NCLEX_CRUSADE_ACADEMY TEST- 3 MANAGEMENT_OF_CARE_CONCEPTS

1. The primary misconception about Management of Care is that nursing focuses solely on: Interdisciplinary systems. Bedside direct care tasks. Financial planning. Insurance coordination.

2. The NCLEX tests the nurses understanding of: Individual procedures only. The interdisciplinary system. Documentation templates. Medication memorization.

3. Managed Care is described as: A nursing care plan. A discharge summary. The umbrella strategy. A bedside protocol.

4. The two core goals of Managed Care are: Patient satisfaction and documentation. Cost containment and quality outcomes. Legal compliance and discharge speed. Delegation and supervision.

5. Case Management is best described as: Direct bedside nursing. Legal risk oversight. Interdisciplinary coordination from admission to discharge. Insurance billing.

6. The nurse case manager generally does NOT: Coordinate care. Advocate for patient. Provide direct bedside care. Organize resources.

7. A critical pathway focuses on: Individualized daily nursing notes. Standardized goals and timelines. Medication administration. Legal risk management.

8. A nursing care plan represents: The umbrella strategy. The map. The written execution of the pathway. Insurance authorization.

9. In financial models, HMO stands for: Hospital Managed Organization. Health Maintenance Organization. Healthcare Monitoring Option. Hospital Management Office.

10. The primary objective of financial models is: Increase hospital profit only. Cost control and quality measurement. Staffing expansion. Legal documentation.

11. The SATA strategy recommends treating each option as: A group selection. One complex question. A true/false statement. A priority question.

12. Case management involves overseeing and organizing client care rather than: Collaborating. Coordinating. Providing direct client care. Advocating.

13. Supervising licensed/unlicensed personnel is considered: False for case manager. True overseeing the big picture. Outside scope. Delegation only.

14. Obtaining a home nebulizer for pediatric discharge is the responsibility of the: Bedside nurse. Nurse manager. Case manager. Respiratory therapist.

15. In elderly discharge planning, occupational therapy is unnecessary if there is: ADL issues. Swallowing problems. No evidence of functional impairment. Medication changes.

16. The 'Umbrella Problem' strategy advises selecting the problem with: Shortest timeline. Least cost. Greatest impact encompassing others. Most documentation.

17. Effective management outcomes are indicated by: Missed medications. Regular school attendance. No peak flow meter use. Diet tolerance only.

18. The best communication for individualized discharge care is: Case manager to pediatrician. Staff nurse to supply company. Hospital nurse to home health nurse. Administrator to insurer.

19. Direct patient care takes precedence over: Quality metrics. Documentation. Collaboration. Managed care.

20. The least restrictive environment priority sequence moves from: Home Locked Facility Hospital. Acute Short-term locked Long-term residential Home. Acute Residential Locked. Locked Acute Home.