Community-Based Nursing: An Introduction, 3rd Edition Test Bank
Community-Based Nursing: An Introduction, 3rd Edition Test Bank provides a structured approach to mastering key exam concepts with step-by-step explanations and practice questions.
Hannah Perez
Contributor
5.0
33
13 days ago
Preview (16 of 111)
Sign in to access the full document!
McEwen: Community-Based Nursing, 3rd Edition
Test Bank
Chapter 1: Opportunities in Community-Based Nursing Practice
MULTIPLE CHOICE
1. Over the past two decades, the health care delivery system has changed dramatically. Among the
changes are:
1. Care is becoming more focused on acute health care rather than health promotion
and illness prevention.
2. Hospital-based health care delivery has received increasing emphasis.
3. There has been a change in emphasis from treating illness to maintaining health.
4. There has been a move from focusing on aggregates or populations to focusing on
the individual.
ANS: 3 DIF: Cognitive Level: Comprehension REF: Page Reference: 4
OBJ: 1 TOP: Introduction
2. Factors that have served to produce the current nursing shortage in the United States include all
of the following except:
1. Heavy workloads and inadequate staffing.
2. Increasing age of the general population and growing need for long-term
management of chronic diseases.
3. Perceived lack of opportunity for job placement and advancement.
4. Relatively low wages.
ANS: 4 DIF: Comprehension REF: Page Reference: 5 (Box 1-1) OBJ:
2 TOP: Trends in Nursing Employment
3. Currently, approximately what percentage of nurses in the United States do not work in acute
care (hospital) settings?
1. 11%
2. 22%
3. 33%
4. 44%
ANS: 4 DIF: Knowledge REF: Page Reference: 7
OBJ: 2 TOP: Trends in Nursing Employment
Test Bank
Chapter 1: Opportunities in Community-Based Nursing Practice
MULTIPLE CHOICE
1. Over the past two decades, the health care delivery system has changed dramatically. Among the
changes are:
1. Care is becoming more focused on acute health care rather than health promotion
and illness prevention.
2. Hospital-based health care delivery has received increasing emphasis.
3. There has been a change in emphasis from treating illness to maintaining health.
4. There has been a move from focusing on aggregates or populations to focusing on
the individual.
ANS: 3 DIF: Cognitive Level: Comprehension REF: Page Reference: 4
OBJ: 1 TOP: Introduction
2. Factors that have served to produce the current nursing shortage in the United States include all
of the following except:
1. Heavy workloads and inadequate staffing.
2. Increasing age of the general population and growing need for long-term
management of chronic diseases.
3. Perceived lack of opportunity for job placement and advancement.
4. Relatively low wages.
ANS: 4 DIF: Comprehension REF: Page Reference: 5 (Box 1-1) OBJ:
2 TOP: Trends in Nursing Employment
3. Currently, approximately what percentage of nurses in the United States do not work in acute
care (hospital) settings?
1. 11%
2. 22%
3. 33%
4. 44%
ANS: 4 DIF: Knowledge REF: Page Reference: 7
OBJ: 2 TOP: Trends in Nursing Employment
McEwen: Community-Based Nursing, 3rd Edition
Test Bank
Chapter 1: Opportunities in Community-Based Nursing Practice
MULTIPLE CHOICE
1. Over the past two decades, the health care delivery system has changed dramatically. Among the
changes are:
1. Care is becoming more focused on acute health care rather than health promotion
and illness prevention.
2. Hospital-based health care delivery has received increasing emphasis.
3. There has been a change in emphasis from treating illness to maintaining health.
4. There has been a move from focusing on aggregates or populations to focusing on
the individual.
ANS: 3 DIF: Cognitive Level: Comprehension REF: Page Reference: 4
OBJ: 1 TOP: Introduction
2. Factors that have served to produce the current nursing shortage in the United States include all
of the following except:
1. Heavy workloads and inadequate staffing.
2. Increasing age of the general population and growing need for long-term
management of chronic diseases.
3. Perceived lack of opportunity for job placement and advancement.
4. Relatively low wages.
ANS: 4 DIF: Comprehension REF: Page Reference: 5 (Box 1-1) OBJ:
2 TOP: Trends in Nursing Employment
3. Currently, approximately what percentage of nurses in the United States do not work in acute
care (hospital) settings?
1. 11%
2. 22%
3. 33%
4. 44%
ANS: 4 DIF: Knowledge REF: Page Reference: 7
OBJ: 2 TOP: Trends in Nursing Employment
Test Bank
Chapter 1: Opportunities in Community-Based Nursing Practice
MULTIPLE CHOICE
1. Over the past two decades, the health care delivery system has changed dramatically. Among the
changes are:
1. Care is becoming more focused on acute health care rather than health promotion
and illness prevention.
2. Hospital-based health care delivery has received increasing emphasis.
3. There has been a change in emphasis from treating illness to maintaining health.
4. There has been a move from focusing on aggregates or populations to focusing on
the individual.
ANS: 3 DIF: Cognitive Level: Comprehension REF: Page Reference: 4
OBJ: 1 TOP: Introduction
2. Factors that have served to produce the current nursing shortage in the United States include all
of the following except:
1. Heavy workloads and inadequate staffing.
2. Increasing age of the general population and growing need for long-term
management of chronic diseases.
3. Perceived lack of opportunity for job placement and advancement.
4. Relatively low wages.
ANS: 4 DIF: Comprehension REF: Page Reference: 5 (Box 1-1) OBJ:
2 TOP: Trends in Nursing Employment
3. Currently, approximately what percentage of nurses in the United States do not work in acute
care (hospital) settings?
1. 11%
2. 22%
3. 33%
4. 44%
ANS: 4 DIF: Knowledge REF: Page Reference: 7
OBJ: 2 TOP: Trends in Nursing Employment
4. The two broad goals of Healthy People 2010 focus on:
1. Achieving access to preventive care for all Americans and increasing life
expectancy.
2. Eliminating health disparities and increasing quality years of healthy life.
3. Promoting public health core functions (assessment, assurance, and health policy)
and decreasing mortality.
4. Reducing mortality in infants, children, adolescents, adults, and elders and
improving health surveillance.
ANS: 2 DIF: Comprehension REF: Page Reference: 9
OBJ: 3 TOP: Healthy People 2010
5. All of the following are “focus areas” described in Healthy People 2010 except:
1. Access to quality health services.
2. Cancer.
3. Oral health.
4. Senior health.
5. Tobacco use.
ANS: 4 DIF: Knowledge
REF: Page Reference: 10 (Healthy People 2010 box) OBJ: 3
TOP: Healthy People 2010
6. Health promotion and illness prevention activities, such as well-child checkups, routine physical
examinations, and prenatal care are examples of:
1. Comprehensive health care.
2. Primary health care.
3. Secondary health care.
4. Tertiary health care.
ANS: 2 DIF: Application REF: Page Reference: 5
OBJ: 4 TOP: Primary, Secondary, and Tertiary Health Care
7. Secondary health care is becoming increasingly common in community-based settings.
Examples of this are:
1. Alcohol counseling for a homeless veteran and cardiac testing for an overweight
bank executive.
2. Care for a terminally ill elder and rehabilitation for a client with a spinal cord
injury.
3. Home-based infusion therapy for a man with osteomyelitis and outpatient
cholecystectomy for a middle-aged woman.
4. Prenatal care for a pregnant teen and diagnostic testing for a man with chronic
back pain.
ANS: 3 DIF: Application REF: Page Reference: 5
OBJ: 4 TOP: Primary, Secondary, and Tertiary Health Care
1. Achieving access to preventive care for all Americans and increasing life
expectancy.
2. Eliminating health disparities and increasing quality years of healthy life.
3. Promoting public health core functions (assessment, assurance, and health policy)
and decreasing mortality.
4. Reducing mortality in infants, children, adolescents, adults, and elders and
improving health surveillance.
ANS: 2 DIF: Comprehension REF: Page Reference: 9
OBJ: 3 TOP: Healthy People 2010
5. All of the following are “focus areas” described in Healthy People 2010 except:
1. Access to quality health services.
2. Cancer.
3. Oral health.
4. Senior health.
5. Tobacco use.
ANS: 4 DIF: Knowledge
REF: Page Reference: 10 (Healthy People 2010 box) OBJ: 3
TOP: Healthy People 2010
6. Health promotion and illness prevention activities, such as well-child checkups, routine physical
examinations, and prenatal care are examples of:
1. Comprehensive health care.
2. Primary health care.
3. Secondary health care.
4. Tertiary health care.
ANS: 2 DIF: Application REF: Page Reference: 5
OBJ: 4 TOP: Primary, Secondary, and Tertiary Health Care
7. Secondary health care is becoming increasingly common in community-based settings.
Examples of this are:
1. Alcohol counseling for a homeless veteran and cardiac testing for an overweight
bank executive.
2. Care for a terminally ill elder and rehabilitation for a client with a spinal cord
injury.
3. Home-based infusion therapy for a man with osteomyelitis and outpatient
cholecystectomy for a middle-aged woman.
4. Prenatal care for a pregnant teen and diagnostic testing for a man with chronic
back pain.
ANS: 3 DIF: Application REF: Page Reference: 5
OBJ: 4 TOP: Primary, Secondary, and Tertiary Health Care
8. Tertiary health care refers to:
1. Health care delivered in the home.
2. Health promotion and illness prevention activities.
3. Management of chronic, complicated, long-term health problems.
4. Relatively serious or complicated care that has historically been provided to people
who are inpatients in hospitals.
ANS: 3 DIF: Comprehension REF: Page Reference: 5
OBJ: 4 TOP: Primary, Secondary, and Tertiary Health Care
9. There are differences in the scope of practice and foci between community-based nursing
practice and community health nursing. Which of the following is more descriptive of
community-based nursing practice?
1. Emphasis is on preservation and protection of health.
2. Main objective is managing acute or chronic conditions in community settings.
3. Primary focus is on populations or aggregates.
4. Provision of both direct and indirect health services is common.
ANS: 2 DIF: Application REF: Page Reference: 6
OBJ: 1 TOP: Community-Based Nursing and Community Health Nursing
10. According to the findings from the survey of RNs conducted by the Department of Health and
Human Services’ Division of Nursing, geographic maldistribution of nurses is a significant
problem. Regions with the lowest rates of nurses per capita are:
1. The District of Columbia and Virginia.
2. Midwestern states and the Dakotas.
3. Mountain states (Nevada, Idaho) and the southwest (Oklahoma, Texas).
4. New England states (Massachusetts, Rhode Island, Vermont).
ANS: 3 DIF: Knowledge REF: Page Reference: 7-8
OBJ: 2 TOP: Current Trends in Nursing Employment
11. It is anticipated that over the next decade, the number of nurses working in community-based
settings will:
1. Decrease dramatically.
2. Decrease slightly.
3. Increase somewhat.
4. Remain the same.
ANS: 3 DIF: Comprehension REF: Page Reference: 8
OBJ: 2 TOP: Current Trends in Nursing Employment
12. Community-based nursing practice is characterized by all of the following except:
1. Health care delivered in the home.
2. Health promotion and illness prevention activities.
3. Management of chronic, complicated, long-term health problems.
4. Relatively serious or complicated care that has historically been provided to people
who are inpatients in hospitals.
ANS: 3 DIF: Comprehension REF: Page Reference: 5
OBJ: 4 TOP: Primary, Secondary, and Tertiary Health Care
9. There are differences in the scope of practice and foci between community-based nursing
practice and community health nursing. Which of the following is more descriptive of
community-based nursing practice?
1. Emphasis is on preservation and protection of health.
2. Main objective is managing acute or chronic conditions in community settings.
3. Primary focus is on populations or aggregates.
4. Provision of both direct and indirect health services is common.
ANS: 2 DIF: Application REF: Page Reference: 6
OBJ: 1 TOP: Community-Based Nursing and Community Health Nursing
10. According to the findings from the survey of RNs conducted by the Department of Health and
Human Services’ Division of Nursing, geographic maldistribution of nurses is a significant
problem. Regions with the lowest rates of nurses per capita are:
1. The District of Columbia and Virginia.
2. Midwestern states and the Dakotas.
3. Mountain states (Nevada, Idaho) and the southwest (Oklahoma, Texas).
4. New England states (Massachusetts, Rhode Island, Vermont).
ANS: 3 DIF: Knowledge REF: Page Reference: 7-8
OBJ: 2 TOP: Current Trends in Nursing Employment
11. It is anticipated that over the next decade, the number of nurses working in community-based
settings will:
1. Decrease dramatically.
2. Decrease slightly.
3. Increase somewhat.
4. Remain the same.
ANS: 3 DIF: Comprehension REF: Page Reference: 8
OBJ: 2 TOP: Current Trends in Nursing Employment
12. Community-based nursing practice is characterized by all of the following except:
1. An opportunity to provide holistic care in less structured settings.
2. Emphasis on health promotion and illness prevention.
3. Enhanced flexibility and autonomy.
4. Immediate access to support from other nurses and health personnel.
ANS: 4 DIF: Analysis REF: Page Reference: 8
OBJ: 1 TOP: Community-Based Nursing and Community Health Nursing
13. Among the uses of Healthy People 2010 are all of the following except to:
1. Be used as a framework to promote healthy choices for individuals.
2. Encourage increased fiscal allocations by state and federal legislative bodies.
3. Incorporate objectives to guide health promotion activities and programs in
schools, clinics, and worksites.
