Which of the following primarily distinguishes case management from managed care?

Correct Answer: C

Rationale: The correct answer is C because case management is focused on providing individualized care coordination and support to specific clients to help them navigate the healthcare system effectively. This distinguishes it from managed care, which is more about organizing and financing healthcare services for a broader population. Choices A and D are incorrect because case management is not limited to health maintenance organizations or monitoring health status for an aggregate. Choice B is incorrect because case management can be aimed at various populations, not just a specific segment.

Correct Answer: C

Rationale: The correct answer is C: Community participation. In the Community Mobilization Framework, addressing community participation first within the social planning component is crucial because it ensures that community members are actively involved in decision-making processes. This approach empowers the community, increases ownership of health promotion initiatives, and promotes sustainability. Shifting power relationships (A) may come later once community participation is established. Problem solving at the community level (B) and addressing community social concerns (D) are important aspects but should be built upon a foundation of active community participation.

Correct Answer: C

Rationale: Rationale for Correct Answer (C): Including Cuban immigrants from the community on the centre's advisory board is the best action as it directly involves the key stakeholders in decision-making processes. This approach ensures cultural relevance, fosters trust, and promotes shared decision-making, all of which are essential for implementing evidence-informed practice effectively in a diverse community setting. By engaging Cuban immigrants in the advisory board, the nurse leader can gain valuable insights, perspectives, and feedback that can inform and tailor the centre's services to better meet the needs of the population. Summary of Incorrect Choices: A: Having university experts review policies may provide valuable insights but lacks direct involvement of the community members affected. B: Weekly staff meetings may promote discussion, but without direct input from the Cuban immigrant population, the decisions made may not fully align with their needs. D: Sending staff to conferences and seminars can enhance knowledge but does not actively involve the community in decision-making processes.

Correct Answer: C

Rationale: The correct answer is C because increasing access to nursing research sources in health care institutions directly supports the goal of implementing evidence-informed practice. By providing easy access to research journals, nurses can stay up-to-date with the latest evidence and incorporate it into their practice. Choice A is incorrect as market research on customer satisfaction does not directly contribute to creating a conducive work environment for evidence-informed practice. Choice B focuses on workload impact rather than enhancing the implementation of evidence-informed practice. Choice D, sending staff to conferences, is beneficial but may not ensure continuous access to research sources in the workplace, which is essential for sustained practice improvement.

Correct Answer: D

Rationale: The correct answer is D because arranging a meeting with the family to discuss the consequences of their decision allows for open communication and exploration of alternative solutions. This approach respects the family's autonomy while also addressing potential negative outcomes of their decision. It promotes shared decision-making, ethical considerations, and holistic care. Choice A is incorrect because it doesn't address the potential consequences of the family's decision. Choice B is incorrect as it disregards the family's perspective and autonomy. Choice C is incorrect as it bypasses direct communication with the family and may not fully address their concerns.