Deck 12: Case Population Health Management

Question 1

A population health approach:

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.

Answer 1

aims to improve the health of the entire population.

Question 2

Managed care is a:

A) nursing organization that represents case managers.
B) set of health care guidelines designed to minimize cost.
C) purchasing of a network of health care organizations.
D) variety of strategies used to lower costs and optimize value.

Answer 2

variety of strategies used to lower costs and optimize value.

Question 3

A continuum of care:

A) deals strictly with health promotion.
B) focuses on the needs of the community.
C) is a linkage of health services across settings.
D) provides another health care option for the homeless.

Answer 3

is a linkage of health services across settings.

Question 4

A patient has a history of diabetes mellitus, myocardial infarctions, and hypertension. His Hgb_A1c level dropped from 7.8% to 6.2% 2 months after he began a walking exercise program. The nurse case manager had provided diabetic education and suggested ways to enhance his cardiac reserve. This is an example of:

A) nursing empowerment.
B) nursing knowledge.
C) patient expertise.
D) patient participation in care.

Question 5

Community health means meeting the:

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.

Question 6

Population-based care management is the:

A) assessment and planning of health initiatives within an area.
B) implementation and evaluation of health programs within a community.
C) integration and coordination of health services to a specific population.
D) organization and regulation of health professions across the country.

Question 7

Which of the following statements is true about clinical pathways?

A) They are a multidisciplinary, research-based plan of care.
B) They are developed by current practice patterns of the institution.
C) They optimize nursing and the patient's time management.
D) They outline optimal care for the high-risk patient.

Question 8

The strategic development department of the hospital has gathered data on length of stay, condition severity levels, and standards of practice for stroke patients, total hip replacement patients, and total knee replacement patients. Data are being compared with other hospital data, national databases, and professional organization guidelines for the care of these types of patients. This practice or strategy is referred to as:

A) analogizing.
B) benchmarking.
C) comparing.
D) data exchanging.

Question 9

Disease management is the monitoring of:

A) chronic illness across the health care continuum.
B) mental illness in the outpatient setting.
C) surgical illness across the health care continuum.
D) terminal illness in the hospice setting.

Question 10

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

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

Question 11

_____ has garnered considerable attention in health care because of its potential to save money, improve effectiveness, and increase quality of care.

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

Question 12

A hospital case management system usually focuses on patients with:

A) co-morbid conditions.
B) mental health issues.
C) outpatient procedures.
D) surgical diagnoses.

Question 13

Population-based risk assessment is useful when:

A) determining the best use of staff and resources.
B) evaluating a community health center.
C) instituting new health promotion programs.
D) providing care for terminally ill patients.

Question 14

Health maintenance organizations (HMOs) and preferred provider organizations (PPOs) are examples of which type of organizational structures?

A) Capitated care
B) Disease preventive care
C) Health promotion care
D) Managed care

Question 15

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

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

Question 16

Which of the following is an example of case management or would require the expertise of a case manager?

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 17

Case management is an interventional strategy used by health care providers to:

A) advocate for nurses.
B) coordinate health care delivery.
C) facilitate cost accounting.
D) investigate medical errors.

Question 18

Actions designed to ensure the coordination and continuity of health care as patients transfer between different locations or different levels of care within the same location are known as:

A) transition of care.
B) continuum of care.
C) rounds.
D) disease management strategies.

Question 19

Success in the development and implementation of a disease management problem may be the result in part of which of the following factors?

A) Needing further education on the disease
B) Focusing on implementation and evaluation
C) Increasing compliance through education
D) Providing full care options for bedridden clients

Question 20

Which of the following efforts best helps individuals make long-lasting lifestyle changes to enhance their health?

A) Behavior transformations
B) Increased awareness
C) Reflective insightfulness
D) Supportive environments

Question 21

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

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

Question 22

Which of the following statements accurately describes disease management (select all that apply)?

A) Disease management is care coordination that is organized to achieve specific client outcomes, given fiscal and other resource constraints.
B) Disease management supports the physician or practitioner/patient relationship and plan of care.
C) Disease management emphasizes prevention of exacerbations and complications, utilizing evidence-based practice guidelines and patient empowerment strategies.
D) Disease management evaluates clinical, humanistic, and economic outcomes on an ongoing basis with the goal of improving overall health.
E) Disease management is the medical management of chronic disease.

Question 23

Priorities must be established for population-based program planning. Which of the following are criteria that are used to determine the importance of planning a program (select all that apply)?

A) Nurse's awareness of the problem
B) Motivation of community leadership and the nurse
C) Nurse's ability to influence solutions
D) Availability of relevant expertise
E) Severity of consequences
F) Speed with which a resolution can be achieved

Question 24

What are the three initiatives used in the realm of coordination of care (select three that apply)?

A) Case management
B) Medication management
C) Disease management
D) Population health management
E) Environmental management

Question 25

Vital statistics are utilized in population and community health status assessments. Which of the following methods of data collection are utilized in these assessments (select all that apply)?

A) Informant interviews
B) Windshield surveys
C) Hypothesis formation
D) Data analysis
E) Surveys

Question 26

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)?

A) Disease management is client focused.
B) Case management involves an intense focus on coordinating care of an individual.
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.