Which of the following best explains why every client doesn't receive care from a case
manager?
a. Case management time is demanding; thus it is
... [Show More] 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.
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.
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 managements 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 and adhering to the plan of
care. [Show Less]