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Exam (elaborations)

NSG 440 Exam 3-Questions with Correct Answers/ Verified/ 100% Pass

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  • Course
  • NSG 440
  • Institution
  • NSG 440

case management role -️️management and implementation of coordination of care for INDIVIDUAL clients what are primary drivers of prioritization in case management care - ️️complexity HIGH COST CHRONIC DISEASE due to ___ and ___ case management is provided based on prioritization... - �...

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  • August 7, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NSG 440
  • NSG 440
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MikeHarris
NSG 440 Exam 3-Questions with Correct Answers/ Verified/ 100% Pass
case management role - ✔️✔️management and implementation of coordination of care for
INDIVIDUAL clients



what are primary drivers of prioritization in case management care - ✔️✔️complexity
HIGH COST CHRONIC DISEASE



due to ___ and ___ case management is provided based on prioritization... - ✔️✔️staffing;
time constraints



case management assessment includes - ✔️✔️case finding and eligibility determination



role of BROKER/facilitator - ✔️✔️ensuring that required services meet insurance coverage
and limits



Medicaid - ✔️✔️Federal program that provides medical benefits for low-income persons.



Medicare - ✔️✔️A federal program of health insurance for persons 65 years of age and
older



medicare also covers - ✔️✔️certain chronic conditions and disabilities



a care plan consists of - ✔️✔️-individual
-multidisciplinary pt



life care planning is used for - ✔️✔️CATASTROPHIC INJURY or malpractice



critical pathway and disease management protocols - ✔️✔️management plans that display
goals for patients and provide the sequence and timing of actions necessary to achieve
these goals with optimal efficiency

, poor coordination of care may cause - ✔️✔️fragmentation and duplication



advocacy - ✔️✔️promotion of pt rights and self determination



advocacy is related to - ✔️✔️nursing process implementation



example of advocacy - ✔️✔️case manager involving pt in their plan of care to elicit their
input



Risk Mitigation Strategies - ✔️✔️-document interdisciplinary communication
-confirm credentials and capabilities
-referrals
-inform pt of their rights



Referrals - ✔️✔️vetting credentials and capabilities (making sure the person will be able to
perform a procedure. will insurance cover it?)



care coordination example - ✔️✔️a pt at the community health center experienced
unnecessary repeated tests ordered by 3 different providers



documentation is - ✔️✔️clear and concise interdisciplinary communication



documentation shows - ✔️✔️-pt involvement
-rationale for decisions
-education (informing pts of their rights)



an occupational health nurse is responsible for - ✔️✔️-health promotion and restoration
-prevention of illness and injury
-protection from ENVIRONMENTAL HAZARDS

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