Question 1

To be effective at population care management, both CM and DM need to:

Accepted Answer

A)  assess and plan health initiatives within an area. 
B)  implement and evaluate health programs within a community. 
C)  assess and define the populations to be served. 
D)  organize and regulate health professions across the country. 
A)  assess and plan health initiatives within an area. 
B)  implement and evaluate health programs within a community. 
C)  assess and define the populations to be served. 
D)  organize and regulate health professions across the country. C

Question 2

A health care management continuum:

Accepted Answer

A)  deals strictly with health promotion. 
B)  controls problems at the population level. 
C)  is a linkage of health services across settings. 
D)  provides another health care option for the homeless. 
A)  deals strictly with health promotion. 
B)  controls problems at the population level. 
C)  is a linkage of health services across settings. 
D)  provides another health care option for the homeless. B

Question 3

Community health means meeting the:

Accepted Answer

A)  collective needs of a group by identifying problems and managing interactions. 
B)  needs of an individual within the community by identifying problems and managing interactions. 
C)  needs of the health care system within a population or area. 
D)  needs of a population by identifying problems and managing interactions. 
A)  collective needs of a group by identifying problems and managing interactions. 
B)  needs of an individual within the community by identifying problems and managing interactions. 
C)  needs of the health care system within a population or area. 
D)  needs of a population by identifying problems and managing interactions. A

Question 4

Which of the following scenarios would require disease management?

Accepted Answer

A)  A blood pressure screening clinic is started at the senior citizen center. 
B)  A person with multiple chronic illnesses is admitted to the hospital. 
C)  A program is started to address diabetes in the Native American population. 
D)  An initiative is developed to promote fluoride treatments in schools. 
A)  A blood pressure screening clinic is started at the senior citizen center. 
B)  A person with multiple chronic illnesses is admitted to the hospital. 
C)  A program is started to address diabetes in the Native American population. 
D)  An initiative is developed to promote fluoride treatments in schools.

Question 5

Population health management (PHM) is viewed as a major health care strategy to improve health outcomes. This is because effective population health management programs: (Select all that apply.)

Accepted Answer

A)  have proactive interventions. 
B)  promote client satisfaction through advocacy. 
C)  coordinate care for chronic conditions. 
D)  have consistency of care for at-risk populations. 
E)  customize care support.
F) encourage adherence to treatment. 
A)  have proactive interventions. 
B)  promote client satisfaction through advocacy. 
C)  coordinate care for chronic conditions. 
D)  have consistency of care for at-risk populations. 
E)  customize care support.
F) encourage adherence to treatment.

Question 6

_____ has garnered considerable attention in health care in part because of the publication Crossing the Quality Chasm, a health care quality initiative of the Institute of Medicine (IOM, now called the National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division).

Accepted Answer

A)  Disease management 
B)  Development research groups 
C)  Case management 
D)  Diagnosis-related groups 
A)  Disease management 
B)  Development research groups 
C)  Case management 
D)  Diagnosis-related groups

Question 7

The nurse who uses collaboration to coordinate care for an individual's and family's comprehensive health needs through communication and available resources to promote patient safety and quality, cost-effective outcomes is performing:

Accepted Answer

A)  population health management. 
B)  managed care. 
C)  disease management. 
D)  case management. 
A)  population health management. 
B)  managed care. 
C)  disease management. 
D)  case management.

Question 8

Which of the following statements accurately describe disease management? (Select all that apply.)

Accepted Answer

A)  Disease management is care coordination that is organized to achieve specific client outcomes, given fiscal and other resource constraints. 
B)  Disease management is a system of coordinated health care interventions and communications for populations with conditions in which patient self-care efforts are significant. 
C)  Disease management relies on a structured system of interventions that focus on a specific condition. 
D)  Disease management program content and interventions are evidence and guideline based. 
E)  Disease management is the medical management of chronic disease. 
A)  Disease management is care coordination that is organized to achieve specific client outcomes, given fiscal and other resource constraints. 
B)  Disease management is a system of coordinated health care interventions and communications for populations with conditions in which patient self-care efforts are significant. 
C)  Disease management relies on a structured system of interventions that focus on a specific condition. 
D)  Disease management program content and interventions are evidence and guideline based. 
E)  Disease management is the medical management of chronic disease.

Question 9

Case management and disease management are similar because both are interventions designed to coordinate care for better outcomes and lowered costs. Which statements are true regarding the differences between the two terms? (Select all that apply.)

Accepted Answer

A)  Disease management is client focused. 
B)  Case management focuses on coordinating care of individuals and families. 
C)  Disease management is more population-based than client-centered. 
D)  Disease management is more episodic in its approach. 
E)  Case management is more population-focused. 
A)  Disease management is client focused. 
B)  Case management focuses on coordinating care of individuals and families. 
C)  Disease management is more population-based than client-centered. 
D)  Disease management is more episodic in its approach. 
E)  Case management is more population-focused.

Question 10

Which of the following statements is true about the New England Medical Center (NEMC) case management model?

Accepted Answer

A)  It has a client-centered approach instituted during episodes of acute illness. 
B)  It is known as a beyond-the-walls, medical-social, across-the-continuum of care model. 
C)  It emphasizes the case manager's traditional linkage function. 
D)  CM functions are undertaken as a part or an extension of therapeutic intervention. 
A)  It has a client-centered approach instituted during episodes of acute illness. 
B)  It is known as a beyond-the-walls, medical-social, across-the-continuum of care model. 
C)  It emphasizes the case manager's traditional linkage function. 
D)  CM functions are undertaken as a part or an extension of therapeutic intervention.

