Case Manager Certification Exam ( Updated 2026)
Complete Questions & Answers
D (Solved) 100% Correct
O
N
O
T
clinical guidelines - ANSWER-statements to help make decisions about
health specific circumstances.
C
O
standards of care - ANSWER-parameters to measure the quality of
PY
healthcare
clinical pathway - ANSWER-structured multi-disciplined plan of care to
support clinical guidelines and protocol to improve continuity and
coordination.
4 parts of clinical pathway - 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?
case management - ANSWER-the dynamic and systematic collaborative
approach to providing and coordinating health care services to a defined
population.
- participative process to identify and facility options and services for
meeting individual healthcare needs while decreasing fragmentation
D
and duplication of care and increasing quality and cost effective
clinical outcomes.
O
N
decision tree - ANSWER-used to select the best course of action in
decisions where there is no clear decisions.
O
T
descriptive screening tool - ANSWER-identifies characteristics about a
population to show health prevention.
C
O
predictive screening tool - ANSWER-shows what may happen to a
PY
specific population.
evaluative screening tool - ANSWER-evaluates the
understanding/effectiveness
SF-36 - 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 - ANSWER-13 item predictive screening tool
to evaluate patient's knowledge, skills, confidence in self-care.
- higher the score the better (scored 0-52)
D
-predicts health care outcomes, medication adherence and ER visits.
O
N
health risk assessment - ANSWER-predictive screening tool: patient's
self assessment of their health and how likely they will seek care.
O
- predicts future health costs
T
- predicts likely-hood of progression of their illness to a worse condition.
C
- examples: PHQ-9, etc.
O
rose Q - ANSWER-health risk assessment for angina, MI, coronary heart
PY
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."
D
seattle angina questionnaire - ANSWER-19-item self-administered
health risk assessment for angina and functional artery disease
O
measuring five dimensions of coronary artery disease:
1 physical limitation, 2 anginal stability, 3 anginal frequency, 4
N
treatment satisfaction and 5 disease perception.
O
-score of 0 to 100, where higher scores indicate better function (eg, less
physical limitation, less angina, and better quality of life).
T
C
arthritis impact measurement scales - ANSWER-health risk assessment:
O
Disease-specific measure of physical, social, and emotional well-being
designed as a measure of outcome in arthritis.
PY
-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.
Complete Questions & Answers
D (Solved) 100% Correct
O
N
O
T
clinical guidelines - ANSWER-statements to help make decisions about
health specific circumstances.
C
O
standards of care - ANSWER-parameters to measure the quality of
PY
healthcare
clinical pathway - ANSWER-structured multi-disciplined plan of care to
support clinical guidelines and protocol to improve continuity and
coordination.
4 parts of clinical pathway - 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?
case management - ANSWER-the dynamic and systematic collaborative
approach to providing and coordinating health care services to a defined
population.
- participative process to identify and facility options and services for
meeting individual healthcare needs while decreasing fragmentation
D
and duplication of care and increasing quality and cost effective
clinical outcomes.
O
N
decision tree - ANSWER-used to select the best course of action in
decisions where there is no clear decisions.
O
T
descriptive screening tool - ANSWER-identifies characteristics about a
population to show health prevention.
C
O
predictive screening tool - ANSWER-shows what may happen to a
PY
specific population.
evaluative screening tool - ANSWER-evaluates the
understanding/effectiveness
SF-36 - 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 - ANSWER-13 item predictive screening tool
to evaluate patient's knowledge, skills, confidence in self-care.
- higher the score the better (scored 0-52)
D
-predicts health care outcomes, medication adherence and ER visits.
O
N
health risk assessment - ANSWER-predictive screening tool: patient's
self assessment of their health and how likely they will seek care.
O
- predicts future health costs
T
- predicts likely-hood of progression of their illness to a worse condition.
C
- examples: PHQ-9, etc.
O
rose Q - ANSWER-health risk assessment for angina, MI, coronary heart
PY
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."
D
seattle angina questionnaire - ANSWER-19-item self-administered
health risk assessment for angina and functional artery disease
O
measuring five dimensions of coronary artery disease:
1 physical limitation, 2 anginal stability, 3 anginal frequency, 4
N
treatment satisfaction and 5 disease perception.
O
-score of 0 to 100, where higher scores indicate better function (eg, less
physical limitation, less angina, and better quality of life).
T
C
arthritis impact measurement scales - ANSWER-health risk assessment:
O
Disease-specific measure of physical, social, and emotional well-being
designed as a measure of outcome in arthritis.
PY
-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.
