Nursing Case Management: A Focus at the Bedside
Self-Study Examination
Instructions: After studying the text answer the following true/false or multiple choice questions. Remember, there's only one answer to each question.
a) True. b) False.
a) Industrial age. b) Atomic age. c) Socioeconomic age. d) Revolutionary age.
a) Provide a bonafied immunization program. b) Avoid duplication of health and social services. c) Decrease the use of hospitals for routine medical care. d) Be a federal regulatory agency.
a) Providing comprehensive health care for everyone. b) Developing nurse-run support groups. c) Obtaining necessary funding. d) Educating individuals and families on self-care.
a) Community Welfare Act. b) Health Care Reform Act. c) Social Security Act. d) Veteran’s Administration Act.
a) 1980s. b) 1970s. c) 1960s. d) 1920s.
a) Discharge planning and utilization review. b) Nursing care plans and utilization review. c) Discharge planning and quality assurance. d) Quality assurance and nursing care plans.
a) Henry Kaiser. b) Michael Shadid. c) Donald Ross. d) Clifford Loos.
a) The number of physician office visits allowed. b) The amount of outpatient diagnostic tests ordered. c) Both outpatient and inpatient health care service utilization. d) Utilization of inpatient health care services.
a) Capitation. b) HMO coverage. c) Fee-for-service. d) Equal reimbursement.
a) Incorporating it into the health care bill. b) Planning for it within the budget allowed by third party payers. c) Holding fund raising events. d) a & c.
a) Federal funding. b) Medicare payments. c) Managed care contracts. d) State funding.
a) Take the risk for providing the patient’s health care. b) Deliver the maximum level of patient care at a rock-bottom price. c) Have an outlined delivery system of health care providers. d) None of the above.
a) Group, Network, Individual, IPA, and Mixed. b) Group, MPA, Network, Staff, and Mixed. c) Group, Network, IPA, Mixed, and Case Managed. d) Group, Network, Staff, IPA, and Mixed.
a) A higher capitation rate. b) An increased number of patients. c) Full fee-for-service reimbursement. d) Additional PPO contracts.
a) Individually. b) Philosophically. c) Physiologically. d) Holistically.
a) High-cost inpatient admissions and expensive health care procedures. b) How soon patients are to be discharged from the hospital based on DRGs. c) Patient transfers to the appropriate level of care. d) Both b & c.
a) How ill the patient actually is. b) The symptoms and abnormal clinical findings manifested by the patient. c) The type and frequency of medical treatment that can be expected to be rendered to a hospitalized patient with a particular diagnosis. d) Both a & c.
a) The prospective or admission review, the past stay review, and the concurrent or continued stay review. b) The retrospective review, the pre-procedure review, and the prospective or admission review. c) The prospective or admission review, the concurrent or continued stay review, and the retrospective review. d) None of the above.
a) “Why is the patient in the hospital, and what medical treatments is (s)he receiving that can only be delivered in an acute care setting?” b) “What patient care goals still need to be met?” c) “When was the patient admitted to the hospital, and what is the expected date of the patient’s discharge?” d) “Is this admission related to any residual problems from past admissions?”
a) Care planning. b) Care coordination. c) Care direction. d) None of the above.
a) Acuities. b) Room numbers. c) Specific case types. d) Individual symptoms.
a) Planning, coordinating, and evaluating patient care. b) Planning, implementing, and evaluating patient care. c) Planning, coordinating, and implementing patient care. d) None of the above.
a) 6 b) 3 c) 4 d) 5
a) Primary care nursing is the focus. b) The charge nurse on each patient care unit acts as the case manager. c) The case manager is the nurse at the bedside participating in direct patient care. d) Both a & b.
a) Nursing care plan. b) The medical model. c) Case management plan. d) Both a & b.
a) Customary. b) Non-hierarchical. c) Standard. d) Hierarchical.
a) Role sharing. b) Communication. c) Time management. d) Mutual respect.
a) Advocate. b) Counselor. c) Referee. d) None of the above.
a) A primary nursing care approach. b) A physician-run approach. c) A patient care team approach. d) Both b & c.
a) The patient’s actual day of stay number and the authorized length of stay. b) Any continued normal laboratory values. c) A brief overview of the patient’s financial resources. d) All normal physical assessment parameters.
