Relias - Case Management Assessment A
Detailed Exam Study Questions with
Verified Answers | Guarantee Pass!
1. Which of the following is true of accepting healthcare for people with
SPMI? - ANSWER Many people with SPMI access their medical treatment
through urgent care or emergency departments
2. Which of the following is true of health insurance coverage for your clients?
- ANSWER It is important to be aware of the filing and update
requirements for maintaining health insurance coverage.
3. True or False: Individuals with SPMI are more likely to seek primary care
service than behavioral health services - ANSWER False
4. You are using aggregated diagnosis groups (ADGs) to classify your patient's
care. In which ADG would you classify your patient's infection? -
ANSWER Disease etiology
5. Your patient is stable and needs continuous infusion therapy. You are
completing the care transition portion of the plan of care and discharge plan.
What would be the MOST appropriate care delivery plan for the patient? -
ANSWER Ensure a PICC or port access is placed in the hospital. Then give
the patient the name of an ambulatory infusion site of care for their
infusions.
6. What law was enacted to protect rights to access to their information and
encourage patients to create an advance directive for medical care wishes? -
ANSWER HIPAA
,7. You are implementing a care plan for your patient with schizophrenia. What
PRIORITY diagnoses would you consider them to be at high risk? -
ANSWER multiple diagnoses (depression, mania) and violent/unstable
behavior
8. A patient is admitted for inpatient services who has Medicare. Medicare Part
A pays at 100% of the inpatient stay minus the patient's Part A deductible (if
they have not met the deductible previously) for how many days? -
ANSWER Day 1- 60
9. What Social Determinate of Health (SDOH) factor does the 2023 HEDIS
measures have an updated focus on the patient outcomes? - ANSWER
health equity
10.Your patient struggles with polysubstance use of alcohol and narcotics.
Their family is struggling to support the patient and how to best care for
them once out of the hospital. What community support program? -
ANSWER Al Anon
11.Your patient has an alcohol use disorder. They state that they are considering
entering an Alcoholics Anonymous program sometime soon but are unsure.
What state of behavioral change is your patient in? - ANSWER
contemplation
12.You are submitting a quarterly report demonstrating costs and savings
regarding case management activities. What is the name of this report? -
ANSWER Costs-Analysis Report
13.You have a patient who is likely to suffer adverse health consequences upon
discharge. At what stage of hospitalization do the CMS Conditions of
, Participation require hospitals to identify these types of patients? -
ANSWER Early stage of hospitalization
14.You are a key advocare for you patients and their families. By acting in this
way you are helping care for them in the best possible way. What ethical
principle are you exhibiting? - ANSWER beneficence
15.What criteria are used to classify Medicare patient within inpatient
rehabilitation into tiers? - ANSWER specific comorbidities that increase the
cost of care
16.Your patient is school-aged and has special needs. Their family is very
concerned their child will be bullied because of these special needs. What
communication and planning tool would you recommend for the family with
members of the school prior to start of school? - ANSWER Admissions,
review, dismissal (ARD)
17.The CMS Hospital Consumer Assessment of Healthcare Providers and
Systems (HCAHPS)survey consists of what 3 main composite scoring
categories? - ANSWER Communication w/ Nurse > Provider >
Responsiveness of Hospital Staff
18.Which of the following is true of comorbid conditions and individuals with
SPMI? - ANSWER The vast majority of comorbid conditions in the SPMI
population are cardio metabolic conditions.
19.True or False: Jails and prisons currently provide more mental health
treatment than any other institution. - ANSWER True
20.True or False: Individuals with SPMI experience significantly poorer health
outcomes than the general population. - ANSWER True
Detailed Exam Study Questions with
Verified Answers | Guarantee Pass!
1. Which of the following is true of accepting healthcare for people with
SPMI? - ANSWER Many people with SPMI access their medical treatment
through urgent care or emergency departments
2. Which of the following is true of health insurance coverage for your clients?
- ANSWER It is important to be aware of the filing and update
requirements for maintaining health insurance coverage.
3. True or False: Individuals with SPMI are more likely to seek primary care
service than behavioral health services - ANSWER False
4. You are using aggregated diagnosis groups (ADGs) to classify your patient's
care. In which ADG would you classify your patient's infection? -
ANSWER Disease etiology
5. Your patient is stable and needs continuous infusion therapy. You are
completing the care transition portion of the plan of care and discharge plan.
What would be the MOST appropriate care delivery plan for the patient? -
ANSWER Ensure a PICC or port access is placed in the hospital. Then give
the patient the name of an ambulatory infusion site of care for their
infusions.
6. What law was enacted to protect rights to access to their information and
encourage patients to create an advance directive for medical care wishes? -
ANSWER HIPAA
,7. You are implementing a care plan for your patient with schizophrenia. What
PRIORITY diagnoses would you consider them to be at high risk? -
ANSWER multiple diagnoses (depression, mania) and violent/unstable
behavior
8. A patient is admitted for inpatient services who has Medicare. Medicare Part
A pays at 100% of the inpatient stay minus the patient's Part A deductible (if
they have not met the deductible previously) for how many days? -
ANSWER Day 1- 60
9. What Social Determinate of Health (SDOH) factor does the 2023 HEDIS
measures have an updated focus on the patient outcomes? - ANSWER
health equity
10.Your patient struggles with polysubstance use of alcohol and narcotics.
Their family is struggling to support the patient and how to best care for
them once out of the hospital. What community support program? -
ANSWER Al Anon
11.Your patient has an alcohol use disorder. They state that they are considering
entering an Alcoholics Anonymous program sometime soon but are unsure.
What state of behavioral change is your patient in? - ANSWER
contemplation
12.You are submitting a quarterly report demonstrating costs and savings
regarding case management activities. What is the name of this report? -
ANSWER Costs-Analysis Report
13.You have a patient who is likely to suffer adverse health consequences upon
discharge. At what stage of hospitalization do the CMS Conditions of
, Participation require hospitals to identify these types of patients? -
ANSWER Early stage of hospitalization
14.You are a key advocare for you patients and their families. By acting in this
way you are helping care for them in the best possible way. What ethical
principle are you exhibiting? - ANSWER beneficence
15.What criteria are used to classify Medicare patient within inpatient
rehabilitation into tiers? - ANSWER specific comorbidities that increase the
cost of care
16.Your patient is school-aged and has special needs. Their family is very
concerned their child will be bullied because of these special needs. What
communication and planning tool would you recommend for the family with
members of the school prior to start of school? - ANSWER Admissions,
review, dismissal (ARD)
17.The CMS Hospital Consumer Assessment of Healthcare Providers and
Systems (HCAHPS)survey consists of what 3 main composite scoring
categories? - ANSWER Communication w/ Nurse > Provider >
Responsiveness of Hospital Staff
18.Which of the following is true of comorbid conditions and individuals with
SPMI? - ANSWER The vast majority of comorbid conditions in the SPMI
population are cardio metabolic conditions.
19.True or False: Jails and prisons currently provide more mental health
treatment than any other institution. - ANSWER True
20.True or False: Individuals with SPMI experience significantly poorer health
outcomes than the general population. - ANSWER True