4. Serve as a benchmark for health promotion activities.
ANS: 2 DIF: Application REF: Page Reference: 10
OBJ: 3 TOP: Healthy People 2010
2. Emphasis on health promotion and illness prevention.
3. Enhanced flexibility and autonomy.
4. Immediate access to support from other nurses and health personnel.
ANS: 4 DIF: Analysis REF: Page Reference: 8
OBJ: 1 TOP: Community-Based Nursing and Community Health Nursing
13. Among the uses of Healthy People 2010 are all of the following except to:
1. Be used as a framework to promote healthy choices for individuals.
2. Encourage increased fiscal allocations by state and federal legislative bodies.
3. Incorporate objectives to guide health promotion activities and programs in
schools, clinics, and worksites.
4. Serve as a benchmark for health promotion activities.
ANS: 2 DIF: Application REF: Page Reference: 10
OBJ: 3 TOP: Healthy People 2010
McEwen: Community-Based Nursing, 3rd Edition
Test Bank
Chapter 2: Roles and Interventions in Community-Based Nursing Practice
MULTIPLE CHOICE
1. Marianne Smith is a volunteer nurse at a homeless clinic. One Tuesday, Marianne worked with
Ben, a 67-year-old alcoholic who has been homeless for 8 years. Marianne discussed Ben’s
situation with him for an hour, cared for blisters on his feet, and provided him with new socks.
She then referred him to the social worker for exploration of benefits for which Ben may be
eligible. When working with Ben, Marianne performed the roles of:
1. Counselor, direct care provider, collaborator.
2. Direct care provider, educator, advocate.
3. Educator, coordinator, consultant.
4. Facilitator, collaborator, counselor.
ANS: 1 DIF: Cognitive Level: Application REF: Page Reference: 14-18
OBJ: 1 TOP: Nursing Roles
2. To meet the needs of the employees of a textile mill, occupational health nurse Sandy Black
circulated a questionnaire soliciting information on what health issues or topics most employees
would like covered in the company’s health promotion program. Sandy will use this input to
provide new information on the topics chosen. This is an example of what nursing role
commonly seen in community-based practice?
1. Advocate
2. Care provider
3. Counselor
4. Educator
ANS: 4 DIF: Cognitive Level: Synthesis REF: Page Reference: 15
OBJ: 1 TOP: Nursing Roles
3. In the role of direct care provider, a nurse working in a clinic for senior adults might perform
interventions such as:
1. First aid for a broken wrist, calling adult protective services for a suspected case of
abuse, and providing emotional support for family members of an elder diagnosed
with a terminal illness.
2. Instruction on hypertension medication, triage, and discussing ways to manage
symptoms of depression.
3. Referral to a diabetes educator, discharge planning for a stroke client, and
identification of risk factors of osteoporosis.
4. Taking vital signs, administering flu injections, and phlebotomy.
ANS: 4 DIF: Cognitive Level: Analysis REF: Page Reference: 14
OBJ: 1 TOP: Nursing Roles
4.Which of the following is an example of the role of the nurse as counselor?
Test Bank
Chapter 2: Roles and Interventions in Community-Based Nursing Practice
MULTIPLE CHOICE
1. Marianne Smith is a volunteer nurse at a homeless clinic. One Tuesday, Marianne worked with
Ben, a 67-year-old alcoholic who has been homeless for 8 years. Marianne discussed Ben’s
situation with him for an hour, cared for blisters on his feet, and provided him with new socks.
She then referred him to the social worker for exploration of benefits for which Ben may be
eligible. When working with Ben, Marianne performed the roles of:
1. Counselor, direct care provider, collaborator.
2. Direct care provider, educator, advocate.
3. Educator, coordinator, consultant.
4. Facilitator, collaborator, counselor.
ANS: 1 DIF: Cognitive Level: Application REF: Page Reference: 14-18
OBJ: 1 TOP: Nursing Roles
2. To meet the needs of the employees of a textile mill, occupational health nurse Sandy Black
circulated a questionnaire soliciting information on what health issues or topics most employees
would like covered in the company’s health promotion program. Sandy will use this input to
provide new information on the topics chosen. This is an example of what nursing role
commonly seen in community-based practice?
1. Advocate
2. Care provider
3. Counselor
4. Educator
ANS: 4 DIF: Cognitive Level: Synthesis REF: Page Reference: 15
OBJ: 1 TOP: Nursing Roles
3. In the role of direct care provider, a nurse working in a clinic for senior adults might perform
interventions such as:
1. First aid for a broken wrist, calling adult protective services for a suspected case of
abuse, and providing emotional support for family members of an elder diagnosed
with a terminal illness.
2. Instruction on hypertension medication, triage, and discussing ways to manage
symptoms of depression.
3. Referral to a diabetes educator, discharge planning for a stroke client, and
identification of risk factors of osteoporosis.
4. Taking vital signs, administering flu injections, and phlebotomy.
ANS: 4 DIF: Cognitive Level: Analysis REF: Page Reference: 14
OBJ: 1 TOP: Nursing Roles
4.Which of the following is an example of the role of the nurse as counselor?
Loading page 6...
1. A home health nurse contacts adult protective services for a client who is being
neglected.
2. A nurse in a homeless clinic discusses the importance of good foot care with a man
with severe blisters.
3. An occupational health nurse works with a client to examine strategies on how to
stop smoking.
4. A school nurse holds a class on contraception for 10th grade girls.
ANS: 3 DIF: Cognitive Level: Application REF: Page Reference: 15-16
OBJ: 1 TOP: Nursing Roles
5. Which of the following is an example of the role of the nurse as an advocate?
1. A home health nurse contacts adult protective services for a client who is being
neglected.
2. A nurse in a homeless clinic discusses the importance of good foot care with a man
with severe blisters.
3. An occupational health nurse works with a client to examine strategies on how to
stop smoking.
4. A school nurse holds a class on contraception for 10th grade girls.
ANS: 1 DIF: Cognitive Level: Application REF: Page Reference: 16
OBJ: 1 TOP: Nursing Roles
6. Someone who participates in the process of making decisions regarding health care management
with individuals from various professions is a(n):
1. Advocate.
2. Collaborator.
3. Counselor.
4. Leader.
5. Role model.
ANS: 2 DIF: Cognitive Level: Comprehension REF: Page Reference: 17
OBJ: 1 TOP: Nursing Roles
7. Nurses should remain informed of new developments in their area of practice and should share
those developments with other health care providers. This is stressed in the role of:
1. Advocate.
2. Collaborator.
3. Leader.
4. Researcher.
5. Role model.
ANS: 4 DIF: Cognitive Level: Comprehension REF: Page Reference: 18
OBJ: 1 TOP: Nursing Roles
neglected.
