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The main goal of case management is to make sure patients at high risk get the care they need at the least cost to the facility.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Case management focuses on cost-effective care for high-risk patients.
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Match the following Key Term(s) or italicized words from your text with the correct description: Primary care physician
- A. The federal government's health insurance program for people older than 65 years or those with certain disabilities or conditions
- B. A federally and state-funded health insurance program for individuals who are poor and medically indigent, pregnant women, individuals with disabilities, and children meeting income level requirements
- C. A system of health-care delivery aimed at managing the cost and quality of access to health care
- D. The insurance company that finances health care provided to a beneficiary
- E. A cost-containment program featuring a primary care physician (PCP) as the gatekeeper to eliminate unnecessary testing and procedures
- F. A classification of illnesses and diseases that is then used to determine the amount of money paid to a hospital by Medicare
- G. The gatekeeper for access to medical services
Correct Answer: G
Rationale: The primary care physician controls access to medical services as a gatekeeper.
Match the health-care practitioner to the appropriate functions: Certified nursing assistant
- A. Practices within a defined scope under the supervision of a physician, dentist, or RN; provides direct patient care and supervises assistive personnel
- B. Provides psychosocial support to patients, families, or vulnerable populations; advises caregivers; counsels patients; plans for patients' needs after discharge; and arranges for needed care such as home health
- C. Performs patient care duties and assists nursing staff; performs more complicated tasks, including sterile procedures, in some states
- D. Employed by physicians or hospitals to work closely with physician and assist in directing patient care
- E. Certified in a specific area of practice; carries an advanced practice license and can diagnose illnesses, prescribe medications, and order treatments
- F. Practices nursing within a defined scope under the direction of a physician; provides direct patient care, manages departments, and supervises other nurses and assistive personnel
Correct Answer: C
Rationale: CNAs assist nursing staff and perform patient care duties.
Fill in the blank with the correct Key Term(s) or italicized words from your text: A facility that specializes in intense physical, occupational, and speech therapy is called a(n) ___ facility.
- A. Hospice
- B. Home health
- C. Rehabilitation
- D. Skilled nursing
Correct Answer: C
Rationale: A rehabilitation facility specializes in intensive physical, occupational, and speech therapy.
Fill in the blank with the correct Key Term(s) or italicized words from your text: In ___ one nurse is responsible for all aspects of nursing care for his or her assigned patients.
- A. Case management
- B. Client-centered care
- C. Team nursing
- D. Primary care
Correct Answer: D
Rationale: Primary care involves one nurse handling all aspects of care for assigned patients.
In client-centered care, patients are encouraged to have a voice in goal setting and in deciding how the goals will be met.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Client-centered care empowers patients to participate in their care decisions.