Case Manager Certification Exam with Test Questions and elaborated Answers
1. case management: the dynamic and systematic collaborative approach to pro-
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hviding and coordinating health care services to a defined population.
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-
hparticipative process to identify and facility options and services for meeting individual health
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are needs while decreasing fragmentation and duplication of care and increasing quality and c
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st effective clinical outcomes.
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2. standards of care: parameters to measure the quality of healthcare
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3. clinical guidelines: statements to help make decisions about health specific circumst
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ances.
4. clinical pathway: structured multi- h h h
disciplined plan of care to support clinical guidelines and protocol to improve continuity
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and coordination.
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5. 4 parts of clinical pathway: 1. timeline
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2. categories of care/activities and interventions h h h h
3. intermediate and long term outcome criteria h h h h h
4. variance tracking ar h h
e 4 parts of what?
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6. decision tree: used to select the best course of action in decisions where there is no clear
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decisions.
7. descriptive screening tool: identifies characteristics about a population to show health pre
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vention.
8. predictive screening tool: shows what may happen to a specific population.
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9. evaluative screening tool: evaluates the understanding/effectiveness
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10. SF-
36: predictive screening tool to assess functional health and well being. Assesses physic
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al and mental health.
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- used in health economics, cost-effectiveness of health tx
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-evals individual patient health status.
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- does not consider sleep
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1h/h33
,-scored 00-100, lower score-> incr. disability
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11. patient activation measure: 13 item predictive screening tool to evaluate pa-
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htient's knowledge, skills, confidence in self-care.
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- higher the score the better (scored 0-52)
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-predicts health care outcomes, medication adherence and ER visits.
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12. health risk assessment: predictive screening tool: patient's self assessment of their healt
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h and how likely they will seek care.
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- predicts future health costs
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- predicts likely-hood of progression of their illness to a worse condition.
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- examples: PHQ-9, etc. h h
13. rose Q: health risk assessment for angina, MI, coronary heart disease. defined angina p
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ectoris as, "a chest pain or discomfort with these characteristics:
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(a) the site must include either the sternum (any level) or the left arm and left anterior
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2h/h33
,chest (defined as the anterior chest wall between the levels of clavicle and lower end of sternum
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),
(b) it must be provoked by either hurrying or walking uphill (or by walking on the level, for t
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hose who never attempt more),
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(c) when it occurs on walking it must make the subject either stop or slacken pace, unless nit
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roglycerin is taken, (d) it must disappear on a majority of occasions in 10 min or less from the
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time when the subject stands still."
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Possible myocardial infarction1 was defined as, "one or more attacks of severe pain across the
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ont of the chest lasting for 30 min or longer."
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14. seattle angina questionnaire: 19-item self-administered health risk assess-
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hment for angina and functional artery disease measuring five dimensions of coro-
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hnary artery disease:
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1 physical limitation, 2 anginal stability, 3 anginal frequency, 4 treatment satisfaction and 5 dise
h h h h h h h h h h h h h h
se perception.
h
-
score of 0 to 100, where higher scores indicate better function (eg, less physical limitation, les
h h h h h h h h h h h h h h h
angina, and better quality of life).
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15. arthritis impact measurement scales: health risk assessment: Disease-spe-
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hcific measure of physical, social, and emotional well-
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being designed as a measure of outcome in arthritis.
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-scales: mobility, physical activity (walking, bending, lifting), dexterity, household ac-
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htivity (managing money and medications, housekeeping), social activities, activities of daily li
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ving, pain, depression, and anxiety.
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Score range: Range is 0-10 for each section. Total health score 0-60.
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--> Zero represents good health status, 10 and 60 represent poor health status.
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16. functional living index-cancer: health risk assessment: Cancer-specific, func- tionally-
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oriented quality of life instrument. h h h h
-22 items assessing 5 domains: Physical well-
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being and ability, emotional state, sociability, family situation, nausea
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3h/h33
, - Higher score indicates better quality of life.
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17. BASIS-32: health risk assessment: 32-item Behavior and Symptom Identifica-
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htion Scale. behavioral health assessment tool.
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- measures the change in self- h h h h
reported symptom and problem difficulty over the course of treatment.
h h h h h h h h h
- assesses: Relation to Self and Others, Depression and Anxiety, Daily Living and Role Functi
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oning, Impulsive and Addictive Behavior, Psychosis.
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- higher score poorer outcome
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4h/h33
1. case management: the dynamic and systematic collaborative approach to pro-
h h h h h h h h h
hviding and coordinating health care services to a defined population.
h h h h h h h h h
-
hparticipative process to identify and facility options and services for meeting individual health
h h h h h h h h h h h h
are needs while decreasing fragmentation and duplication of care and increasing quality and c
h h h h h h h h h h h h h
st effective clinical outcomes.
h h h
2. standards of care: parameters to measure the quality of healthcare
h h h h h h h h h
3. clinical guidelines: statements to help make decisions about health specific circumst
h h h h h h h h h h
ances.
