A nurse is explaining case management to a client. Which of the ...

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A nurse is explaining case management to a client. Which of the following statements would be the most appropriate for the nurse to make?
 
  a. We assess, plan, facilitate, and advocate to save money as much as possible.
  b. We coordinate your care so you obtain needed services without incurring undue costs.
  c. We seek the lowest cost provider to give you what care is necessary.
  d. We collaborate with you to coordinate your care for the best outcome.

Question 2

A client living in the 1920s received health care services. Which of the following would have been the most likely form of payment?
 
  a. Patients paid out of their pockets for whatever care the provider charged.
  b. Public health employees gave care to those who needed it.
  c. There was little health care to be had, regardless of a person's wealth.
  d. Workers who belonged to a union had their bills paid by insurance.

[briezy]

Answer to Question 1

ANS: D
There is no single definition of case management. But it is a collaborative process to meet an individual's health needs through communication and available resources to promote quality cost-effective outcomes. The response with you shows a collaborative approach to coordinating care for the best outcome.

Answer to Question 2

ANS: A
Until the 1930s, the predominant method of health care financing was self-payment. Health care providers charged a fee for the services they rendered, and the patient paid the out-of-pocket expense. The assumption was that those who could pay would pay and those who could not pay should receive care and pay what they could. Insurance companies did not exist in the 1920s.