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Examen

RELIAS - CASE MANAGEMENT ASSESSMENT A | ACTUAL EXAM WITH 100% VERIFIED QUESTIONS AND CORRECT ANSWERS

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This document contains actual exam questions and 100% verified correct answers for Relias Case Management Assessment A. It covers key case management concepts including utilization management, discharge planning, motivational interviewing, patient-centered care, Medicare guidelines, CMS regulations, ethical principles, hospice education, sepsis recognition, health literacy, and coordination of benefits. The material is structured in a question-and-answer format to support certification preparation and reinforce critical thinking, regulatory knowledge, psychosocial assessment, and care transition planning. It reflects updated content aligned with current CMS standards, HEDIS measures, and case management best practices.

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RELIAS - CASE MANAGEMENT ASSESSMENT A |
ACTUAL EXAM WITH 100% VERIFIED QUESTIONS
AND CORRECT ANSWERS




1. You submit estimated length of stay (LOS) documentation for
your patient's inpatient stay. The documentation is being
reviewed by their insurance. Which department of the
insurance company would review this documentation? - correct
answer - Utilization management



2. You have a patient who has stabilized on inpatient care and
has Medicaid for insurance. Their Medicaid plan has a home
and community-based services waiver provision. What is the
BEST plan of care for long-term care services? - correct
answer - Discharge the patient to their home for long-term care
services to be provided in their home or community.




3. You want to include patient experience and desires in their
care plan. What type of Agency for Healthcare Research and
Quality (AHRQ) endorsed care framework would you create for
the BEST outcomes? - correct answer - Patient-centered care




4. In what way does motivational interviewing elicit behavior
change from a patient? - correct answer - It encourages

, patients to explore and resolve any concerns and ambivalence
in a positive engaging manner.




5. You are submitting a quarterly report demonstrating costs and
savings regarding case management activities. What is the
name of this report? - correct answer - Cost-benefits report




6. A patient has a NEW complaint of pain. Which statement is
BEST for eliciting an initial assessment screening? - correct

answer - Can you describe your pain to me and when it started?




7. Your patient is having surgery. The pre-op nurse forgot to have
your patient sign an informed consent about the surgery. Your
patient just received a light-sedative IV medication but is highly
coherent. Their spouse is with them and is their legal medical
proxy. How would you handle this situation? - correct answer -
Although your patient is highly coherent they have been
medicated and may not be cognitively sound to sign the
informed consent. Have the spouse sign the informed consent
as the legal medical proxy.




8. Your patient identifies as transgender. The patient's family is
with them. You notice some familial conflict about your patient's
gender identity. How would you support your patient in this
situation? - correct answer - Ask your patient if they want to
speak with you privately about some of their concerns and that

, you could politely ask the family to leave the room for a short
time.




9. Your patient states they are overwhelmed by all the information
about their disease and care plan. As a result it is difficult for
them to adequately express their thoughts. What type of barrier

to communication is your patient experiencing? - correct
answer - Psychological noise (?)




10. You encounter a patient with their spouse in their hospital
room. They are overwhelmed by the recent diagnosis and
subsequent care transitions needed upon discharge. What
would be your BEST education practice to assure that both the
patient and their spouse understand and are comfortable with
the inpatient care plan and discharge plan? - correct answer -
Teach-back method




11. You have an older patient every time her care giver comes
to visit you knows the patients bottle signs increase in a pair of
that very nervous. They always quickly cover them selves in
their bed, my name, and asked not to be left alone with the
caregiver, what type of piece would you most likely suspect? -
correct answer - concerns about potential elder abuse or
mistreatment




12. You are preparing a patient for discharge. They have COPD
and require continuous supplemental oxygen upon discharge.

Información del documento

Subido en
18 de febrero de 2026
Número de páginas
16
Escrito en
2025/2026
Tipo
Examen
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Preguntas y respuestas
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