©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
Case Manager Certification Exam
Questions and Answers 100% Solved
case management - ✔✔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 and
duplication of care and increasing quality and cost effective clinical
outcomes.
standards of care - ✔✔parameters to measure the quality of healthcare
clinical guidelines - ✔✔statements to help make decisions about health
specific circumstances.
clinical pathway - ✔✔structured multi-disciplined plan of care to support
clinical guidelines and protocol to improve continuity and coordination.
4 parts of clinical pathway - ✔✔1. timeline
2. categories of care/activities and interventions
3. intermediate and long term outcome criteria
4. variance tracking
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
are 4 parts of what?
decision tree - ✔✔used to select the best course of action in decisions
where there is no clear decisions.
descriptive screening tool - ✔✔identifies characteristics about a population
to show health prevention.
predictive screening tool - ✔✔shows what may happen to a specific
population.
evaluative screening tool - ✔✔evaluates the understanding/effectiveness
SF-36 - ✔✔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 - ✔✔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.
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
health risk assessment - ✔✔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 - ✔✔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."
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
seattle angina questionnaire - ✔✔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 - ✔✔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 - ✔✔health risk assessment: Cancer-specific,
functionally-oriented quality of life instrument.
Case Manager Certification Exam
Questions and Answers 100% Solved
case management - ✔✔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 and
duplication of care and increasing quality and cost effective clinical
outcomes.
standards of care - ✔✔parameters to measure the quality of healthcare
clinical guidelines - ✔✔statements to help make decisions about health
specific circumstances.
clinical pathway - ✔✔structured multi-disciplined plan of care to support
clinical guidelines and protocol to improve continuity and coordination.
4 parts of clinical pathway - ✔✔1. timeline
2. categories of care/activities and interventions
3. intermediate and long term outcome criteria
4. variance tracking
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
are 4 parts of what?
decision tree - ✔✔used to select the best course of action in decisions
where there is no clear decisions.
descriptive screening tool - ✔✔identifies characteristics about a population
to show health prevention.
predictive screening tool - ✔✔shows what may happen to a specific
population.
evaluative screening tool - ✔✔evaluates the understanding/effectiveness
SF-36 - ✔✔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 - ✔✔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.
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
health risk assessment - ✔✔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 - ✔✔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."
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
seattle angina questionnaire - ✔✔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 - ✔✔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 - ✔✔health risk assessment: Cancer-specific,
functionally-oriented quality of life instrument.
