Nokea
The nurse case manager usually provides direct, hands-on care.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Nurse case managers coordinate care rather than provide direct hands-on care.
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A 58-year-old patient is in an ICU step-down unit at an acute care hospital after having a cerebrovascular accident (stroke) with right-sided weakness. He is medically stable but needs assistance with all activities of daily living (ADLs). The doctors think he may be able to regain all his former level of function. The appropriate level of care at this point in the patient's progress is a(n)
- A. acute care hospital.
- B. long-term acute care hospital (LTACH).
- C. skilled nursing facility (SNF).
- D. rehabilitation facility.
Correct Answer: D
Rationale: A rehabilitation facility is appropriate for a patient needing intensive therapy to regain function after a stroke.
Match the following Key Term(s) or italicized words from your text with the correct description: Point of service
- 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. A group of health-care providers who contract with a health insurance company to provide services to a specific group of patients on a discounted basis
Correct Answer: F
Rationale: A POS plan allows patients to choose providers in or out of network with a primary care physician as gatekeeper.
A case manager's main function is to coordinate and facilitate the care of several different patients concurrently.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Case managers coordinate care for multiple patients to ensure efficiency and effectiveness.
In client-centered care, the nurse makes sure other members of the health-care team such as the phlebotomist, EKG technician, and respiratory therapist perform their tasks in a timely manner.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Client-centered care focuses on patient empowerment, not nurse coordination of other team members.
An LPN is the team leader for another LPN and certified nursing assistant, all of whom are caring for 10 patients in a long-term care facility. The second LPN applies a pressure ulcer dressing incorrectly. Which of the following is the best response for the team leader to make when she discovers the error?
- A. You aren't performing this task correctly. Why don't you review the procedure manual to figure out what you did wrong?'
- B. I see you tried to do a good job, but I am ultimately responsible for all the care given to our patients. If there are any other dressing changes required, let me know and I will do them.'
- C. You did a good job with this dressing change. I see one step here that you may have overlooked. Tell me how you did it so we can figure out if it was done according to the procedure.'
- D. It looks like you forgot a step here. Is something bothering you today, or do you just not understand the procedure?'
Correct Answer: C
Rationale: This response is constructive, encourages discussion, and focuses on correcting the procedure collaboratively.