Case Management exam Reviewed
Questions and Answers Latest 2025/2026
GRADED A+
A nurse case manager must encompass a knowledge of the health care environment with
regards to what 4 aspects? - CORRECT ANSWER-1. Clinical
2. Business/Financial
3. Managerial
4. Professionalism
How are clinical pathways used in the case management process? (2) - CORRECT ANSWER-
1. Clinical pathways help case managers appropriately manage a patient's care related to
the admitting diagnosis
2. CP help to improve quality, decrease cost, manage length of stay and avoid delays in care
How are clinical pathways used? (3) - CORRECT ANSWER-1. Permanent part of medical
record
2. Used in lieu of Care Plan and Orders
3. The nurse in charge and the attending physician will select the appropriate on admission
How does the APRN follow up with transitional planning in the TCM model? - CORRECT
ANSWER-The APRN visits after discharge from the hospital, reaches out to patients by
phone, and follows up on post-discharge care. The accompany patients on their first visit to
their primary care provider post-discharge, and communicates with the PCP to ensure that
, important information has been exchanged. They also assist the patient in identifying early
signs and symptoms of worsening condition.
In the BOOST model, what method is used in patient education and discharge instructions?
- CORRECT ANSWER-Uses the teach-back method
In the clinical setting, what type of assessment does the case manager perform? - CORRECT
ANSWER-Patient and family interview and review of medical record
In the CTI model of transition planning, does the coach assume home care of case
management responsibilites? - CORRECT ANSWER-No, the coach initiates contact while the
patient is in the hospital, obtains patient consent to participate, and completes a home visit
72 hours post-discharge. They then complete three phone calls after the home visit that
focus on follow-up care with the primary care provider, medications, and other support
services.
In what settings are we now finding case management now that it has moved past the acute
care setting? (5) - CORRECT ANSWER-1. Home health agencies
2. Physician practices
3. Medical respite programs
4. Faith based programs
5. Independent case management consulting firms
What are 3 advantages of clinical pathways? - CORRECT ANSWER-1. Enhances
interdisciplinary collaboration
2. Helps to reduce unnecessary variations in patient care and outcomes, improving quality
3. A tool to incorporate local and national guidelines into everyday practices
What are 4 roles of the case manager in managing business/financial concerns? - CORRECT
ANSWER-1. Ensure that the level of care is appropriate and services are medically
necessary
2. Proactively identify delays in care, delays in discharge and risk of readmission
Questions and Answers Latest 2025/2026
GRADED A+
A nurse case manager must encompass a knowledge of the health care environment with
regards to what 4 aspects? - CORRECT ANSWER-1. Clinical
2. Business/Financial
3. Managerial
4. Professionalism
How are clinical pathways used in the case management process? (2) - CORRECT ANSWER-
1. Clinical pathways help case managers appropriately manage a patient's care related to
the admitting diagnosis
2. CP help to improve quality, decrease cost, manage length of stay and avoid delays in care
How are clinical pathways used? (3) - CORRECT ANSWER-1. Permanent part of medical
record
2. Used in lieu of Care Plan and Orders
3. The nurse in charge and the attending physician will select the appropriate on admission
How does the APRN follow up with transitional planning in the TCM model? - CORRECT
ANSWER-The APRN visits after discharge from the hospital, reaches out to patients by
phone, and follows up on post-discharge care. The accompany patients on their first visit to
their primary care provider post-discharge, and communicates with the PCP to ensure that
, important information has been exchanged. They also assist the patient in identifying early
signs and symptoms of worsening condition.
In the BOOST model, what method is used in patient education and discharge instructions?
- CORRECT ANSWER-Uses the teach-back method
In the clinical setting, what type of assessment does the case manager perform? - CORRECT
ANSWER-Patient and family interview and review of medical record
In the CTI model of transition planning, does the coach assume home care of case
management responsibilites? - CORRECT ANSWER-No, the coach initiates contact while the
patient is in the hospital, obtains patient consent to participate, and completes a home visit
72 hours post-discharge. They then complete three phone calls after the home visit that
focus on follow-up care with the primary care provider, medications, and other support
services.
In what settings are we now finding case management now that it has moved past the acute
care setting? (5) - CORRECT ANSWER-1. Home health agencies
2. Physician practices
3. Medical respite programs
4. Faith based programs
5. Independent case management consulting firms
What are 3 advantages of clinical pathways? - CORRECT ANSWER-1. Enhances
interdisciplinary collaboration
2. Helps to reduce unnecessary variations in patient care and outcomes, improving quality
3. A tool to incorporate local and national guidelines into everyday practices
What are 4 roles of the case manager in managing business/financial concerns? - CORRECT
ANSWER-1. Ensure that the level of care is appropriate and services are medically
necessary
2. Proactively identify delays in care, delays in discharge and risk of readmission
