Which of the following distinguishes care management and case management?
A) Care management involves assessment and planning. Case management emphasizes implementation and coordination of services.
B) Care management is a means to control costs. Case management is confined to provision of health services.
C) Care management is long term. Case management focuses on a specific episode of care.
D) Care management is regulated by the National Association of Professional Geriatric Care Managers. Case management is not.
C
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Care management is a long-term relationship that can endure through multiple episodes of care. Case management focuses on needs during a single episode.
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Determining nitrogen balance in the clinical setting can be very valuable. To determine a client's state of nitrogen balance, a 24-hour urinary urea nitrogen collection is done. What do you also need to do?
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A patient has a catheter. Which prevents urine from flowing freely?
a. Coiling tubing on the bed b. Making sure the person does not lie on the tubing c. Keeping the tubing free of kinks d. Raising the drainage bag above the blad-der
Which of the following nursing diagnoses would best apply to a child during the acute phase of rheumatic fever?
A) Disturbed sleep pattern related to hyperexcitability B) Ineffective breathing pattern related to cardiomegaly C) Risk for self-directed violence related to development of cerebral anoxia D) Activity intolerance related to inability of heart to sustain extra workload
A pregnant client comes to the OB clinic and informs you that she is very concerned about the amount of weight gain associated with pregnancy. She then tells you that she wants to switch to a low-fat diet during pregnancy
BMI measurements indicate a BMI of 22.7. What would be the best nursing response to this client's stated plan? a. Tell the client that as long as she maintains a varied diet with regard to the other nutrients, there should be no problems. b. Refer the client to a dietician for assistance in planning the low-fat diet. c. Advise the client that it is important to maintain the intake of essential fatty acids during pregnancy. d. Schedule the client for more frequent visits during the next few months to evaluate her weight pattern.