2. A nurse in a homeless clinic discusses the importance of good foot care with a man
with severe blisters.
3. An occupational health nurse works with a client to examine strategies on how to
stop smoking.
4. A school nurse holds a class on contraception for 10th grade girls.
ANS: 3 DIF: Cognitive Level: Application REF: Page Reference: 15-16
OBJ: 1 TOP: Nursing Roles
5. Which of the following is an example of the role of the nurse as an advocate?
1. A home health nurse contacts adult protective services for a client who is being
neglected.
2. A nurse in a homeless clinic discusses the importance of good foot care with a man
with severe blisters.
3. An occupational health nurse works with a client to examine strategies on how to
stop smoking.
4. A school nurse holds a class on contraception for 10th grade girls.
ANS: 1 DIF: Cognitive Level: Application REF: Page Reference: 16
OBJ: 1 TOP: Nursing Roles
6. Someone who participates in the process of making decisions regarding health care management
with individuals from various professions is a(n):
1. Advocate.
2. Collaborator.
3. Counselor.
4. Leader.
5. Role model.
ANS: 2 DIF: Cognitive Level: Comprehension REF: Page Reference: 17
OBJ: 1 TOP: Nursing Roles
7. Nurses should remain informed of new developments in their area of practice and should share
those developments with other health care providers. This is stressed in the role of:
1. Advocate.
2. Collaborator.
3. Leader.
4. Researcher.
5. Role model.
ANS: 4 DIF: Cognitive Level: Comprehension REF: Page Reference: 18
OBJ: 1 TOP: Nursing Roles
Loading page 7...
8. Which of the following is not one of the “domains” of nursing interventions detailed in the
Nursing Interventions Classification (NIC) System?
1. Health system
2. Lifestyle
3. Physiologic: basic
4. Physiologic: complex
5. Safety
ANS: 2 DIF: Cognitive Level: Knowledge REF: Page Reference: 20
OBJ: 3 TOP: Nursing Interventions
9. In the role of manager, a home health nurse typically does all of the following except:
1. Coordinate scheduled visits considering client needs and services to be provided
and other factors.
2. Ensure that prescribed services are provided by other team members.
3. Use each client’s resources to help develop a plan of care.
4. Work with family members to explore placement options for long-term care.
ANS: 4 DIF: Cognitive Level: Analysis REF: Page Reference: 16-17
OBJ: 1 TOP: Nursing Roles
10. As an educator, a home health nurse might:
1. Encourage the parents of a ventilator-dependent child to stop smoking by
providing statistics that correlate parent’s smoking with childhood respiratory
difficulties.
2. Explain the importance of thorough documentation to a new home health nurse.
3. Show family members or caregivers how to administer insulin to a bed-bound
client.
4. Talk with a social worker to identify sources for funding for medications for an
elder who cannot afford her seizure medication.
ANS: 3 DIF: Cognitive Level: Synthesis REF: Page Reference: 15
OBJ: 1 TOP: Nursing Roles
11. Any treatment that a nurse performs to enhance client outcomes is a nursing:
1. Arbitration.
2. Intervention.
3. Role.
4. Therapy.
ANS: 2 DIF: Cognitive Level: Knowledge REF: Page Reference: 18
OBJ: 3 TOP: Nursing Interventions
Nursing Interventions Classification (NIC) System?
1. Health system
2. Lifestyle
3. Physiologic: basic
4. Physiologic: complex
5. Safety
ANS: 2 DIF: Cognitive Level: Knowledge REF: Page Reference: 20
OBJ: 3 TOP: Nursing Interventions
9. In the role of manager, a home health nurse typically does all of the following except:
1. Coordinate scheduled visits considering client needs and services to be provided
and other factors.
2. Ensure that prescribed services are provided by other team members.
3. Use each client’s resources to help develop a plan of care.
4. Work with family members to explore placement options for long-term care.
ANS: 4 DIF: Cognitive Level: Analysis REF: Page Reference: 16-17
OBJ: 1 TOP: Nursing Roles
10. As an educator, a home health nurse might:
1. Encourage the parents of a ventilator-dependent child to stop smoking by
providing statistics that correlate parent’s smoking with childhood respiratory
difficulties.
2. Explain the importance of thorough documentation to a new home health nurse.
3. Show family members or caregivers how to administer insulin to a bed-bound
client.
4. Talk with a social worker to identify sources for funding for medications for an
elder who cannot afford her seizure medication.
ANS: 3 DIF: Cognitive Level: Synthesis REF: Page Reference: 15
OBJ: 1 TOP: Nursing Roles
11. Any treatment that a nurse performs to enhance client outcomes is a nursing:
1. Arbitration.
2. Intervention.
3. Role.
4. Therapy.
ANS: 2 DIF: Cognitive Level: Knowledge REF: Page Reference: 18
OBJ: 3 TOP: Nursing Interventions
Loading page 8...
12. Universal nursing interventions that are performed by most nurses in most settings include all of
the following except:
1. Anticipatory guidance.
2. Circulatory care.
3. Documentation.
4. Environmental management (safety).
5. Client rights protection.
ANS: 2 DIF: Cognitive Level: Comprehension REF: Page Reference: 20
OBJ: 3 TOP: Nursing Interventions
13. Nursing interventions more commonly performed by nurses working in community-based
practice than by nurses in hospital-based practice include all of the following except:
1. Anesthesia administration.
2. Health screening.
3. Health system guidance.
4. Referral.
5. Telephone consultation.
ANS: 1 DIF: Cognitive Level: Comprehension REF: Page Reference: 21
OBJ: 2 TOP: Nursing Interventions
14. In comparing nursing practice in occupational health with nursing practice in the critical care
setting, occupational health nurses are more likely to:
1. Act as a collaborator and less likely to act as a role model.
2. Emphasize the role of counselor and less likely to emphasize the role of manager.
3. Focus on the educator role and less likely to focus on the care provider role.
4. Stress the importance of the role of caregiver and less likely to stress the role of
researcher.
