The nurse educator is teaching a management and leadership class ...

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The nurse educator is teaching a management and leadership class to a group of nursing students. The educator presents information regarding case management and case manager.
 
  Which statement, if made by a student, indicates the need for additional education on this subject matter?
  A) Case managers can only be licensed professional nurses who have extensive patient care experience.
  B) The collection of baseline data for conditions or diagnoses that will be managed is an essential component of case management.
  C) Case managers usually do not provide direct client care; instead, they coordinate and monitor others providing direct client care.
  D) A case manager's typical caseload is 10-15 clients, mostly representing high-volume, high-cost, and high-risk diagnoses for the hospital.

Question 2

The case manager interviews an older adult client hospitalized after hip replacement surgery. The client requires in-patient rehabilitation prior to being discharged home.
 
  The case manager works with the hospital nursing staff, the rehabilitation center, the client's family members, and other care providers to assist with a smooth transition. Which is the primary goal of the care management model described here?
  A) To provide greater peace of mind for the client and his or her family members
  B) To help manage concerns that are related to the client's medical care and treatment regimen only
  C) To track a client's progress to ensure that appropriate care is provided until the time of discharge
  D) To provide a continuum of clinical services in order to help contain costs and improve client outcomes

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Answer to Question 1

Answer: A

Although case managers are often licensed professional nurses with advanced degrees and extensive patient care experience, social workers, nurses without advanced degrees, and other healthcare-related professionals also serve in this role. Case managers typically do not provide direct patient care, but are responsible for a caseload of 10-15 clients for whom they will coordinate care during the clients' hospitalization while also assisting with discharge planning. It is critical to collect and document baseline data for those conditions in the client population selected by the facility for case management.

Answer to Question 2

Answer: D

Case managers coordinate client care to help ensure that a continuum of clinical services is provided. The goal of case management is to improve client outcomes and to help contain costs. Toward this end, case managers not only with help to coordinate care and treatment during hospitalization, but also assist with planning for care following discharge. Their focus includes not only medical care, but issues related to health promotion and disease prevention, the cost of health care received, and planning for the efficient use of resources. Although the involvement of case managers in care typically provides greater peace of mind for clients and family members, this is not the primary goal of this service.

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TYSM

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Excellent