Case Management Innovations for the Future

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.

1. Standards of practice state the criteria for case management practice but hold no weight in court.

a) True
b) False

2. Case managers have standards of practice for general practice or specialty areas.

a) True
b) False

3. The last 10 years in healthcare have seen no changes in case management practices.

a) True
b) False

4. Best practice guidelines are important for case managers in acute care and other patient care areas.

a) True
b) False

5. Privacy of patients' records, including electronic records, is protected by well-defined laws.

a) True
b) False

6. A durable power of attorney for healthcare is a document allowing an adult to assign healthcare decision-making to an agent.

a) True
b) False

7. Safety and medical errors in hospitals are being connected to staffing problems and poor communication.

a) True
b) False

8. Confidentiality is embedded in an individual's right to privacy.

a) True
b) False

9. The person's right to state healthcare decisions in case of future inability to do so is protected by the PSDA passed in 1990.

a) True
b) False

10. End-of-life care issues are of concern with case managers in all healthcare settings where terminal conditions are addressed.

a) True
b) False

11. A common problem with advance directives is that patients' forms are not witnessed.

a) True
b) False

12. The previous surge of Americans' use of CAM therapies has subsided in the last 3 years.

a) True
b) False

13. The patient who chooses to use CAM therapies should be persuaded to forego such therapy without full analysis by the primary physician.

a) True
b) False

14. Insurance companies are showing interest in covering CAM therapies such as chiropractic, massage therapy and acupuncture.

a) True
b) False

15. Herbal therapies are not regulated by the FDA the way over-the-counter medication and prescriptions are in the United States.

a) True
b) False

16. Standards of care define and determine patient care ratios in hospitals.

a) True
b) False

17. A DPAHC is not recognized in most private hospitals.

a) True
b) False

18. Confidentiality relates to the right of an individual to privacy of their health care.

a) True
b) False

19. The number of uninsured Americans exceeded 42 million in 2000.

a) True
b) False

20. The Balanced Budget Act of 1997 had a major impact on hospitals but little or no effect on the nursing homes.

a) True
b) False

21. During the year 2000, several major HMOs announced plans to withdraw from Medicare HMO programs.

a) True
b) False

22. Baby Boomers are expected to have a major effect on health care primarily because most will require long-term care.

a) True
b) False

23. A medical power of attorney is a legal document that

a) Is the same as a legal power of attorney for financial management?
b) Replaces a living will for the next of kin or spouse.
c) Names the person who will act as surrogate in the event the patient cannot express his or her wishes.
d) Must be prepared by an attorney and notarized.

24. If a patient's spouse asks the case manager whether his wife's biopsy report says if her tumor was malignant or not, the nurse should

a) discuss the report and findings with him, as case management always includes the Patient’s family.
b) Report this request to the nursing supervisor.
c) Contact the physician and ask for permission to review the findings with him.
d) Ask the patient whether or not you are permitted to discuss the findings with her spouse.

25. Which of the following is not true regarding Standards of Care and Practice?

a) Job descriptions are considered standards.
b) Standards cannot be introduced as evidence in a court of law.
c) The American Nurses Association develops standards for professional nursing.

26. Which of the following is not true regarding certification for case managers?

a) Candidates must have a BSN to qualify for some certification exams.
b) Certification signifies attainment of a body of knowledge beyond that required for licensure.
c) Certification ensures excellence in case management practice.
d) Certification is a voluntary process.

27. Case Management Standards of Practice assist the case manager in all of the following ways except:

a) Identifying the domains of case management practice.
b) Assessing individual performance.
c) Assessing program performance.
d) Protecting against fraud.

28. When should case managers generally refuse to share information?

a) When the request comes from a drug or alcohol treatment provider.
b) When the patient's condition is the result ofa violent injury.
c) When the patient has suffered from apparent abuse or neglect.
d) When the patient suffers from a communicable disease.

29. From a legal standpoint, a case manager's competence may be evaluated by all of the following except:

a) His or her basic educational background and degrees.
b) The formal standards of care created by a relevant health care association.
c) The ongoing education obtained and certification held.
d) Oral examination on healthcare opinions.

30. What serves as the benchmark for determining appropriate case management services?

a) legal precedents
b) COBRA guidelines
c) protocols or practice guidelines
d) the criteria for "fair treatment" under the law

31. Technological and cyberspace challenges in the next few years will

a) Continue due to advances in biotechnology.
b) Diminish due to tort reform and legislation.
c) Be outpaced by cultural changes in the U.S.
d) Not affect hospital case managers.

32. The Agency for Health Care Policy and Research is responsible for the

a) Formulation of regulations related to healthcare.
b) Development of guidelines for reimbursement by federal programs (Medicare and Medicaid).
c) Publication and dissemination of national clinical practice guidelines.
d) Selection of recipients of research grants related to aging.

33. To reduce liability, the case manager should

a) Use the care plan as a guide but not feel obligated to follow it entirely.
b) Document suspicions within reports.
c) Avoid making claims that case management ensures better outcomes.
d) Communicate clearly that the case manager determines the treatment plan.

34. Experts claim that medication errors occur in hospitals due to all of the following except:

a) similarly labeled drug packages
b) unit dosing of medications
c) overworked, fatigued nursing staff
d) failure to observe the 5 Rights of medication administering

35. The outcome of a program involving pharmacists and physicians in an ICU setting could best be described as

a) Pharmacists increase the cost of care.
b) Physicians prefer not to consult with pharmacists.
c) Pharmacists help prevent medication errors in the ICU.
d) The outcomes have not been measured.

36. One major reason for CAM therapy use in the U.S. may be summed up as

a) A response to lack of research in all healthcare areas.
b) A response to managed care costs and seeking more choices for health and prevention care.
c) The recent licensing of all Chinese and ND physicians in the U.S.

37. Herbal therapies are used by many individuals because they are

a) Regulated and well-documented as safe in the U.S.
b) Natural plant-based products that can be bought by self-choice and over-the counter in many common retail stores.
c) Proven to cause few side effects than drugs currently on the market.

38. Hospitals that are appealing to more savvy adults with "hotel-like" environments are affecting conventional hospitals by

a) Making referrals to large hospitals for trauma care.
b) Drawing revenue away from conventional hospital programs, in orthopedics and cardiac surgery.
c) Having little effect on conventional hospitals.