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Worksheets440 Topic 9
Total questions: 10
Worksheet time: 6mins
A community health nurse involved in care management would most likely:
develop, conduct, and evaluate health teaching programs in primary care.
manage the staff at a free clinic.
monitor the health status, resources, and outcomes for an aggregate.
provide immunizations to migrant workers.
A parent involved in conflict resolution with her teenager says, “I know that some of your friends stay out until midnight, but I think it is best if you are in at 10 o’clock.” This statement, a behavior seen in conflict situations, is an example of:
negotiation.
cooperation.
assertiveness.
aggressiveness.
A community health nurse is working with an uninsured family with two children. The nurse assists the parents in applying for SCHIP (State Children's Health Insurance Program) benefits and securing an appointment for the children with a community pediatrician that participates in SCHIP. The intervention can best be described as:
care management.
case management.
continuity of care.
disease management.
A nurse coordinating care for undocumented minority workers with a high incidence of tuberculosis (TB) conducts a presentation before the local community health board to focus attention on the magnitude of the problem and its potential impact on the local community. The presentation stimulates the community to explore innovative solutions to increase screening for and treatment of TB cases. This scenario is an example of the relationship between:
advocacy and case management.
advocacy and continuity of care.
care management and case management.
care management and continuity of care.
A nurse performing home hospice case management notes the increasing number of hospice clients that lack caregivers in the home environment. The nurse identifies the potential need for a hospice house facility to meet the needs of these clients. The case management process frequently reveals such larger picture issues as: (Select all that apply.)
community cost concerns.
community conflict-resolution skills.
community satisfaction.
community weaknesses in quality of services.
community weaknesses in quantity of services.
When acting as a mediator, the nurse advocate would:
choose a new health plan for a client with limited funds.
assist new parents in communicating with their health plan regarding well-baby coverage.
provide health education to teens who need knowledge about sexually transmitted diseases.
set up a doctor’s appointment for an illiterate adult.
A case manager is concerned that some of the clients at the neighborhood clinic are getting fewer services because of their financial situations. The case manager is confronting the ethical principle of:
justice.
veracity.
deontology.
beneficence.
A nurse working with a Hispanic client explains the referral options available for the client to receive a mammogram. One option is free and has limited Spanish language resources. The other option has a nominal fee and comprehensive Spanish language resources. The nurse supports the client’s decision to choose the provider that the client feels would best meet her needs. This advocacy role is best described as:
intercessor.
mediator.
obstructer.
promoter.
In case management, it is unlikely that any single professional has the expertise, knowledge, or skills required to achieve success. The synergy produced by all involved parties (client, providers, payers, family/significant others, and community organizations) can result in successful outcomes. This statement relates to the sequential process of:
collaboration.
communication.
cooperation.
negotiation.
During a home visit, a case manager for a community health center notes marked pitting edema, shortness of breath, and increased fatigue in a 52-year-old male client who lives alone. The client is admitted to the hospital, where he is diagnosed with congestive heart failure. The case manager works with the hospital’s utilization manager to devise a discharge plan. What are the case manager’s most logical next steps? (Select all that apply.)
Identify and arrange for the resources to provide needed services.
Research the client’s health care coverage and its provisions.
Discuss with the family their ability to provide daily visits to the client.
Gather information on local support groups.
Reassess the client at discharge to ensure needed care is not overlooked.
