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N u r s i n g t bc o m the nurse must determine what

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NURSINGTB.COMThe nurse must determine what the client wants to know, not what the nurse believes theclient needs to know. The nurse should not go into excess detail but focus on a few conceptsor key points, that is, stick with the essentials; use clear and concise language while avoidingtechnical terms; encourage participants by use of questions related to their life experiences;use demonstrations and real-life examples to illustrate major points and summarize the keypoints to help the audience retain the material.DIF:Cognitive Level: Apply (Application)NURSINGTB.COMCommunity Public Health Nursing 7th Edition Nies Test Bank
NURSINGTB.COMChapter 09: Case ManagementNies: Community/Public Health Nursing, 7th EditionMULTIPLE CHOICE1.A health care provider has charged more than what is allowed by a third-party payer. Whichwould most likely be the result?a.Provider may be removed from the list of providers for the third-party payer.b.The third-party payer will reexamine the payment for that procedure.c.Provider would get the typical payment instead of what was charged to thethird-party payer.d.The third-party payer would be forced to increase its typical payment for thatprocedure.ANS: CClient service use reflects a greater emphasis on health care costs. Third-party payers evaluatethe appropriate use and costs of health care resources. Therefore, at least on the first occasion,the most probable result would be that the provider gets the listed payment, not what theprovider charged.DIF:Cognitive Level: Apply (Application)2.A nurse is explaining case management to a client. Which statement would be the mostappropriate 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 unduecosts.”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.”ANS: DThere is no single definition of case management. But it is a collaborative process to meet anindividual’s health needs through communication and available resources to promote qualitycost-effective outcomes. The response “with you” shows a collaborativeapproach tocoordinating care for the best outcome.DIF:Cognitive Level: Apply (Application)3.A hospital is going to start a care management program. Which group of clients would mostlikely be selected to first receive such services?a.Clients who represent the most common diagnosis group to be admittedb.Clients who request such services from their local hospitalc.Clients with chronic illnessesd.Clients with the least educationANS: CNURSINGTB.COMCommunity Public Health Nursing 7th Edition Nies Test Bank

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