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Chapter 12 Care Management, Case Management, and Home Healthcare
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Chapter 12 Care Management, Case Management, andHome Healthcare
Origin: Chapter 12- Care Management, Case management, 1
1. The nurse discusses home care options with an 85-year-old client who recently fractured
her humerus in a fall in her house. She is recovering well now but says the experience
has made her see that it is time for her to change her living arrangements. The client can
still bathe herself and cook meals on occasion but says she would like to live where
nursing care is available onsite and where communal dining and recreation options are
offered. Which of the following living arrangements could the nurse recommend?
A) Assisted living facility
B) Independent living in a senior living facility
C) Nursing home
D) Apartment located near a hospital
Ans: A
Feedback:
Assisted living is a type of community-based care that combines quasi-independent
living with the availability of nursing care onsite and through home care visits. It is
generally a level of care for people who cannot live on their own, but are not yet ready
for a nursing home. This type of living arrangement is different from living
independently in one's own apartment, such as living in a senior living facility, in that
many activities are provided communally (e.g., eating, recreation) and there is an
organized effort to create a “caring community” where residents' needs are supervised
and met.
Origin: Chapter 12- Care Management, Case management, 2
2. A community care nurse at a healthcare agency assists in coordinating a plan for
providing health services in the most cost-effective way possible to a large number of
members living in the region. This work is known as:
A) Case management
,B) Home healthcare
C) Interdisciplinary collaboration
D) Care management
Ans: D
Feedback:
Care management is the coordination of a plan or process to bring health services
together as a common whole in a cost-effective way. Case management is the
development and coordination of care for a selected client and family. Home healthcare
is a provision of healthcare that occurs in the setting clients consider their home.
Interdisciplinary collaboration is the sharing of evidenced-based practice and skills as an
integration strategy with clients and families in homes and other healthcare settings.
, Origin: Chapter 12- Care Management, Case management, 3
3. The case manager works with a client who has type 2 diabetes and heart disease. In this
role, which actions should the nurse take in managing the client's diseases? (Select all
that apply.)
A) Provide weekly coaching sessions by telephone for blood glucose management.
B) Supervise cardiac stress tests in the exercise room of the local hospital.
C) Administer emergency insulin when the client arrives at the hospital in a diabetic
coma.
D) Demonstrate use of a glucose meter to the client.
E) Review heart-healthy and diabetic-friendly food options with the client and his
family.
Ans: A, D, E
Feedback:
Disease management often focuses on chronic illness such as heart disease, heart failure,
diabetes, pulmonary disease, urinary incontinence, and asthma. In disease management
programs, in addition to medications, there is strong emphasis on the use of telephone
coaching, Internet resources, and intensive client and family teaching to advance
self-care and adherence to wellness care. Recently, to help clients and families manage
their health problems in an effective and efficient manner, there has been an effort to
bundle disease states together in light of many comorbidity patterns. Supervising a
cardiac stress test and administering emergency glucose are clinical interventions that
go beyond basic disease management.
Origin: Chapter 12- Care Management, Case management, 4
4. The case manager works with a 10-year-old girl who has asthma. Because the client's
family has trouble affording inhalers, the case manager researches client assistance
programs through which they could receive free medications. This aspect of case
management is known as:
A) Care management
B) Advocacy
C) Disease management
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