Concept 47: Care Coordination
Test Bank
MULTIPLE CHOICE
1. Student nurses are being questioned by the nursing instructor about the health care
coordination system. The instructor knows the students understand health care delivery when
they state, "Health care
a. is available for everyone at every time."
b. needs are best met with a collaborative effort."
c. is adequately meeting the needs of the homeless populations."
d. needs are mostly in third world countries."
ANS: B
Health care needs many times are not met by one discipline. When a collaborative effort is
used, the patient is better served. Health care is not available for everyone, nor is it meeting
the needs of the homeless population. Health care needs are worldwide, not just in third world
countries.
REF: 474
OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
2. For children and teens, the model that includes school-based services is the _____ Model
a. Social
b. Integrated
c. Medically-Oriented
ANS: A
The social models focus on community-based services, and the other models do not.
REF: 475
OBJ: NCLEX® Client Needs Category: Psychosocial Integrity
3. Medical models coordinate medical services and were traditionally designed to be
a. patient specific.
b. nursing oriented.
c. diagnosis specific.
d. community oriented.
ANS: C
Medical models focus on the patient's diagnosis. The medical model is not patient specific,
nursing oriented, or community oriented.
REF: 475
OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
4. The nurse is discussing care coordination with a patient. The patient asks the nurse to explain
care coordination. The nurse's best response would be, "Care coordination
a. is a cost effective method created by the community."
b. forces the health care facilities in the community to work together."
c. exists for the children and uninsured in the community."
d. allows health care services to work together in the community."
ANS: D
Care coordination allows all health care/community services to work together so that patient
and family needs can be met. Care coordination does not focus on cost methods. Cost
coordination does not exist just for children or the uninsured. No one service is forced to work
with another service.
REF: 478
OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
5. Nurses work to serve the population, and they know that the priority population who needs to
be served by care coordination is the
a. most vulnerable and the frail.
b. uninsured and the very young.
c. underinsured and the elderly population.
d. whole population of the community.
ANS: A
The priority population is the most vulnerable and the frail, because they have the most health
care needs. Other populations do need health care, but they do not always have immediate
need of the health care system.
REF: 478
OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
6. A nursing instructor is talking about care coordination with nursing students. The instructor
stresses which of the following to the students concerning care coordination?
a. "A patient must ask for what they need in order to coordinate care."
b. "The nurse does most of the work in care coordination."
c. "Medical diagnoses are an integral part of care coordination."
d. "Collaboration is a big part of care coordination."
ANS: D
Collaboration is a big part of care coordination. Without the collaboration, there would be no
care coordination. Patients asking for their needs to be met does not collaborate care. Nurses
do not do all the work in care collaboration. Medical diagnoses are one small part that drives
the need for care collaboration.
REF: 478
OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance
MULTIPLE RESPONSE
1. Care coordination models should be adopted in health care facilities. If models are not put into
practice, the shortcomings of the health care system may display which of the following
items? (Select all that apply.)
a. Decrease in patients
b. Fragmented services
c. Low birth weight newborns
d. Cost inefficiencies
e. Poor health outcomes
f. Increased pharmacy costs
ANS: B, D, E
Fragmented services, cost inefficiencies, and poor health outcomes may be some of the
shortcomings seen in health care without the proper model in place to guide the health care
delivery system.
REF: 474|478
OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance