DMEC CLMS CERTIFICATION EXAM EXAM
PREPARATION PACK 2026 KEY CONCEPTS
AND REVISION NOTES
◉ arthritis impact measurement scales.
Answer: health risk assessment: Disease-specific measure of
physical, social, and emotional well-being designed as a measure of
outcome in arthritis.
-scales: mobility, physical activity (walking, bending, lifting),
dexterity, household activity (managing money and medications,
housekeeping), social activities, activities of daily living, pain,
depression, and anxiety.
Score range: Range is 0-10 for each section. Total health score 0-60.
--> Zero represents good health status, 10 and 60 represent poor
health status.
◉ functional living index-cancer.
Answer: health risk assessment: Cancer-specific, functionally-
oriented quality of life instrument.
-22 items assessing 5 domains: Physical well-being and ability,
emotional state, sociability, family situation, nausea
- Higher score indicates better quality of life.
,◉ BASIS-32.
Answer: health risk assessment: 32-item Behavior and Symptom
Identification Scale. behavioral health assessment tool.
- measures the change in self-reported symptom and problem
difficulty over the course of treatment.
- assesses: Relation to Self and Others, Depression and Anxiety, Daily
Living and Role Functioning, Impulsive and Addictive Behavior,
Psychosis.
- higher score poorer outcome
◉ mini mental state exam.
Answer: health risk assessment:
30-point questionnaire measures cognitive impairment to screen for
dementia.
- higher the score, less dementia
- 18-23 is mild dementia
- 0-17 is sever dementia
◉ hopkins symptom checklist-25.
Answer: health risk assessment: self-reporting questionnaire
symptom inventory which measures symptoms of anxiety and
depression.
,-The scale for each question includes four categories of response
("Not at all," "A little," "Quite a bit," "Extremely," rated 1 to 4,
respectively). Two scores are calculated: the total score is the
average of all 25 items, while the depression score is the average of
the 15 depression items
◉ mcgill pain questionnaire.
Answer: scale of rating pain. It is a self-report questionnaire that
allows individuals to give their doctor a good description of the
quality and intensity of pain that they are experiencing. Users first
select a single word from each group that best reflects their pain.
Users then review the list and select the three words from groups 1-
10 that best describe their pain, two words from groups 11-15, a
single word from group 16, and then one word from groups 17-20.
After completing the questionnaire, users will have selected seven
words that best describe their pain.
◉ A.
Answer: What part of Medicare covers skilled nursing facility?
◉ B.
Answer: What part of Medicare covers durable medical equipment?
◉ Goals.
Answer: 1. Patient focused
, 2. Measurable
3. Attainable
4. Relevant
5. Time oriented
◉ Piaget.
Answer: Developmental theory for cognitive ability to
process/analyze information
◉ Assess, plan, implement/intervention, monitor/evaluation.
Answer: 4 stages of case management
◉ Sensorimotor: object performance and separation anxiety..
Answer: Piaget's age 0-2,
◉ Preoperational: pretend, egocentric.
Answer: Piaget's stage age 2-6
◉ Concrete operational: logical, math, conservation.
Answer: Piaget's stage 7-12
◉ Formal operational: abstract, hypothetical.
PREPARATION PACK 2026 KEY CONCEPTS
AND REVISION NOTES
◉ arthritis impact measurement scales.
Answer: health risk assessment: Disease-specific measure of
physical, social, and emotional well-being designed as a measure of
outcome in arthritis.
-scales: mobility, physical activity (walking, bending, lifting),
dexterity, household activity (managing money and medications,
housekeeping), social activities, activities of daily living, pain,
depression, and anxiety.
Score range: Range is 0-10 for each section. Total health score 0-60.
--> Zero represents good health status, 10 and 60 represent poor
health status.
◉ functional living index-cancer.
Answer: health risk assessment: Cancer-specific, functionally-
oriented quality of life instrument.
-22 items assessing 5 domains: Physical well-being and ability,
emotional state, sociability, family situation, nausea
- Higher score indicates better quality of life.
,◉ BASIS-32.
Answer: health risk assessment: 32-item Behavior and Symptom
Identification Scale. behavioral health assessment tool.
- measures the change in self-reported symptom and problem
difficulty over the course of treatment.
- assesses: Relation to Self and Others, Depression and Anxiety, Daily
Living and Role Functioning, Impulsive and Addictive Behavior,
Psychosis.
- higher score poorer outcome
◉ mini mental state exam.
Answer: health risk assessment:
30-point questionnaire measures cognitive impairment to screen for
dementia.
- higher the score, less dementia
- 18-23 is mild dementia
- 0-17 is sever dementia
◉ hopkins symptom checklist-25.
Answer: health risk assessment: self-reporting questionnaire
symptom inventory which measures symptoms of anxiety and
depression.
,-The scale for each question includes four categories of response
("Not at all," "A little," "Quite a bit," "Extremely," rated 1 to 4,
respectively). Two scores are calculated: the total score is the
average of all 25 items, while the depression score is the average of
the 15 depression items
◉ mcgill pain questionnaire.
Answer: scale of rating pain. It is a self-report questionnaire that
allows individuals to give their doctor a good description of the
quality and intensity of pain that they are experiencing. Users first
select a single word from each group that best reflects their pain.
Users then review the list and select the three words from groups 1-
10 that best describe their pain, two words from groups 11-15, a
single word from group 16, and then one word from groups 17-20.
After completing the questionnaire, users will have selected seven
words that best describe their pain.
◉ A.
Answer: What part of Medicare covers skilled nursing facility?
◉ B.
Answer: What part of Medicare covers durable medical equipment?
◉ Goals.
Answer: 1. Patient focused
, 2. Measurable
3. Attainable
4. Relevant
5. Time oriented
◉ Piaget.
Answer: Developmental theory for cognitive ability to
process/analyze information
◉ Assess, plan, implement/intervention, monitor/evaluation.
Answer: 4 stages of case management
◉ Sensorimotor: object performance and separation anxiety..
Answer: Piaget's age 0-2,
◉ Preoperational: pretend, egocentric.
Answer: Piaget's stage age 2-6
◉ Concrete operational: logical, math, conservation.
Answer: Piaget's stage 7-12
◉ Formal operational: abstract, hypothetical.
