Case Manager Certification Exam LATEST VERSION 260 QUESTIONS
AND ANSWERS WITH STUDY GUIDE DETAILED AND VERIFIED FOR
GUARANTEED PASS, LATEST UPDATE 2025
standards of care - CORRECT ANSWER parameters to measure the quality of
healthcare
clinical guidelines - CORRECT ANSWER statements to help make decisions
about health specific circumstances.
clinical pathway - CORRECT ANSWER structured multi-disciplined plan of care to
support clinical guidelines and protocol to improve continuity and coordination.
4 parts of clinical pathway - CORRECT ANSWER 1. timeline
2. categories of care/activities and interventions
3. intermediate and long term outcome criteria
4. variance tracking
are 4 parts of what?
decision tree - CORRECT ANSWER used to select the best course of action in
decisions where there is no clear decisions.
descriptive screening tool - CORRECT ANSWER identifies characteristics about a
population to show health prevention.
predictive screening tool - CORRECT ANSWER shows what may happen to a
specific population.
evaluative screening tool - CORRECT ANSWER evaluates the
understanding/effectiveness
SF-36 - CORRECT ANSWER predictive screening tool to assess functional health
and well being. Assesses physical and mental health.
- used in health economics, cost-effectiveness of health tx
-evals individual patient health status.
- does not consider sleep
-scored 00-100, lower score-> incr. disability
patient activation measure - CORRECT ANSWER 13 item predictive screening
tool to evaluate patient's knowledge, skills, confidence in self-care.
,- higher the score the better (scored 0-52)
-predicts health care outcomes, medication adherence and ER visits.
health risk assessment - CORRECT ANSWER predictive screening tool: patient's
self assessment of their health and how likely they will seek care.
- predicts future health costs
- predicts likely-hood of progression of their illness to a worse condition.
- examples: PHQ-9, etc.
rose Q - CORRECT ANSWER health risk assessment for angina, MI, coronary
heart disease.
defined angina pectoris as, "a chest pain or discomfort with these characteristics:
(a) the site must include either the sternum (any level) or the left arm and left anterior
chest (defined as the anterior chest wall between the levels of clavicle and lower end of
sternum),
(b) it must be provoked by either hurrying or walking uphill (or by walking on the level,
for those who never attempt more),
(c) when it occurs on walking it must make the subject either stop or slacken pace,
unless nitroglycerin is taken, (d) it must disappear on a majority of occasions in 10 min
or less from the time when the subject stands still."
Possible myocardial infarction1 was defined as, "one or more attacks of severe pain
across the front of the chest lasting for 30 min or longer."
seattle angina questionnaire - CORRECT ANSWER 19-item self-administered
health risk assessment for angina and functional artery disease measuring five
dimensions of coronary artery disease:
1 physical limitation, 2 anginal stability, 3 anginal frequency, 4 treatment satisfaction
and 5 disease perception.
-score of 0 to 100, where higher scores indicate better function (eg, less physical
limitation, less angina, and better quality of life).
arthritis impact measurement scales - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER What part of Medicare covers skilled nursing facility?
B - CORRECT ANSWER What part of Medicare covers durable medical
equipment?
Goals - CORRECT ANSWER 1. Patient focused
2. Measurable
3. Attainable
4. Relevant
5. Time oriented
AND ANSWERS WITH STUDY GUIDE DETAILED AND VERIFIED FOR
GUARANTEED PASS, LATEST UPDATE 2025
standards of care - CORRECT ANSWER parameters to measure the quality of
healthcare
clinical guidelines - CORRECT ANSWER statements to help make decisions
about health specific circumstances.
clinical pathway - CORRECT ANSWER structured multi-disciplined plan of care to
support clinical guidelines and protocol to improve continuity and coordination.
4 parts of clinical pathway - CORRECT ANSWER 1. timeline
2. categories of care/activities and interventions
3. intermediate and long term outcome criteria
4. variance tracking
are 4 parts of what?
decision tree - CORRECT ANSWER used to select the best course of action in
decisions where there is no clear decisions.
descriptive screening tool - CORRECT ANSWER identifies characteristics about a
population to show health prevention.
predictive screening tool - CORRECT ANSWER shows what may happen to a
specific population.
evaluative screening tool - CORRECT ANSWER evaluates the
understanding/effectiveness
SF-36 - CORRECT ANSWER predictive screening tool to assess functional health
and well being. Assesses physical and mental health.
- used in health economics, cost-effectiveness of health tx
-evals individual patient health status.
- does not consider sleep
-scored 00-100, lower score-> incr. disability
patient activation measure - CORRECT ANSWER 13 item predictive screening
tool to evaluate patient's knowledge, skills, confidence in self-care.
,- higher the score the better (scored 0-52)
-predicts health care outcomes, medication adherence and ER visits.
health risk assessment - CORRECT ANSWER predictive screening tool: patient's
self assessment of their health and how likely they will seek care.
- predicts future health costs
- predicts likely-hood of progression of their illness to a worse condition.
- examples: PHQ-9, etc.
rose Q - CORRECT ANSWER health risk assessment for angina, MI, coronary
heart disease.
defined angina pectoris as, "a chest pain or discomfort with these characteristics:
(a) the site must include either the sternum (any level) or the left arm and left anterior
chest (defined as the anterior chest wall between the levels of clavicle and lower end of
sternum),
(b) it must be provoked by either hurrying or walking uphill (or by walking on the level,
for those who never attempt more),
(c) when it occurs on walking it must make the subject either stop or slacken pace,
unless nitroglycerin is taken, (d) it must disappear on a majority of occasions in 10 min
or less from the time when the subject stands still."
Possible myocardial infarction1 was defined as, "one or more attacks of severe pain
across the front of the chest lasting for 30 min or longer."
seattle angina questionnaire - CORRECT ANSWER 19-item self-administered
health risk assessment for angina and functional artery disease measuring five
dimensions of coronary artery disease:
1 physical limitation, 2 anginal stability, 3 anginal frequency, 4 treatment satisfaction
and 5 disease perception.
-score of 0 to 100, where higher scores indicate better function (eg, less physical
limitation, less angina, and better quality of life).
arthritis impact measurement scales - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER What part of Medicare covers skilled nursing facility?
B - CORRECT ANSWER What part of Medicare covers durable medical
equipment?
Goals - CORRECT ANSWER 1. Patient focused
2. Measurable
3. Attainable
4. Relevant
5. Time oriented
