which is a primary goal of case management

ATI RN

ATI Community Health Nursing Ch 9

1. What is the primary goal of case management?

A. Coordinating care among various providers
B. Reducing health care costs
C. Enhancing patients' quality of life
D. Improving patient satisfaction

Correct answer: A

Rationale: The primary goal of case management is to coordinate care among various providers to ensure seamless and effective care delivery. By facilitating communication and collaboration between different healthcare professionals, case management aims to optimize patient outcomes and experiences.

2. The public health nurse is working with a client who desires to move away from eating take-out and fatty foods to maintain a healthier lifestyle. The client mentions eliminating processed foods from her diet most days of the week but still struggles to consistently add fruits and vegetables to her meals. According to the Transtheoretical Model of health behavior change, this client is in which stage:

A. Pre-contemplation
B. Contemplation
C. Preparation
D. Action

Correct answer: C

Rationale: The client is in the Preparation stage as they are actively taking steps towards behavior change by eliminating processed foods from their diet most days of the week. While they still struggle to consistently add fruits and vegetables, their efforts to make small changes indicate that they are in the Preparation stage, where individuals are getting ready to take action to change their behavior.

3. Which best describes a primary prevention strategy in community health?

A. Providing immunizations
B. Conducting health screenings
C. Offering rehabilitation services
D. Providing treatment for acute illnesses

Correct answer: A

Rationale: The correct answer is A: Providing immunizations. This is a primary prevention strategy that focuses on preventing diseases before they occur. Immunizations help build immunity against specific diseases, reducing the likelihood of infection and transmission within the community. This proactive approach is essential in promoting public health and preventing the spread of communicable diseases.

4. Donna needs further teaching about the use of partograph if she said to her CI that:

A. I will start using the partograph if the patient's cervix is already 4 cm dilated.
B. I can use the partograph in all pregnant women.
C. I will plot the cervical dilatation using 'x'.
D. I need to refer my patient to the hospital if the cervical dilatation reaches the action line.

Correct answer: B

Rationale: Donna needs further teaching because using a partograph in all pregnant women is incorrect. The partograph is specifically used when labor is established to monitor the progress of labor and identify deviations from normal patterns. It is not meant to be used indiscriminately in all pregnant women, but rather in those who are in labor to enhance safe delivery practices.

5. Which statement best describes a key aspect of sustainable community health programs?

A. Ensuring continuous community involvement
B. Allocating resources effectively
C. Securing long-term funding
D. Providing culturally relevant services

Correct answer: A

Rationale: Continuous community involvement is crucial for the sustainability of community health programs as it fosters ongoing engagement, support, and ownership within the community. This active participation can lead to better program outcomes, increased community trust, and long-term success by tailoring interventions to the community's specific needs and preferences.