what are the key elements essential to implementation of case management select all that apply

ATI RN

ATI Leadership Practice B

1. What are the key elements essential to the implementation of case management? (Select all that apply.)

A. Collaborative practice teams
B. Established critical pathways
C. Quality management system
D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Established critical pathways, collaborative practice teams, and quality management systems are indeed key elements essential to the implementation of case management. Collaborative practice teams allow for multidisciplinary collaboration, established critical pathways help guide patient care, and a quality management system ensures that care provided meets established standards. Choice A, collaborative practice teams, is correct as they are fundamental for effective case management, involving various professionals working together. Choice B, established critical pathways, is also correct as they provide a structured approach to managing patient care. Choice C, quality management system, is correct as it ensures that care is delivered at high standards and continuously monitored for improvement. Therefore, all these elements are crucial for successful case management implementation.

2. Which of the following is an essential element of a quality improvement (QI) program?

A. Blame and punishment
B. Employee satisfaction
C. Continual monitoring
D. Strict adherence to policies

Correct answer: C

Rationale: The essential element of a quality improvement (QI) program is continual monitoring. Continual monitoring allows for the ongoing assessment of processes, identification of areas for improvement, and tracking of progress. Option A, 'Blame and punishment,' is incorrect as QI programs focus on systemic issues rather than individual blame. Option B, 'Employee satisfaction,' while important for organizational culture, is not an essential element of QI programs. Option D, 'Strict adherence to policies,' is valuable but not the core essential element, which is continual monitoring to drive improvement.

3. The charge nurse role has negatively affected your relationship with your friends and made you feel tense and isolated. You decide that you will delegate more time-consuming tasks to staff who are not your friends, who then complain to your nurse manager about your perceived unfairness. You decide to:

A. Talk with your friends individually to let them know that you will be assigning patients to all staff in an equitable manner.
B. Not express your angry feelings.
C. Talk about staff who are annoying you with staff on other units.
D. Ignore your feelings of uncertainty, hoping they will diminish.

Correct answer: A

Rationale: In this scenario, it is essential to address the perceived unfairness in task delegation. Talking with your friends individually to explain that patients will be assigned equitably is the most appropriate course of action. This approach promotes transparency and fairness in task allocation, helping to maintain professional relationships. Choices B, C, and D are not suitable responses. Choice B ignores the issue, choice C involves unprofessional behavior by gossiping about colleagues, and choice D neglects addressing the root cause of the problem.

4. When considering virtue ethics, which of the following is true?

A. Virtue ethics attributes behaviors to moral rules.
B. Virtue ethics attributes behaviors to knowledge of consequences.
C. Virtue ethics focuses on moral character, rather than rules for behavior.
D. Virtue ethics is a formal statement of rules for behavior.

Correct answer: C

Rationale: The correct answer is C: Virtue ethics focuses on qualities and moral character rather than rules or duties. Virtue ethics emphasizes developing good character traits, such as courage, honesty, and compassion, to guide behavior rather than adhering to specific moral rules or focusing on the consequences of actions. Choices A, B, and D are incorrect because virtue ethics does not attribute behaviors to moral rules, knowledge of consequences, or formal statements of rules for behavior; instead, it emphasizes the importance of cultivating virtuous character.

5. Which of the following are significant benefits to an organization that is considering adoption of a practice partnership model? (Select all that apply.)

A. Clients express reduced satisfaction.
B. It is less expensive to implement than other models.
C. Continuity of care is facilitated.
D. Leadership is well accepted.

Correct answer: C

Rationale: The correct answer is C: Continuity of care is facilitated. One of the significant benefits of a practice partnership model is that it facilitates continuity of care, which can lead to better outcomes for clients. Choice A is incorrect as clients would not express reduced satisfaction with this model; in fact, greater client satisfaction is a benefit. Choice B is incorrect because the cost-effectiveness of the model is not specified or guaranteed. Choice D is incorrect as the acceptance of leadership is not explicitly mentioned as a significant benefit of this model.