ANS: 3 DIF: Cognitive Level: Analysis
REF: Page Reference: 19 (Figure 2-1) OBJ: 2 TOP: Nursing Roles
15. Margaret Roberts, RN, recently changed positions, moving from working as a labor and delivery
nurse to caring for high-risk perinatal clients for a home health agency. In her new role, Margaret
has observed that she spends more time in the roles of:
1. Advocate and manager and less time as a direct care provider.
2. Counselor and educator and less time as a direct care provider.
3. Direct care provider and advocate and less time as a manager.
4. Manager and counselor and less time as an educator.
ANS: 2 DIF: Cognitive Level: Application
REF: Page Reference: 19 (Figure 2-1) OBJ: 2 TOP: Nursing Roles
the following except:
1. Anticipatory guidance.
2. Circulatory care.
3. Documentation.
4. Environmental management (safety).
5. Client rights protection.
ANS: 2 DIF: Cognitive Level: Comprehension REF: Page Reference: 20
OBJ: 3 TOP: Nursing Interventions
13. Nursing interventions more commonly performed by nurses working in community-based
practice than by nurses in hospital-based practice include all of the following except:
1. Anesthesia administration.
2. Health screening.
3. Health system guidance.
4. Referral.
5. Telephone consultation.
ANS: 1 DIF: Cognitive Level: Comprehension REF: Page Reference: 21
OBJ: 2 TOP: Nursing Interventions
14. In comparing nursing practice in occupational health with nursing practice in the critical care
setting, occupational health nurses are more likely to:
1. Act as a collaborator and less likely to act as a role model.
2. Emphasize the role of counselor and less likely to emphasize the role of manager.
3. Focus on the educator role and less likely to focus on the care provider role.
4. Stress the importance of the role of caregiver and less likely to stress the role of
researcher.
ANS: 3 DIF: Cognitive Level: Analysis
REF: Page Reference: 19 (Figure 2-1) OBJ: 2 TOP: Nursing Roles
15. Margaret Roberts, RN, recently changed positions, moving from working as a labor and delivery
nurse to caring for high-risk perinatal clients for a home health agency. In her new role, Margaret
has observed that she spends more time in the roles of:
1. Advocate and manager and less time as a direct care provider.
2. Counselor and educator and less time as a direct care provider.
3. Direct care provider and advocate and less time as a manager.
4. Manager and counselor and less time as an educator.
ANS: 2 DIF: Cognitive Level: Application
REF: Page Reference: 19 (Figure 2-1) OBJ: 2 TOP: Nursing Roles
Loading page 9...
McEwen: Community-Based Nursing, 3rd Edition
Test Bank
Chapter 3: Client Education and Health Teaching
MULTIPLE CHOICE
1. Evaluation of health education is measured through:
1. Changes in values, attitudes, and health behaviors.
2. Individual reports of improved health.
3. Objective measures of morbidity and mortality.
4. Program participation.
ANS: 1 DIF: Cognitive Level: Knowledge REF: Page Reference: 29
OBJ: 8 TOP: Health Education
2. Which of the following statements about literacy levels and reading skills is false?
1. Almost half of all Americans are functionally illiterate.
2. Elders are particularly at risk for suffering from health problems related to poor
literacy.
3. People with low literacy skills are at an increased risk of poor health.
4. Instructions are commonly written at a level that does not match the reading skills
of patients.
ANS: 1 DIF: Cognitive Level: Knowledge REF: Page Reference: 40-41
OBJ: 7 TOP: Low Literacy Learners
3. In applying an understanding of the characteristics of adult learners to a group in a cardiac
disease risk-reduction program in a large software company, an occupational health nurse should
consider all of the following except the:
1. Developmental and interest levels.
2. Effect of personal experience that members of the group may have had with heart
disease.
3. Knowledge level of the participants about coronary heart disease and risk factor
reduction.
4. Motivating factors for each of the members to address cardiac disease risk factors.
ANS: 1 DIF: Cognitive Level: Application REF: Page Reference: 35
OBJ: 4 TOP: Principles of Teaching and Learning
Test Bank
Chapter 3: Client Education and Health Teaching
MULTIPLE CHOICE
1. Evaluation of health education is measured through:
1. Changes in values, attitudes, and health behaviors.
2. Individual reports of improved health.
3. Objective measures of morbidity and mortality.
4. Program participation.
ANS: 1 DIF: Cognitive Level: Knowledge REF: Page Reference: 29
OBJ: 8 TOP: Health Education
2. Which of the following statements about literacy levels and reading skills is false?
1. Almost half of all Americans are functionally illiterate.
2. Elders are particularly at risk for suffering from health problems related to poor
literacy.
3. People with low literacy skills are at an increased risk of poor health.
4. Instructions are commonly written at a level that does not match the reading skills
of patients.
ANS: 1 DIF: Cognitive Level: Knowledge REF: Page Reference: 40-41
OBJ: 7 TOP: Low Literacy Learners
3. In applying an understanding of the characteristics of adult learners to a group in a cardiac
disease risk-reduction program in a large software company, an occupational health nurse should
consider all of the following except the:
1. Developmental and interest levels.
2. Effect of personal experience that members of the group may have had with heart
disease.
3. Knowledge level of the participants about coronary heart disease and risk factor
reduction.
4. Motivating factors for each of the members to address cardiac disease risk factors.
ANS: 1 DIF: Cognitive Level: Application REF: Page Reference: 35
OBJ: 4 TOP: Principles of Teaching and Learning
Loading page 10...
4.In planning a health education program for her high school, Alice Adams has decided to use a variety
of approaches. Appropriate teaching techniques would include all of the following, although
Alice knows that the least effective would probably be:
1. Large group lectures on nutrition.
2. Peer counseling by former substance abusers.
3. Presentations by nurses from the local health department on STDs.
4. Small group discussions on personal hygiene.
5. Support groups for persons with eating disorders.
ANS: 1 DIF: Cognitive Level: Application REF: Page Reference: 39
OBJ: 6 TOP: Principles of Teaching and Learning
5. All of the following are variables in the Health Belief Model except:
1. Cues to action.
2. Perceived barriers to action.
3. Perceived benefits.
4. Perceived health status.
5. Perceived susceptibility.
ANS: 4 DIF: Cognitive Level: Knowledge
REF: Page Reference: 30 (Table 3-1) OBJ: 2 TOP: Health Belief Model
6. Kelly Means, RN, is teaching the Ross family about smoking cessation. The Ross family knows
that smoking is bad for their health, and they are open to learning about smoking cessation, but
have no plans to stop smoking. The Ross family is in which stage of change?
1. Action
2. Contemplation
3. Precontemplation
4. Preparation
ANS: 3 DIF: Cognitive Level: Knowledge
REF: Page Reference: 31 (Table 3-2) OBJ: 2 TOP: Transtheoretical Model
7. A home health nurse provides reading materials in large print and a magnifying glass for an
elderly client to monitor her blood pressure. This is an example of considering the client’s:
1. Developmental stage.
2. Emotional readiness.
3. Learning style.
4. Physical readiness.
ANS: 4 DIF: Cognitive Level: Application
REF: Page Reference: 35 (Box 3-2) OBJ: 6
TOP: Principles of Teaching and Learning
of approaches. Appropriate teaching techniques would include all of the following, although
Alice knows that the least effective would probably be:
1. Large group lectures on nutrition.
2. Peer counseling by former substance abusers.
3. Presentations by nurses from the local health department on STDs.
4. Small group discussions on personal hygiene.
5. Support groups for persons with eating disorders.
ANS: 1 DIF: Cognitive Level: Application REF: Page Reference: 39
OBJ: 6 TOP: Principles of Teaching and Learning
5. All of the following are variables in the Health Belief Model except:
1. Cues to action.
2. Perceived barriers to action.
3. Perceived benefits.
4. Perceived health status.
5. Perceived susceptibility.
ANS: 4 DIF: Cognitive Level: Knowledge
REF: Page Reference: 30 (Table 3-1) OBJ: 2 TOP: Health Belief Model
6. Kelly Means, RN, is teaching the Ross family about smoking cessation. The Ross family knows
that smoking is bad for their health, and they are open to learning about smoking cessation, but
have no plans to stop smoking. The Ross family is in which stage of change?
