Practice Quiz

CRNE Exam Prep

Category - Professionalism

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A case manager reviews the critical paths of the clients admitted to a medical-surgical unit. When conducting a variance analysis, which of the following cases would indicate the need for further action to achieve better outcomes and maximize client care revenues?
  1. An obese female client and her family members attending a weight loss teaching session.
  2. A client for discharge is demonstrating correct techniques of insulin administration after a teaching session.
  3. A client with chronic low back pain cancels a session of physical therapy due to pain intolerance.
  4. Absence of signs of wound infection in a post-total knee arthroplasty client.
Explanation
Answer: C - Further action and analysis are required for a client with chronic low back pain who cancels a session of physical therapy. Variances are actual deviations from the critical paths. A positive variance occurs when a client achieves maximum benefit of care and is earlier discharged than expected on the critical path. A negative variance occurs when unexpected events prevent a timely discharge, causing longer hospital stay. A client who cancels a session of physical therapy is a negative variance.
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