The health coach is working with a client in a hypertension program. The client makes
the statement, "I know I need to make some changes in my lifestyle, I'm just not sure
where to begin." The case manager knows the client is in which stage of change?
A) Pre-Contemplation
B) Action
C) Preparation
D) Contemplation
Answer: D) Contemplation
Give this one a try later!
, Rationale: 5 Stages of Change
1. In the pre-contemplation stage, the individual does not intend to take
action in the foreseeable future.
2. In the contemplation stage, the individual considers a change in the next
six months but has not committed to it. He may be open to information on
the benefits of change and how to successfully do so.
3. In the preparation stage, the client actively plans to make changes within
the next month and may have taken small steps toward change.
4. The action is the stage when the individual has successfully made a
change and has sustained it for less than six months.
5. When the individual has sustained the change for more than 6 months
maintenance has been achieved.
Medicare Part B benefits include which of the following?
A) Inpatient hospital stay, physician and surgeon, outpatient service and emergency
room
B) Physician and surgeon, outpatient services, home health and physical therapy
C) Inpatient hospital stay, skilled nursing facility stay, home health care, and hospice
D) Physician and surgeon, skilled nursing facility stay and outpatient services
Answer: B) Physician and surgeon, outpatient services, home health and physical
therapy
Give this one a try later!
Rationale: Medicare Part B benefits include:
• Physician and surgeon
• Outpatient services
• Home health
• DME
• Emergency Room
• Physical therapy
• Ambulance
, The type of insurance plan that offers the most flexibility is the:
A) Point-of-Service Plan (POS)
B) Health Maintenance Origination (HMO)
C) Preferred Provider Organization (PPO)
D) Indemnity Plan
Answer: D) Indemnity Plan
Give this one a try later!
Rationale: Indemnity plans offer the most flexibility because they do not
have restrictions which provider the insured can use. Indemnity benefits
usually pay after the provider has billed the patient, the insured person is
reimbursed by the company. Also know as fee-for-service where providers
are paid for each service performed, as opposed to capitation.
When the case manager is explaining the treatment options available and providing
education to the client, the goal is to:
A) Lead the client to the most cost efficient treatment plan.
B) Empower the client to be an informed and active decision maker of his healthcare.
C) Have the client make a decision by the end of the discussion.
D) Encourage the client to obtain a second opinion
Give this one a try later!
Answer: B) Empower the client to be an informed and active decision
maker of his healthcare.
Resource:
Rationale: Case managers empower patients to be informed and active
decision makers in their healthcare by explaining treatment options
Your client is considering a viatical settlement to help cover medical expenses. All of
the following are true about viatical settlements except:
the statement, "I know I need to make some changes in my lifestyle, I'm just not sure
where to begin." The case manager knows the client is in which stage of change?
A) Pre-Contemplation
B) Action
C) Preparation
D) Contemplation
Answer: D) Contemplation
Give this one a try later!
, Rationale: 5 Stages of Change
1. In the pre-contemplation stage, the individual does not intend to take
action in the foreseeable future.
2. In the contemplation stage, the individual considers a change in the next
six months but has not committed to it. He may be open to information on
the benefits of change and how to successfully do so.
3. In the preparation stage, the client actively plans to make changes within
the next month and may have taken small steps toward change.
4. The action is the stage when the individual has successfully made a
change and has sustained it for less than six months.
5. When the individual has sustained the change for more than 6 months
maintenance has been achieved.
Medicare Part B benefits include which of the following?
A) Inpatient hospital stay, physician and surgeon, outpatient service and emergency
room
B) Physician and surgeon, outpatient services, home health and physical therapy
C) Inpatient hospital stay, skilled nursing facility stay, home health care, and hospice
D) Physician and surgeon, skilled nursing facility stay and outpatient services
Answer: B) Physician and surgeon, outpatient services, home health and physical
therapy
Give this one a try later!
Rationale: Medicare Part B benefits include:
• Physician and surgeon
• Outpatient services
• Home health
• DME
• Emergency Room
• Physical therapy
• Ambulance
, The type of insurance plan that offers the most flexibility is the:
A) Point-of-Service Plan (POS)
B) Health Maintenance Origination (HMO)
C) Preferred Provider Organization (PPO)
D) Indemnity Plan
Answer: D) Indemnity Plan
Give this one a try later!
Rationale: Indemnity plans offer the most flexibility because they do not
have restrictions which provider the insured can use. Indemnity benefits
usually pay after the provider has billed the patient, the insured person is
reimbursed by the company. Also know as fee-for-service where providers
are paid for each service performed, as opposed to capitation.
When the case manager is explaining the treatment options available and providing
education to the client, the goal is to:
A) Lead the client to the most cost efficient treatment plan.
B) Empower the client to be an informed and active decision maker of his healthcare.
C) Have the client make a decision by the end of the discussion.
D) Encourage the client to obtain a second opinion
Give this one a try later!
Answer: B) Empower the client to be an informed and active decision
maker of his healthcare.
Resource:
Rationale: Case managers empower patients to be informed and active
decision makers in their healthcare by explaining treatment options
Your client is considering a viatical settlement to help cover medical expenses. All of
the following are true about viatical settlements except:
