CCM EXAM QUESTIONS WITH CORRECT
ANSWERS
Which evaluation would you perform to determine if a client has the capability to
| | | | | | | | | | | | |
return to work?
| | |
A. Pain tolerance evaluation.
| | | |
B. Functional capacity evaluation.
| | | |
C. Disability evaluation.
| | |
D. Evaluation by client interview. - CORRECT ANSWER✔✔-B. The functional
| | | | | | | | | |
capacity exam is a process of assessing a persons, physical and functional abilities
| | | | | | | | | | | | |
to perform task. The patients performance level should match the demands of
| | | | | | | | | | | |
the occupation and question. The purpose of the exam is to determine if a
| | | | | | | | | | | | | |
patient is ready to go back to work after an injury.
| | | | | | | | | |
Risk management is a sub domain of which of the following court case
| | | | | | | | | | | | |
management domains? |
A. Psychosocial aspects.
| | |
Be. Healthcare management, and delivery.
| | | | |
C. Principles of practice.
| | | |
D. Case management concepts. - CORRECT ANSWER✔✔-C. There are six domains
| | | | | | | | | | |
for case management practice. These include case management concepts, case
| | | | | | | | | |
management principles, and practice strategy/practice, psychosocial and support
| | | | | | | |
systems, health management, and delivery, healthcare, reimbursement, and
| | | | | | | |
,vocational concepts/strategies. Risk management is a sub domain of case
| | | | | | | | | |
management principles, and practice/strategies. | | |
The case management process of documenting goals, objectives, and actions to
| | | | | | | | | | |
meet a clients needs is:
| | | |
A. Assessment
| |
B. Coordination.
| |
C. Planning.
| |
D. Monitoring. - CORRECT ANSWER✔✔-C. Planning is the process by which case
| | | | | | | | | | | |
manager, documents, goals, objectives, and actions that will meet a clients needs.
| | | | | | | | | | |
|Assessment entails gathering data about a client special needs and situation prior
| | | | | | | | | | |
|to forming a case management plan. Coordination involves organization,
| | | | | | | | |
modification, and documentation of resources necessary to achieve goals. Set
| | | | | | | | | |
forth in the plan, and monitoring involves securing information needed to gauge
| | | | | | | | | | | |
the effectiveness of the plan.
| | | |
Which of the following is a major component of essential knowledge for case
| | | | | | | | | | | | |
manager?
A. Healthcare reimbursement.
| | |
B. Moral character.
| | |
C. Independent practice principles.
| | | |
D. Statistical analysis. - CORRECT ANSWER✔✔-A. Healthcare reimbursement is
| | | | | | | | |
one of the major categories of knowledge necessary for a case manager, because
| | | | | | | | | | | | |
there are many different reimbursement mechanisms available, depending upon
| | | | | | | | |
the patients particular situation.
| | |
The primary role of the case manager is to act as a:
| | | | | | | | | | |
,A. Patient advocate.
| | |
B. Disease manager.
| |
C. Utilization reviewer
| |
D. Care plan creator - CORRECT ANSWER✔✔-A. Patient advocate is the best
| | | | | | | | | | | |
answer. Advocacy is essential to a case managers daily practice. A case manager
| | | | | | | | | | | | |
acts on behalf of clients who may not be able to speak for themselves or who are
| | | | | | | | | | | | | | | |
not knowledgeable about healthcare. Above all, the case manager should always
| | | | | | | | | | | |
have the clients best interest in mind.
| | | | | |
Which model of healthcare decision-making best demonstrates the principle of
| | | | | | | | | |
beneficence?
A. Patient sovereignty.
| | |
B. Paternalism
| |
C. Shared decision-making.
| |
D. Maternalism - CORRECT ANSWER✔✔-B. A relationship between healthcare
| | | | | | | | |
practitioners and patients is paternalistic and beneficial. This means that people
| | | | | | | | | | |
trust the practitioner to do what is in the best medical interest of the patient.
| | | | | | | | | | | | | | |
Paternalism is justified in that patient usually don't comprehend medical concepts
| | | | | | | | | |
well enough to make the correct decision about their care. In the patient
| | | | | | | | | | | | | |
sovereignty model, the patient is open. "boss." In this case, one could argue that
| | | | | | | | | | | | | |
the patient knows better than anyone else what is in his best interest. Shared
| | | | | | | | | | | | | |
decision making means the healthcare team and the patient work together.
| | | | | | | | | |
According to the standards of practice for case managers, there are four key
| | | | | | | | | | | | |
functions of a case manager. Which of the following is not one of the key
| | | | | | | | | | | | | | |
functions?
A. Planner
| |
, B. Assessor.
| |
See. Litigator. | |
D. Advocate. - CORRECT ANSWER✔✔-C. The four key functions of the case
| | | | | | | | | | | |
manager are planner, assessor, facilitator, and advocate. A case manager must
| | | | | | | | | | |
assess a situation to identify problems that need case management. The case
| | | | | | | | | | | |
manager must also planned long and short term goals, and collaboration with the
| | | | | | | | | | | |
|client, the clients family, and with other healthcare professionals. Facilitation
| | | | | | | | | |
includes coordinating and implementing the care plan, maintaining
| | | | | | | |
communication, and expediting care. As an advocate, the case manager, ensure | | | | | | | | | | |
that the clients needs are identified and addressed.
| | | | | | |
Nursing case management that is "within the walls" refers to which setting?
| | | | | | | | | | |
A. Outpatient setting.
| | |
B. Community clinic setting.
| | | |
See. Health maintenance organization (HMO).
| | | | |
D. Acute hospital setting - CORRECT ANSWER✔✔-D. The term "within the walls"
| | | | | | | | | | | |
(WTW) refers to activities within the acute hospital environment. This is distinct
| | | | | | | | | | | |
from "beyond the walls" (BTW), which refers to case management in outpatient
| | | | | | | | | | | |
and community settings.
| |
A terminally ill. Client is exhausting, all financial resources to pay medical cost.
| | | | | | | | | | | | |
The case manager has suggested obtaining cash value on his life insurance policy
| | | | | | | | | | | | |
prior to death. This process is known as a:
| | | | | | | |
a. Nontraditional policy.
| | |
B. Supplementary policy
| |
C. Viatical settlement.
| |
ANSWERS
Which evaluation would you perform to determine if a client has the capability to
| | | | | | | | | | | | |
return to work?
| | |
A. Pain tolerance evaluation.
| | | |
B. Functional capacity evaluation.
| | | |
C. Disability evaluation.
| | |
D. Evaluation by client interview. - CORRECT ANSWER✔✔-B. The functional
| | | | | | | | | |
capacity exam is a process of assessing a persons, physical and functional abilities
| | | | | | | | | | | | |
to perform task. The patients performance level should match the demands of
| | | | | | | | | | | |
the occupation and question. The purpose of the exam is to determine if a
| | | | | | | | | | | | | |
patient is ready to go back to work after an injury.
| | | | | | | | | |
Risk management is a sub domain of which of the following court case
| | | | | | | | | | | | |
management domains? |
A. Psychosocial aspects.
| | |
Be. Healthcare management, and delivery.
| | | | |
C. Principles of practice.
| | | |
D. Case management concepts. - CORRECT ANSWER✔✔-C. There are six domains
| | | | | | | | | | |
for case management practice. These include case management concepts, case
| | | | | | | | | |
management principles, and practice strategy/practice, psychosocial and support
| | | | | | | |
systems, health management, and delivery, healthcare, reimbursement, and
| | | | | | | |
,vocational concepts/strategies. Risk management is a sub domain of case
| | | | | | | | | |
management principles, and practice/strategies. | | |
The case management process of documenting goals, objectives, and actions to
| | | | | | | | | | |
meet a clients needs is:
| | | |
A. Assessment
| |
B. Coordination.
| |
C. Planning.
| |
D. Monitoring. - CORRECT ANSWER✔✔-C. Planning is the process by which case
| | | | | | | | | | | |
manager, documents, goals, objectives, and actions that will meet a clients needs.
| | | | | | | | | | |
|Assessment entails gathering data about a client special needs and situation prior
| | | | | | | | | | |
|to forming a case management plan. Coordination involves organization,
| | | | | | | | |
modification, and documentation of resources necessary to achieve goals. Set
| | | | | | | | | |
forth in the plan, and monitoring involves securing information needed to gauge
| | | | | | | | | | | |
the effectiveness of the plan.
| | | |
Which of the following is a major component of essential knowledge for case
| | | | | | | | | | | | |
manager?
