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National Council Licensure Examination(NCLEX-PN) Questions 321–325 (page: 66)

Updated On: 9-Feb-2026

The focus of a nurse case manager is ______________.

  1. nursing care needs at discharge
  2. the comprehensive care needs of the client for continuity of care
  3. client education needs upon discharge
  4. financial resources for needed care

Answer(s): B

Explanation:

By definition, case management is a process of providing for the comprehensive care needs of a client for continuity of care throughout the health care experience.



Mr. H. is upset regarding being in the hospital for another day because he states it costs too much. The rights he is likely to demand include all of the following except ______________.

  1. the right to examine and question the bill
  2. the right to reasonable response to requests
  3. the right to refuse treatment
  4. the right to confidentiality

Answer(s): D

Explanation:

Confidentiality is the maintenance of privacy of information.
The question oes not suggest that confidentiality has been breached. The client is likely to demand the other rights and may exercise them in choosing to leave the hospital early.



On first meeting, a new nurse manager makes eye contact, smiles, initiates conversation about the previous work experience of nurses, and encourages active participation by nurses in the dialogue.

Her behavior is an example of ______________.

  1. aggressiveness
  2. passive aggressiveness
  3. passiveness
  4. assertiveness

Answer(s): D

Explanation:

This nurse manager is demonstrating assertive behavior. Aggressive behavior dominates or embarrasses.
Passive behavior is nervous or timid.
Passive-aggressive behavior is dominating or manipulative without directness.



Legal protection of confidentiality ______________.

  1. extends only to written documentation
  2. extends to the electronic dissemination of information not identifiable to a specific client
  3. is important only within the court system
  4. extends to both written and verbal information

Answer(s): D

Explanation:

Legal protection of confidentiality extends to both written and verbal information identifiable as individual private health information.



A 65-year-old female client is experiencing postmenopausal bleeding. Which type of physician should this client be encouraged to see?

  1. a radiologist
  2. a gynecologist
  3. a physiatrist
  4. an oncologist

Answer(s): B

Explanation:

A gynecologist is the physician who treats and manages disease of the female reproductive organs. A radiologist evaluates X-rays.
A physiatrist is the physician manager of a rehabilitation team. An oncologist treats clients with cancer.



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