The nurse is preparing to transition a patient with chronic ...

[stevenposner]

The nurse is preparing to transition a patient with chronic obstructive pulmonary disease from a rehabilitation facility back to home. What preparations has the nurse made to support this patient's transition?
 
  Select all that apply.
 
  1. Instructing on symptoms to report
  2. Scheduling healthcare provider visits
  3. Submitting facility charges to Medicare
  4. Creating an evidence-based plan of care
  5. Reviewing health insurance coverage plans

Question 2

In a healthcare provider's office the nurse case manager approaches a patient with type 2 diabetes mellitus to review the patient-centered medical home (PCMH) approach to care.
 
  What benefits of this approach should the case manager include in this discussion?
  Select all that apply.
 
  1. Prevents acute disease crises
  2. Encourages preventive services
  3. Eliminates health insurance billing
  4. Comprehensive and coordinated care
  5. Focus on all levels of illness prevention

[Mholman93]

Answer to Question 1

Correct Answer: 1, 2, 4

Interventions include development of an evidence-based plan of care, ongoing support, and an emphasis on early identification of and response to risks and symptoms to avoid adverse events. It is not the nurse's responsibility to perform billing duties or review health insurance coverage plans.

Answer to Question 2

Correct Answer: 1, 2, 4, 5

For people with chronic illnesses, the goal of the PCMH is to provide comprehensive care with a focus on preventing acute disease crises. One facet of the PCMH is increased preventive services. PCMH is designed to provide comprehensive and coordinated patient and family care. The patient-centered medical home is a primary care model that focuses on all levels of illness prevention. Health insurance billing is not a facet of this care delivery model.