4. clinical pathway: structured multi- h h h
disciplined plan of care to support clinical guidelines and protocol to improve continuity
h h h h h h h h h h h h h
and coordination.
h
5. 4 parts of clinical pathway: 1. timeline
h h h h h h
2. categories of care/activities and interventions h h h h
3. intermediate and long term outcome criteria h h h h h
4. variance tracking ar h h
e 4 parts of what?
h h h h
6. decision tree: used to select the best course of action in decisions where there is no clear
h h h h h h h h h h h h h h h h h
decisions.
7. descriptive screening tool: identifies characteristics about a population to show health pre
h h h h h h h h h h h
vention.
8. predictive screening tool: shows what may happen to a specific population.
h h h h h h h h h h
9. evaluative screening tool: evaluates the understanding/effectiveness
h h h h h
10. SF-
36: predictive screening tool to assess functional health and well being. Assesses physic
h h h h h h h h h h h h
al and mental health.
h h h
- used in health economics, cost-effectiveness of health tx
h h h h h h h
-evals individual patient health status.
h h h h
- does not consider sleep
h h h
1h/h33
,-scored 00-100, lower score-> incr. disability
h h h h h
11. patient activation measure: 13 item predictive screening tool to evaluate pa-
h h h h h h h h h h
htient's knowledge, skills, confidence in self-care.
h h h h h
- higher the score the better (scored 0-52)
h h h h h h
-predicts health care outcomes, medication adherence and ER visits.
h h h h h h h h
12. health risk assessment: predictive screening tool: patient's self assessment of their healt
h h h h h h h h h h h
h and how likely they will seek care.
h h h h h h h
- predicts future health costs
h h h
- predicts likely-hood of progression of their illness to a worse condition.
h h h h h h h h h h
- examples: PHQ-9, etc. h h
13. rose Q: health risk assessment for angina, MI, coronary heart disease. defined angina p
h h h h h h h h h h h h h
ectoris as, "a chest pain or discomfort with these characteristics:
h h h h h h h h h
(a) the site must include either the sternum (any level) or the left arm and left anterior
h h h h h h h h h h h h h h h
2h/h33
,chest (defined as the anterior chest wall between the levels of clavicle and lower end of sternum
h h h h h h h h h h h h h h h h
),
(b) it must be provoked by either hurrying or walking uphill (or by walking on the level, for t
h h h h h h h h h h h h h h h h h
hose who never attempt more),
h h h h
(c) when it occurs on walking it must make the subject either stop or slacken pace, unless nit
h h h h h h h h h h h h h h h h
roglycerin is taken, (d) it must disappear on a majority of occasions in 10 min or less from the
h h h h h h h h h h h h h h h h h h h
time when the subject stands still."
h h h h h
Possible myocardial infarction1 was defined as, "one or more attacks of severe pain across the
h h h h h h h h h h h h h h h
ont of the chest lasting for 30 min or longer."
h h h h h h h h h
14. seattle angina questionnaire: 19-item self-administered health risk assess-
h h h h h h h
hment for angina and functional artery disease measuring five dimensions of coro-
h h h h h h h h h h h
hnary artery disease:
h h
1 physical limitation, 2 anginal stability, 3 anginal frequency, 4 treatment satisfaction and 5 dise
h h h h h h h h h h h h h h
se perception.
h
-
score of 0 to 100, where higher scores indicate better function (eg, less physical limitation, les
h h h h h h h h h h h h h h h
angina, and better quality of life).
h h h h h
15. arthritis impact measurement scales: health risk assessment: Disease-spe-
h h h h h h h
hcific measure of physical, social, and emotional well-
h h h h h h h
being designed as a measure of outcome in arthritis.
h h h h h h h h
-scales: mobility, physical activity (walking, bending, lifting), dexterity, household ac-
h h h h h h h h h
htivity (managing money and medications, housekeeping), social activities, activities of daily li
h h h h h h h h h h h
ving, pain, depression, and anxiety.
h h h h
Score range: Range is 0-10 for each section. Total health score 0-60.
h h h h h h h h h h h
--> Zero represents good health status, 10 and 60 represent poor health status.
h h h h h h h h h h h h
16. functional living index-cancer: health risk assessment: Cancer-specific, func- tionally-
h h h h h h h h
oriented quality of life instrument. h h h h
-22 items assessing 5 domains: Physical well-
h h h h h h
being and ability, emotional state, sociability, family situation, nausea
h h h h h h h h
3h/h33
, - Higher score indicates better quality of life.
h h h h h h
17. BASIS-32: health risk assessment: 32-item Behavior and Symptom Identifica-
h h h h h h h h
htion Scale. behavioral health assessment tool.
h h h h h
- measures the change in self- h h h h
reported symptom and problem difficulty over the course of treatment.
h h h h h h h h h
- assesses: Relation to Self and Others, Depression and Anxiety, Daily Living and Role Functi
h h h h h h h h h h h h h
oning, Impulsive and Addictive Behavior, Psychosis.
h h h h h
- higher score poorer outcome
h h h
4h/h33
