91. The most appropriate objective for conducting a job analysis, which includes an in-depth review of the purpose of the job, related tasks, and the frequency of the tasks, in association with a disabled client in a return-to-work program, is to:
A) evaluate whether a job description requires modifications.
B) best match job functions, expectations or requirements, with abilities and limitations.
C) determine when an individual should be promoted.
D) comply with ADA (American Disabilities Act).
Ans: B
92. Which is the most appropriate strategy for promoting behavioral changes among adolescents with obesity?
A. Age-matched, self-help group discussions
B. Family-centered group discussions
C. Individualized nutrition counseling
D. Lectures on esteem enhancement
Ans: A
93. As a member of an interdisciplinary cardiac rehabilitation team, a nurse case manager's primary responsibility is to:
A. communicate with families or significant others in meeting the client's care objectives.
B. consult with health care professionals to coordinate resources and arrange referrals.
C. coordinate with health insurance providers to formulate care plans and meet predetermined outcomes.
D. document and disseminate assessment information from the team of health care professionals.
Ans: B
94. A child who is ventilator-dependent and has a gastrostomy button is scheduled to be discharged to home with visits from a home health nurse. Prior to discharge, the nurse case manager's most critical action is to:
A. assess the child's long-term home care needs.
B. procure the required home medical equipment.
C. secure funding sources for home health care.
D. verify that the child is being discharged to a safe environment.
Ans: D
95. Which type of authorization is generated when services are rendered?
A. Concurrent
B. Prospective
C. Retrospective
D. Subauthorization
Ans: A
96. Managing clinical outcomes, studying variance trends, and evaluating actions taken to correct deviations from critical pathways are components of:
A. performance improvement.
B. risk management.
C. the nursing process.
D. utilization review.
Ans: A
97. During an annual gynecologic examination, a 28-year-old female client with two small children requests a resupply of oral contraceptives. The patient confides that her husband is scheduled to be laid off next month and the family cannot afford health insurance. The nurse case manager's most appropriate intervention is to:
A. ask the clinic business office to arrange special payment for the client.
B. direct the client to the local Planned Parenthood clinic for her gynecologic and contraceptive needs.
C. recommend that the client change her contraceptive method to condoms.
D. refer the client to local social services agencies.
Ans: D
98. To avoid hospital readmission, a patient requires services at a specialty clinic. Since the services are not covered under the patient's health care plan, a nurse case manager intercedes with the patient's insurance company. In this situation, the nurse case manager is acting in the role of:
A. broker.
B. consultant.
C. negotiator.
D. provider.
Ans: C
99. When using a utilization tool to perform a concurrent review, a nurse case manager recognizes that:
A. clients have a right to set length of stay without incurring nonreimbursable costs.
B. discharge is required whenever the tool so indicates.
C. exceptions exist because utilization tools reflect only average circumstances.
D. the use of utilization tools guarantees payment for services.
Ans: C
100. Ideally, case management planning identifies goals that are:
A. anticipated, acceptable, and appropriate.
B. challenging and timely.
C. patient-focused and cost-effective.
D. realistic, measurable, and specific.
Ans: D
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A) evaluate whether a job description requires modifications.
B) best match job functions, expectations or requirements, with abilities and limitations.
C) determine when an individual should be promoted.
D) comply with ADA (American Disabilities Act).
Ans: B
92. Which is the most appropriate strategy for promoting behavioral changes among adolescents with obesity?
A. Age-matched, self-help group discussions
B. Family-centered group discussions
C. Individualized nutrition counseling
D. Lectures on esteem enhancement
Ans: A
93. As a member of an interdisciplinary cardiac rehabilitation team, a nurse case manager's primary responsibility is to:
A. communicate with families or significant others in meeting the client's care objectives.
B. consult with health care professionals to coordinate resources and arrange referrals.
C. coordinate with health insurance providers to formulate care plans and meet predetermined outcomes.
D. document and disseminate assessment information from the team of health care professionals.
Ans: B
94. A child who is ventilator-dependent and has a gastrostomy button is scheduled to be discharged to home with visits from a home health nurse. Prior to discharge, the nurse case manager's most critical action is to:
A. assess the child's long-term home care needs.
B. procure the required home medical equipment.
C. secure funding sources for home health care.
D. verify that the child is being discharged to a safe environment.
Ans: D
95. Which type of authorization is generated when services are rendered?
A. Concurrent
B. Prospective
C. Retrospective
D. Subauthorization
Ans: A
96. Managing clinical outcomes, studying variance trends, and evaluating actions taken to correct deviations from critical pathways are components of:
A. performance improvement.
B. risk management.
C. the nursing process.
D. utilization review.
Ans: A
97. During an annual gynecologic examination, a 28-year-old female client with two small children requests a resupply of oral contraceptives. The patient confides that her husband is scheduled to be laid off next month and the family cannot afford health insurance. The nurse case manager's most appropriate intervention is to:
A. ask the clinic business office to arrange special payment for the client.
B. direct the client to the local Planned Parenthood clinic for her gynecologic and contraceptive needs.
C. recommend that the client change her contraceptive method to condoms.
D. refer the client to local social services agencies.
Ans: D
98. To avoid hospital readmission, a patient requires services at a specialty clinic. Since the services are not covered under the patient's health care plan, a nurse case manager intercedes with the patient's insurance company. In this situation, the nurse case manager is acting in the role of:
A. broker.
B. consultant.
C. negotiator.
D. provider.
Ans: C
99. When using a utilization tool to perform a concurrent review, a nurse case manager recognizes that:
A. clients have a right to set length of stay without incurring nonreimbursable costs.
B. discharge is required whenever the tool so indicates.
C. exceptions exist because utilization tools reflect only average circumstances.
D. the use of utilization tools guarantees payment for services.
Ans: C
100. Ideally, case management planning identifies goals that are:
A. anticipated, acceptable, and appropriate.
B. challenging and timely.
C. patient-focused and cost-effective.
D. realistic, measurable, and specific.
Ans: D
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