1. Action
2. Contemplation
3. Precontemplation
4. Preparation
ANS: 3 DIF: Cognitive Level: Knowledge
REF: Page Reference: 31 (Table 3-2) OBJ: 2 TOP: Transtheoretical Model
7. A home health nurse provides reading materials in large print and a magnifying glass for an
elderly client to monitor her blood pressure. This is an example of considering the client’s:
1. Developmental stage.
2. Emotional readiness.
3. Learning style.
4. Physical readiness.
ANS: 4 DIF: Cognitive Level: Application
REF: Page Reference: 35 (Box 3-2) OBJ: 6
TOP: Principles of Teaching and Learning
Loading page 11...
8. Mr. Gage believes that exercise is important to maintaining his health and is interested in taking
an exercise class for beginners to learn how to exercise safely. Mr. Gage is in what learning
domain?
1. Affective
2. Cognitive
3. Psychomotor
4. Visual
ANS: 1 DIF: Cognitive Level: Application REF: Page Reference: 34
OBJ: 6 TOP: Principles of Teaching and Learning
9. A nurse is instructing a middle-aged man regarding diet and exercise to lower cholesterol levels
and to improve fitness. In what way is this client empowered by education?
1. He will be able to respond to external circumstances.
2. He will be compliant with the prescribed exercise and diet program.
3. He will have the knowledge and skills necessary to make decisions regarding his
health.
4. He will use the knowledge and skills to improve his health.
ANS: 3 DIF: Cognitive Level: Analysis REF: Page Reference: 28
OBJ: 1 TOP: Introduction to Health Education
10. Mrs. Jones, a smoker, has early chronic obstructive pulmonary disease. Mrs. Jones realizes that
smoking is harming her health, but she cannot get motivated to initiate change. Her nurse, Mark
Aimes, sets aside time during a clinic appointment to discuss the pros and cons of smoking
cessation and to offer support. This encounter is a:
1. Developmental assessment.
2. Motivational interview.
3. Needs assessment.
4. Teachable moment.
ANS: 2 DIF: Cognitive Level: Application REF: Page Reference: 33
OBJ: 4 TOP: Motivational Interviewing
11. What is the most effective way of moving a client out of the precontemplation phase of change?
1. Assessment of the client’s need for change
2. Educating the client regarding health issues
3. Motivational interviewing
4. Referring the client to a support group
ANS: 2 DIF: Cognitive Level: Application REF: Page Reference: 33
OBJ: 2 TOP: Principles of Teaching and Learning
an exercise class for beginners to learn how to exercise safely. Mr. Gage is in what learning
domain?
1. Affective
2. Cognitive
3. Psychomotor
4. Visual
ANS: 1 DIF: Cognitive Level: Application REF: Page Reference: 34
OBJ: 6 TOP: Principles of Teaching and Learning
9. A nurse is instructing a middle-aged man regarding diet and exercise to lower cholesterol levels
and to improve fitness. In what way is this client empowered by education?
1. He will be able to respond to external circumstances.
2. He will be compliant with the prescribed exercise and diet program.
3. He will have the knowledge and skills necessary to make decisions regarding his
health.
4. He will use the knowledge and skills to improve his health.
ANS: 3 DIF: Cognitive Level: Analysis REF: Page Reference: 28
OBJ: 1 TOP: Introduction to Health Education
10. Mrs. Jones, a smoker, has early chronic obstructive pulmonary disease. Mrs. Jones realizes that
smoking is harming her health, but she cannot get motivated to initiate change. Her nurse, Mark
Aimes, sets aside time during a clinic appointment to discuss the pros and cons of smoking
cessation and to offer support. This encounter is a:
1. Developmental assessment.
2. Motivational interview.
3. Needs assessment.
4. Teachable moment.
ANS: 2 DIF: Cognitive Level: Application REF: Page Reference: 33
OBJ: 4 TOP: Motivational Interviewing
11. What is the most effective way of moving a client out of the precontemplation phase of change?
1. Assessment of the client’s need for change
2. Educating the client regarding health issues
3. Motivational interviewing
4. Referring the client to a support group
ANS: 2 DIF: Cognitive Level: Application REF: Page Reference: 33
OBJ: 2 TOP: Principles of Teaching and Learning
Loading page 12...
12. When asked how he learns best, Mr. Brown responds that he is better with written information
and remembers most of what he sees in videos or on TV. Mr. Brown is what type of learner?
1. Auditory
2. Kinesthetic
3. Tactile
4. Visual
ANS: 4 DIF: Cognitive Level: Application
REF: Page Reference: 34 (Table 3-3) OBJ: 3 TOP: Learning styles
13. Sherri Montgomery, RN, is an elementary school nurse. As she designs a learning module for the
students in her school (ages 5 to 10 years), she must consider their developmental level. What
strategies would be most effective for presenting material to the children?
1. Brightly colored books, posters, and videos
2. Computer games, manipulatives, and field trips
3. Lectures, diagrams, and experiments
4. Presentations by role models, movies, and field trips
ANS: 2 DIF: Cognitive Level: Application REF: Page Reference: 34
OBJ: 6 TOP: Principles of Teaching and Learning
14. Barriers to learning that health care professionals should consider when planning diabetes
education for the Gonzales family include all of the following except the family’s:
1. Context of needed change.
2. Cosmopolitan view.
3. Literacy level.
4. Perceived seriousness of diabetes.
5. Self-efficacy in managing diabetes.
ANS: 2 DIF: Cognitive Level: Synthesis REF: Page Reference: 33
OBJ: 2, 4, 7 TOP: Health Teaching
15. Learning objectives should be SMART, indicating that they should be:
1. Salient, maintenance-focused, active, repetitive, and teaching-oriented.
2. Sensitive, meaningful, active, relevant, and testable.
3. Specific, measurable, achievable, related to goals, and time-limited.
4. Systematic, motivating, accurate, reasonable, and time-limited.
ANS: 2 DIF: Cognitive Level: Knowledge REF: Page Reference: 38
OBJ: 5 TOP: Writing Goals
and remembers most of what he sees in videos or on TV. Mr. Brown is what type of learner?
