Practice Quiz

Managed Care Nursing

Category - Healthcare Management

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A hospital nurse in the surgical unit expresses concern to the hospitalist about his 78-year-old patient with CHF, diabetes, and prostate cancer. The patient has not had any calls or visitors during his two-day admission and is expected to be discharged in 1-2 days. The patient has no family, and his closet neighbor is a 65-year-old widow who lives one mile from the patient and stops by a couple of times each week.

Which resource would be the best option to accommodate this patient’s medical and social needs?
  1. Case manager
  2. Utilization review nurse
  3. Social worker
  4. Utilization manager
Explanation
Answer: A - The best option for this patient is a case manager who can review and handle this his medical and social needs.

A case manager is versed in how to connect the patient to available specialized services as needed. The case manager may also elicit the assistance of other members of the interdisciplinary team to support and manage care.
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