Question 11

The core element common to all provider interventions in case management (CM), disease management (DM), and population health management (PHM) is:

Accepted Answer

A)  disease preventative care. 
B)  care coordination. 
C)  client-centered. 
D)  population-focused. 
A)  disease preventative care. 
B)  care coordination. 
C)  client-centered. 
D)  population-focused.

Question 12

A disease management program usually focuses on patients with:

Accepted Answer

A)  chronic conditions. 
B)  mental health issues. 
C)  outpatient procedures. 
D)  surgical diagnoses. 
A)  chronic conditions. 
B)  mental health issues. 
C)  outpatient procedures. 
D)  surgical diagnoses.

Question 13

Which of the following collaborative processes assesses, plans, facilitates, coordinates, advocates, and evaluates options and services required to meet an individual's comprehensive health needs?

Accepted Answer

A)  Care management 
B)  Case management 
C)  Disease management 
D)  Population health management 
A)  Care management 
B)  Case management 
C)  Disease management 
D)  Population health management

Question 14

According to the Centers for Disease Control (CDC), chronic diseases account for _____% of deaths in the United States.

Accepted Answer

A)  20 
B)  40 
C)  50 
D)  70 
A)  20 
B)  40 
C)  50 
D)  70

Question 15

A population health approach:

Accepted Answer

A)  aims to improve the health of the entire population. 
B)  is funded by local, state, and national governments. 
C)  strives to care for people who already exhibit optimal health. 
D)  treats community-acquired diseases in area clinics. 
A)  aims to improve the health of the entire population. 
B)  is funded by local, state, and national governments. 
C)  strives to care for people who already exhibit optimal health. 
D)  treats community-acquired diseases in area clinics.

Question 16

The brokerage model and the comprehensive service center model are examples of which type of care model?

Accepted Answer

A)  Collaborate 
B)  Inter-professional 
C)  Interdisciplinary 
D)  Social work 
A)  Collaborate 
B)  Inter-professional 
C)  Interdisciplinary 
D)  Social work

Question 17

Nursing outreach programs are the core element of:

Accepted Answer

A)  population health management. 
B)  disease management. 
C)  case management. 
D)  care management. 
A)  population health management. 
B)  disease management. 
C)  case management. 
D)  care management.

Question 18

Which of the following governmental agencies tracks population and health trends? (Select all that apply.)

Accepted Answer

A)  U.S. Census Bureau 
B)  The Joint Commission 
C)  CDC 
D)  Bureau of Labor Statistics (BLS) 
E)  Health Resources and Services Administration (HRS
A)  
A)  U.S. Census Bureau 
B)  The Joint Commission 
C)  CDC 
D)  Bureau of Labor Statistics (BLS) 
E)  Health Resources and Services Administration (HRS
A)

Question 19

Which of the following components are common to all case management models? (Select all that apply.)

Accepted Answer

A)  Client identification and outreach 
B)  Population management 
C)  Monitoring service delivery 
D)  Individual assessment and diagnosis 
E)  Evaluation
F) Environmental management 
A)  Client identification and outreach 
B)  Population management 
C)  Monitoring service delivery 
D)  Individual assessment and diagnosis 
E)  Evaluation
F) Environmental management

Question 20

Which of the following factors best suggests an individual is motivated to engage in a disease management program?

Accepted Answer

A)  Mistrust of insurance companies 
B)  Enrollment at initial contact 
C)  Can afford the cost of enrollment 
D)  Has a need that would benefit from the program 
A)  Mistrust of insurance companies 
B)  Enrollment at initial contact 
C)  Can afford the cost of enrollment 
D)  Has a need that would benefit from the program

Exam 16: Case and Population Health Management

To be effective at population care management, both CM and DM need to:

A health care management continuum:

Community health means meeting the:

Which of the following scenarios would require disease management?

Population health management (PHM) is viewed as a major health care strategy to improve health outcomes. This is because effective population health management programs: (Select all that apply.)

_____ has garnered considerable attention in health care in part because of the publication Crossing the Quality Chasm, a health care quality initiative of the Institute of Medicine (IOM, now called the National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division).

The nurse who uses collaboration to coordinate care for an individual's and family's comprehensive health needs through communication and available resources to promote patient safety and quality, cost-effective outcomes is performing:

Which of the following statements accurately describe disease management? (Select all that apply.)

Case management and disease management are similar because both are interventions designed to coordinate care for better outcomes and lowered costs. Which statements are true regarding the differences between the two terms? (Select all that apply.)

Which of the following statements is true about the New England Medical Center (NEMC) case management model?

The core element common to all provider interventions in case management (CM), disease management (DM), and population health management (PHM) is:

A disease management program usually focuses on patients with:

Which of the following collaborative processes assesses, plans, facilitates, coordinates, advocates, and evaluates options and services required to meet an individual's comprehensive health needs?

According to the Centers for Disease Control (CDC), chronic diseases account for _____% of deaths in the United States.

A population health approach:

The brokerage model and the comprehensive service center model are examples of which type of care model?

Nursing outreach programs are the core element of:

Which of the following governmental agencies tracks population and health trends? (Select all that apply.)

Which of the following components are common to all case management models? (Select all that apply.)

Which of the following factors best suggests an individual is motivated to engage in a disease management program?

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