A. Healthcare reimbursement.
| | |
B. Moral character.
| | |
C. Independent practice principles.
| | | |
D. Statistical analysis. - CORRECT ANSWER✔✔-A. Healthcare reimbursement is
| | | | | | | | |
one of the major categories of knowledge necessary for a case manager, because
| | | | | | | | | | | | |
there are many different reimbursement mechanisms available, depending upon
| | | | | | | | |
the patients particular situation.
| | |
The primary role of the case manager is to act as a:
| | | | | | | | | | |
,A. Patient advocate.
| | |
B. Disease manager.
| |
C. Utilization reviewer
| |
D. Care plan creator - CORRECT ANSWER✔✔-A. Patient advocate is the best
| | | | | | | | | | | |
answer. Advocacy is essential to a case managers daily practice. A case manager
| | | | | | | | | | | | |
acts on behalf of clients who may not be able to speak for themselves or who are
| | | | | | | | | | | | | | | |
not knowledgeable about healthcare. Above all, the case manager should always
| | | | | | | | | | | |
have the clients best interest in mind.
| | | | | |
Which model of healthcare decision-making best demonstrates the principle of
| | | | | | | | | |
beneficence?
A. Patient sovereignty.
| | |
B. Paternalism
| |
C. Shared decision-making.
| |
D. Maternalism - CORRECT ANSWER✔✔-B. A relationship between healthcare
| | | | | | | | |
practitioners and patients is paternalistic and beneficial. This means that people
| | | | | | | | | | |
trust the practitioner to do what is in the best medical interest of the patient.
| | | | | | | | | | | | | | |
Paternalism is justified in that patient usually don't comprehend medical concepts
| | | | | | | | | |
well enough to make the correct decision about their care. In the patient
| | | | | | | | | | | | | |
sovereignty model, the patient is open. "boss." In this case, one could argue that
| | | | | | | | | | | | | |
the patient knows better than anyone else what is in his best interest. Shared
| | | | | | | | | | | | | |
decision making means the healthcare team and the patient work together.
| | | | | | | | | |
According to the standards of practice for case managers, there are four key
| | | | | | | | | | | | |
functions of a case manager. Which of the following is not one of the key
| | | | | | | | | | | | | | |
functions?
A. Planner
| |
, B. Assessor.
| |
See. Litigator. | |
D. Advocate. - CORRECT ANSWER✔✔-C. The four key functions of the case
| | | | | | | | | | | |
manager are planner, assessor, facilitator, and advocate. A case manager must
| | | | | | | | | | |
assess a situation to identify problems that need case management. The case
| | | | | | | | | | | |
manager must also planned long and short term goals, and collaboration with the
| | | | | | | | | | | |
|client, the clients family, and with other healthcare professionals. Facilitation
| | | | | | | | | |
includes coordinating and implementing the care plan, maintaining
| | | | | | | |
communication, and expediting care. As an advocate, the case manager, ensure | | | | | | | | | | |
that the clients needs are identified and addressed.
| | | | | | |
Nursing case management that is "within the walls" refers to which setting?
| | | | | | | | | | |
A. Outpatient setting.
| | |
B. Community clinic setting.
| | | |
See. Health maintenance organization (HMO).
| | | | |
D. Acute hospital setting - CORRECT ANSWER✔✔-D. The term "within the walls"
| | | | | | | | | | | |
(WTW) refers to activities within the acute hospital environment. This is distinct
| | | | | | | | | | | |
from "beyond the walls" (BTW), which refers to case management in outpatient
| | | | | | | | | | | |
and community settings.
| |
A terminally ill. Client is exhausting, all financial resources to pay medical cost.
| | | | | | | | | | | | |
The case manager has suggested obtaining cash value on his life insurance policy
| | | | | | | | | | | | |
prior to death. This process is known as a:
| | | | | | | |
a. Nontraditional policy.
| | |
B. Supplementary policy
| |
C. Viatical settlement.
| |
