CCM exam secrets practice test
1. 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.: 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.
2. Risk management is a sub domain of which of the following court case
management domains?
A. Psychosocial aspects.
B. Healthcare management, and delivery.
C. Principles of practice.
D. Case management concepts.: 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.
3. The case management process of documenting goals, objectives, and
actions to meet a clients needs is:
A. Assessment
B. Coordination.
C. Planning.
D. Monitoring.: 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
, CCM exam secrets practice test
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.
4. 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.: 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.
5. 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: 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.
6. Which model of healthcare decision-making best demonstrates the
principle of beneficence?
A. Patient sovereignty.
B. Paternalism
C. Shared decision-making.
D. Maternalism: 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
, CCM exam secrets practice test
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.
7. 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.
c. Litigator.
D. Advocate.: 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.
8. Nursing case management that is "within the walls" refers to which
setting?
A. Outpatient setting.
B. Community clinic setting.
c. Health maintenance organization (HMO).
D. Acute hospital setting: 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.
9. 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
, CCM exam secrets practice test
C. Viatical settlement.
D. Gatekeeping.: C. This scenario describes the process known as viatical
settlement, whereby a patient can obtain a cash value from a life insurance
policy prior to death. Answers a, B, and D are irrelevant to the situation.
10. A relationship, whereby a case manager act in a client best interest based
on trust is known as: A. Fiduciary.
B. Ex parte.
C tort
D. Due diligence.: A. A case manager establishes a relationship with a client to
advocate for his best interest. This makes the case manager a fiduciary. The term
ex parte refers to illegal, proceeding or a legal order. A tort, on the other hand, refers
to a wrongful act performed will it fully. When a person investigates a business or
personal relationship prior to signing a contract, he is performing due diligence.
11. When a case manager refers a client to a specific provider, what type
of relationship exist between the case manager, and the provider? A.
Vicarious agency.
B. Advocate.
C. Ostensible agency.
D. Favoritism.: C. The relationship that exists between the case manager, and a
referral provider is an ostensible agency. If that provider works to perform
negligent actions. The referring case manager may also become subject to
litigation. A fiduciary is a relationship, whereby the case manager act in the
clients best interest.
The case manager is an advocate for the client, not the provider.
12. A case manager knowingly refers a patient to a provider who is unqualified
to render services to the patient. This is known as: A. Temporary referral
B. Dual relationship.
C. Referral by client consent.
D. Negligent referral: D. The case manager has to have knowledge of the referral
providers, credentials, and clinical experience. If a case manager sends a
patient to an unqualified referral provider, this constitutes a negligent referral. It
is important for the case managers to check in with patients afterward, to
1. 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.: 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.
2. Risk management is a sub domain of which of the following court case
management domains?
A. Psychosocial aspects.
B. Healthcare management, and delivery.
C. Principles of practice.
D. Case management concepts.: 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.
3. The case management process of documenting goals, objectives, and
actions to meet a clients needs is:
A. Assessment
B. Coordination.
C. Planning.
D. Monitoring.: 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
, CCM exam secrets practice test
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.
4. 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.: 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.
5. 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: 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.
6. Which model of healthcare decision-making best demonstrates the
principle of beneficence?
A. Patient sovereignty.
B. Paternalism
C. Shared decision-making.
D. Maternalism: 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
, CCM exam secrets practice test
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.
7. 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.
c. Litigator.
D. Advocate.: 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.
8. Nursing case management that is "within the walls" refers to which
setting?
A. Outpatient setting.
B. Community clinic setting.
c. Health maintenance organization (HMO).
D. Acute hospital setting: 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.
9. 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
, CCM exam secrets practice test
C. Viatical settlement.
D. Gatekeeping.: C. This scenario describes the process known as viatical
settlement, whereby a patient can obtain a cash value from a life insurance
policy prior to death. Answers a, B, and D are irrelevant to the situation.
10. A relationship, whereby a case manager act in a client best interest based
on trust is known as: A. Fiduciary.
B. Ex parte.
C tort
D. Due diligence.: A. A case manager establishes a relationship with a client to
advocate for his best interest. This makes the case manager a fiduciary. The term
ex parte refers to illegal, proceeding or a legal order. A tort, on the other hand, refers
to a wrongful act performed will it fully. When a person investigates a business or
personal relationship prior to signing a contract, he is performing due diligence.
11. When a case manager refers a client to a specific provider, what type
of relationship exist between the case manager, and the provider? A.
Vicarious agency.
B. Advocate.
C. Ostensible agency.
D. Favoritism.: C. The relationship that exists between the case manager, and a
referral provider is an ostensible agency. If that provider works to perform
negligent actions. The referring case manager may also become subject to
litigation. A fiduciary is a relationship, whereby the case manager act in the
clients best interest.
The case manager is an advocate for the client, not the provider.
12. A case manager knowingly refers a patient to a provider who is unqualified
to render services to the patient. This is known as: A. Temporary referral
B. Dual relationship.
C. Referral by client consent.
D. Negligent referral: D. The case manager has to have knowledge of the referral
providers, credentials, and clinical experience. If a case manager sends a
patient to an unqualified referral provider, this constitutes a negligent referral. It
is important for the case managers to check in with patients afterward, to