1. Auditory
2. Kinesthetic
3. Tactile
4. Visual
ANS: 4 DIF: Cognitive Level: Application
REF: Page Reference: 34 (Table 3-3) OBJ: 3 TOP: Learning styles
13. Sherri Montgomery, RN, is an elementary school nurse. As she designs a learning module for the
students in her school (ages 5 to 10 years), she must consider their developmental level. What
strategies would be most effective for presenting material to the children?
1. Brightly colored books, posters, and videos
2. Computer games, manipulatives, and field trips
3. Lectures, diagrams, and experiments
4. Presentations by role models, movies, and field trips
ANS: 2 DIF: Cognitive Level: Application REF: Page Reference: 34
OBJ: 6 TOP: Principles of Teaching and Learning
14. Barriers to learning that health care professionals should consider when planning diabetes
education for the Gonzales family include all of the following except the family’s:
1. Context of needed change.
2. Cosmopolitan view.
3. Literacy level.
4. Perceived seriousness of diabetes.
5. Self-efficacy in managing diabetes.
ANS: 2 DIF: Cognitive Level: Synthesis REF: Page Reference: 33
OBJ: 2, 4, 7 TOP: Health Teaching
15. Learning objectives should be SMART, indicating that they should be:
1. Salient, maintenance-focused, active, repetitive, and teaching-oriented.
2. Sensitive, meaningful, active, relevant, and testable.
3. Specific, measurable, achievable, related to goals, and time-limited.
4. Systematic, motivating, accurate, reasonable, and time-limited.
ANS: 2 DIF: Cognitive Level: Knowledge REF: Page Reference: 38
OBJ: 5 TOP: Writing Goals
Loading page 13...
McEwen: Community-Based Nursing, 3rd Edition
Test Bank
Chapter 4: Case Management
MULTIPLE CHOICE
1. Which of the following statements about the origin of case management is true?
1. Case management began in the mid-1980s as a component of health care
financing’s prospective payment system.
2. Case management dates back to the early 20th century when the concepts were
used by visiting nurses and insurance companies.
3. Case management started in the 1960s as a legislated mandate component of
Medicare and Medicaid.
4. Case management is a new concept beginning in the late 1990s in an effort to
lower spiraling health care costs.
ANS: 2 DIF: Cognitive Level: Knowledge REF: Page Reference: 45
OBJ: 1 TOP: Background of Case Management
2. Case management is most accurately described as:
1. A process of care coordination.
2. A type of managed care.
3. Enhanced utilization review.
4. Prospective payment system compliance.
ANS: 1 DIF: Cognitive Level: Knowledge REF: Page Reference: 46
OBJ: 1 TOP: Overview of Case Management
3. Which of the following is not a goal of case management?
1. Decrease fragmentation of care across settings
2. Enhance appropriate use of resources
3. Contain costs associated with health care
4. Ensure appropriate use of services
5. Reduce the provider’s reliance on insurers
ANS: 5 DIF: Cognitive Level: Comprehension REF: Page Reference: 46
OBJ: 1 TOP: Overview of Case Management
Test Bank
Chapter 4: Case Management
MULTIPLE CHOICE
1. Which of the following statements about the origin of case management is true?
1. Case management began in the mid-1980s as a component of health care
financing’s prospective payment system.
2. Case management dates back to the early 20th century when the concepts were
used by visiting nurses and insurance companies.
3. Case management started in the 1960s as a legislated mandate component of
Medicare and Medicaid.
4. Case management is a new concept beginning in the late 1990s in an effort to
lower spiraling health care costs.
ANS: 2 DIF: Cognitive Level: Knowledge REF: Page Reference: 45
OBJ: 1 TOP: Background of Case Management
2. Case management is most accurately described as:
1. A process of care coordination.
2. A type of managed care.
3. Enhanced utilization review.
4. Prospective payment system compliance.
ANS: 1 DIF: Cognitive Level: Knowledge REF: Page Reference: 46
OBJ: 1 TOP: Overview of Case Management
3. Which of the following is not a goal of case management?
1. Decrease fragmentation of care across settings
2. Enhance appropriate use of resources
3. Contain costs associated with health care
4. Ensure appropriate use of services
5. Reduce the provider’s reliance on insurers
ANS: 5 DIF: Cognitive Level: Comprehension REF: Page Reference: 46
OBJ: 1 TOP: Overview of Case Management
Loading page 14...
4.All of the following statements about case management are true except:
1. Case management is time intensive.
2. Case management can be used cost-effectively for most patients in the health care
system.
3. Even when used appropriately, case management can add to the cost of a client’s
health care bill.
4. Clients with serious, severe, and chronic conditions benefit most from case
management services.
ANS: 2 DIF: Cognitive Level: Knowledge REF: Page Reference: 47
OBJ: 1 TOP: Overview of Case Management
5. Nursing case management can be described as all of the following except:
1. A process that extends care across settings and along a continuum.
2. A service in which case managers help clients and their caregivers make informed
decisions.
3. A system involving planning, coordination, and monitoring of services.
4. A strategy for reimbursement synthesis for health care payers and providers.
ANS: 4 DIF: Cognitive Level: Comprehension REF: Page Reference: 47
OBJ: 2 TOP: Nursing Case Management
6. Which of the following patients would least likely benefit from case management?
1. Gary Green is a 41-year-old businessman who cannot keep a job because of severe
bipolar disorder and substance abuse.
2. Hannah Henderson is a 42-year-old mother of two teens who recently received a
liver transplant.
3. Inez Irving, a 39-year-old schoolteacher, is pregnant with quadruplets.
4. John Jennings, a 28-year-old policeman, broke both legs—one a compound
fracture—during an on-the-job motorcycle accident.
ANS: 4 DIF: Cognitive Level: Application REF: Page Reference: 47
OBJ: 3 TOP: Appropriate Use of Case Management
7. Which of the following is not one of the “knowledge domains” necessary for case managers?
1. Clinical protocols and tactics—developing and implementing unidirectional
clinical protocols for care delivery
2. Health care management and delivery—focusing on understanding the roles and
functions of the various health care providers and using them appropriately
3. Health care reimbursement—understanding the principles and strategies related to
health insurance, the prospective payment system, and other mechanisms for
payment for health care
4. Vocational concepts and strategies—understanding ergonomics, life care planning,
and modifications of homes and workplaces to accommodate disabilities
ANS: 1 DIF: Cognitive Level: Application REF: Page Reference: 48
OBJ: 1 TOP: Knowledge Domains for Case Managers
8. Essential skills necessary for case managers include:
1. Case management is time intensive.
2. Case management can be used cost-effectively for most patients in the health care
system.
