Which of the following statements about the origin of case management is true?
1. Case management began in the mid-1980s as a component of health care financing's prospective payment system.
2. Case management dates back to the early 20th century when the concepts were used by visiting nurses and insurance companies.
3. Case management started in the 1960s as a legislated mandate component of Medicare and Medicaid.
4. Case management is a new concept beginning in the late 1990s in an effort to lower spiraling health care costs.
ANS: 2
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A client is pacing in the hall. The nurse overhears the client say, "Leave me alone. I am not in the Mafia." The best response from the nurse would be:
1. "Remember you are safe from the Mafia here in the hospital." 2. "Tell me what you are hearing right now." 3. "You need to attend the next recreation group. That will help you ignore the voices." 4. "You are hearing voices again, right?"
A patient has nephrotic syndrome. Which statement made by the patient indicates understanding of the necessary diet modifications?
a. "I will need to increase protein and decrease sodium intake." b. "I will need to drink more milk to get my calcium." c. "Carbohydrate restriction will be difficult." d. "Potassium restriction won't be hard since I don't like fruit."
While the hemogram of a patient on hydroxyurea for sickle cell disease is being monitored, which laboratory result would prompt an urgent call to the patient's hematologist?
a. Hemoglobin, 5.5 g/dL b. Platelet count, 95,000/mm3 c. Reticulocytes, 70,000/mm3 d. Neutrophil count, 2800/mm3
The client has an incomplete upper motor neuron lesion. What complication should the nurse be alert for in this client?
A. Contractures B. Hyperreflexia C. Hypotension D. Visual disturbances