing Center
d. Case Management Society of America

Question 10

10.Which of the following are principles of a patient-centered medical home? (Select all that
apply.)
a. Physician-led, team based care
b. Value-based purchasing
c. Integration and coordination of care
d. Improved access to care
e. Quality and safety