a) Quality improvement activities and budget planning. b) Quality improvement activities and discharge planning. c) Discharge planning and self-scheduling. d) Discharge planning and staffing for the next shift.
a) Case management plans. b) Patient care plans. c) Patient care protocols. d) Both a & b.
a) Patient re-admissions. b) Patient care documentation. c) Patient care procedures. d) Patient education.
a) Encouraging the patient’s participation in care. b) Developing an improved patient education program. c) Heightening the patient’s financial awareness. d) Coordinating patient care from one level to the next.
a) Decreasing the demanded time needed for problem solving. b) Increasing patient satisfaction with regard to quality care. c) Permitting more productivity time. d) All of the above.
a) The hospital’s cost containment mandates. b) The patient care team members. c) The patient and the patient’s support person(s). d) The physician’s orders.
a) The ability to make definitive decisions and take responsibility for those decisions. b) Experience writing policies and procedures. c) At least a baccalaureate degree in nursing with a master’s degree in nursing preferred. d) All of the above.
a) Coordination. b) Evaluation. c) Consultation. d) Assessment.
a) Establish a working discharge plan. b) Ensure the patient’s present and long-term health care needs are met. c) Coordinate the efforts of the health care team. d) Assure the appropriate physician orders are written.
a) Developing and monitoring the annual financial goals for selected patient populations based on DRG group diagnoses. b) Negotiating with third part payers for health care services needed by the patient. c) Demonstrating direct accountability for the costs incurred by the delivery of patient care. d) Arranging for new contracts with managed care companies.
a) Management and financial responsibilities. b) Clinical and management responsibilities. c) Management and advocacy responsibilities. d) Financial and clinical responsibilities.
a) 1982 b) 1980 c) 1989 d) 1987
a) Coordinating care. b) Decreasing variations in practice. c) Improving clinical outcomes. d) Managing length of stay.
a) High risk. b) High cost. c) High acuity. d) High volume.
a) The integration and streamlining of multidisciplinary documentation. b) Joint Commission on Accreditation of Healthcare (JCAHO) regulation changes. c) New patient care mandates set forth by the institution. d) The authorized length of stay reimbursed by third party payers.
a) Discharge planning. b) Teaching. c) Treatments. d) Transfer information.
a) 36 b) 12 c) 24 d) 48
a) Patient care outcome criteria. b) Directions regarding the preparation needed prior to completing a particular patient care task. c) Patient teaching information. d) Methods for resolving variances from the critical pathway.
a) System events. b) Patient events. c) Care provider events. d) All of the above.
a) Focusing on operational improvement. b) Having a patient-centered approach to care. c) Decreasing costs of providing health care services. d) Instituting a collaborative effort among the various health care disciplines.
a) Performs statistical analysis of data regarding the process. b) Identifies root causes of problems. c) Identifies practice standards for meeting patient outcomes. d) Selects a solution.
a) Important timing-related outcomes that indicate patient progression along the critical pathway. b) Health care discipline specific actions that must transpire to guarantee the patient’s progression along the critical pathway. c) Any positive or negative occurrences which modify the expected patient outcomes of the critical pathway. d) None of the above.
a) Increase physician and staff education. b) Improve continuity and quality of patient care. c) Promote a collaborative practice approach to patient care. d) All of the above.
a) Solicit the support of hospital administration. b) Examine what it would take to establish a bedside case management patient care delivery model within the hospital. c) Gain the endorsement of all of the hospital’s department managers. d) Develop recommendations for employing or appointing an individual to direct the bedside case management program.
a) Getting hospital administration involved in interfacing with the physicians. b) Placing information folders in strategic places so physicians can review them. c) Sponsoring a luncheon for the physicians with the guest speaker being a physician familiar with bedside case management. d) All of the above.
a) Monitoring patient progress along the critical pathway. b) Taking appropriate actions to rectify any variance. c) Asking the physician which critical pathway is appropriate for the patient. d) Making needed referrals and following up to make sure appropriate consultations have been made.
a) Work with third party payers. b) Handle diagnosis related groups. c) Conduct concurrent chart reviews. d) All of the above.
a) Implementation phase. b) Planning phase. c) Evaluation phase. d) Assessment phase.
a) The health care provider. b) Third party payers. c) The health care consumer. d) Governmental health care agencies.
a) Disease state management and contract management. b) Demand management and symptom management. c) Disease state management and demand management. d) Contract management and symptom management.