3. Even when used appropriately, case management can add to the cost of a client’s
health care bill.
4. Clients with serious, severe, and chronic conditions benefit most from case
management services.
ANS: 2 DIF: Cognitive Level: Knowledge REF: Page Reference: 47
OBJ: 1 TOP: Overview of Case Management
5. Nursing case management can be described as all of the following except:
1. A process that extends care across settings and along a continuum.
2. A service in which case managers help clients and their caregivers make informed
decisions.
3. A system involving planning, coordination, and monitoring of services.
4. A strategy for reimbursement synthesis for health care payers and providers.
ANS: 4 DIF: Cognitive Level: Comprehension REF: Page Reference: 47
OBJ: 2 TOP: Nursing Case Management
6. Which of the following patients would least likely benefit from case management?
1. Gary Green is a 41-year-old businessman who cannot keep a job because of severe
bipolar disorder and substance abuse.
2. Hannah Henderson is a 42-year-old mother of two teens who recently received a
liver transplant.
3. Inez Irving, a 39-year-old schoolteacher, is pregnant with quadruplets.
4. John Jennings, a 28-year-old policeman, broke both legs—one a compound
fracture—during an on-the-job motorcycle accident.
ANS: 4 DIF: Cognitive Level: Application REF: Page Reference: 47
OBJ: 3 TOP: Appropriate Use of Case Management
7. Which of the following is not one of the “knowledge domains” necessary for case managers?
1. Clinical protocols and tactics—developing and implementing unidirectional
clinical protocols for care delivery
2. Health care management and delivery—focusing on understanding the roles and
functions of the various health care providers and using them appropriately
3. Health care reimbursement—understanding the principles and strategies related to
health insurance, the prospective payment system, and other mechanisms for
payment for health care
4. Vocational concepts and strategies—understanding ergonomics, life care planning,
and modifications of homes and workplaces to accommodate disabilities
ANS: 1 DIF: Cognitive Level: Application REF: Page Reference: 48
OBJ: 1 TOP: Knowledge Domains for Case Managers
8. Essential skills necessary for case managers include:
Loading page 15...
1. Communication, teaching, and advocacy.
2. Economic reasoning, lobbying, and fiscal responsibility.
3. Information manager, intensivist, and technology utilization.
4. Principles of pharmacodynamics, physical assessment, and laboratory analysis.
ANS: 1 DIF: Cognitive Level: Comprehension REF: Page Reference: 49-50
OBJ: 2 TOP: Skills Needed by Case Managers
9. In her role as case manager for a large home care agency, Sally Randall, RN, worked with one of
her clients, Mr. Benson, who is diagnosed with ALS. Among many interventions that she
provided, Sally did the following for Mr. Benson: wrote a letter to the insurance company
supporting the need for a motorized wheelchair, set up and monitored care provided by other
professionals and paraprofessionals, and monitored and evaluated the outcomes and quality of
care for her client. These are examples of which case manager roles?
1. Advocate, manager of care, outcome and quality manager
2. Counselor, holistic care provider, risk manager
3. Educator, coordinator of care, change agent
4. Ethicist, discharge planner, utilization manager
5. Negotiator/broker, clinical expert, consultant
ANS: 1 DIF: Cognitive Level: Application
REF: Page Reference: 49 (Box 4-2) OBJ: 2 TOP: Case Manager Roles
10. Disease management is best described as a:
1. Collaborative care strategy in which a team, headed by a disease specialist,
determines a plan of care for a patient based on evidence-based protocols.
2. Process for care of seriously ill or disabled clients using clinical pathways or care
maps.
3. Specialized aspect of Workers’ Compensation in which case management is
mandated for severe occupational disease or serious occupational injury.
4. Type of case management that promotes quality while controlling costs of care for
persons with chronic health conditions (e.g. AIDS, diabetes).
ANS: 4 DIF: Cognitive Level: Comprehension REF: Page Reference: 52
OBJ: 1 TOP: Disease Management
11. A tool or strategy used by case managers that uses protocols to organize services is:
1. A clinical pathway.
2. A variance indicator.
3. Clinical resource management.
4. Utilization management.
ANS: 1 DIF: Cognitive Level: Comprehension REF: Page Reference: 53-54
OBJ: 4 TOP: Clinical Pathways
12. Which of the following is not a setting where one would practice external case management?
1. Home health agency
2. Economic reasoning, lobbying, and fiscal responsibility.
3. Information manager, intensivist, and technology utilization.
4. Principles of pharmacodynamics, physical assessment, and laboratory analysis.
ANS: 1 DIF: Cognitive Level: Comprehension REF: Page Reference: 49-50
OBJ: 2 TOP: Skills Needed by Case Managers
9. In her role as case manager for a large home care agency, Sally Randall, RN, worked with one of
her clients, Mr. Benson, who is diagnosed with ALS. Among many interventions that she
provided, Sally did the following for Mr. Benson: wrote a letter to the insurance company
supporting the need for a motorized wheelchair, set up and monitored care provided by other
professionals and paraprofessionals, and monitored and evaluated the outcomes and quality of
care for her client. These are examples of which case manager roles?
1. Advocate, manager of care, outcome and quality manager
2. Counselor, holistic care provider, risk manager
3. Educator, coordinator of care, change agent
4. Ethicist, discharge planner, utilization manager
5. Negotiator/broker, clinical expert, consultant
ANS: 1 DIF: Cognitive Level: Application
REF: Page Reference: 49 (Box 4-2) OBJ: 2 TOP: Case Manager Roles
10. Disease management is best described as a:
1. Collaborative care strategy in which a team, headed by a disease specialist,
determines a plan of care for a patient based on evidence-based protocols.
2. Process for care of seriously ill or disabled clients using clinical pathways or care
maps.
3. Specialized aspect of Workers’ Compensation in which case management is
mandated for severe occupational disease or serious occupational injury.
4. Type of case management that promotes quality while controlling costs of care for
persons with chronic health conditions (e.g. AIDS, diabetes).
ANS: 4 DIF: Cognitive Level: Comprehension REF: Page Reference: 52
OBJ: 1 TOP: Disease Management
11. A tool or strategy used by case managers that uses protocols to organize services is:
1. A clinical pathway.
2. A variance indicator.
3. Clinical resource management.
4. Utilization management.
ANS: 1 DIF: Cognitive Level: Comprehension REF: Page Reference: 53-54
OBJ: 4 TOP: Clinical Pathways
12. Which of the following is not a setting where one would practice external case management?
1. Home health agency
Loading page 16...
15 more pages available. Scroll down to load them.
Preview Mode
Sign in to access the full document!
100%
Study Now!
XY-Copilot AI
Unlimited Access
Secure Payment
Instant Access
24/7 Support
Document Chat
Document Details
Subject
Nursing