Case Manager Certification Exam
questions with correct answers
2025/2026
case management correct answers 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 correct answers parameters to measure the quality of healthcare
clinical guidelines correct answers statements to help make decisions about health
specific circumstances.
clinical pathway correct answers structured multi-disciplined plan of care to support
clinical guidelines and protocol to improve continuity and coordination.
4 parts of clinical pathway correct answers 1. timeline
2. categories of care/activities and interventions
3. intermediate and long term outcome criteria
4. variance tracking
are 4 parts of what?
decision tree correct answers used to select the best course of action in decisions
where there is no clear decisions.
descriptive screening tool correct answers identifies characteristics about a population
to show health prevention.
predictive screening tool correct answers shows what may happen to a specific
population.
evaluative screening tool correct answers evaluates the understanding/effectiveness
SF-36 correct answers 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 correct answers 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.
health risk assessment correct answers 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 correct answers 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."
seattle angina questionnaire correct answers 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 correct answers 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 correct answers health risk assessment: Cancer-specific,
functionally-oriented quality of life instrument.
, -22 items assessing 5 domains: Physical well-being and ability, emotional state,
sociability, family situation, nausea
- Higher score indicates better quality of life.
BASIS-32 correct answers health risk assessment: 32-item Behavior and Symptom
Identification Scale. behavioral health assessment tool.
- measures the change in self-reported symptom and problem difficulty over the course
of treatment.
- assesses: Relation to Self and Others, Depression and Anxiety, Daily Living and Role
Functioning, Impulsive and Addictive Behavior, Psychosis.
- higher score poorer outcome
mini mental state exam correct answers health risk assessment:
30-point questionnaire measures cognitive impairment to screen for dementia.
- higher the score, less dementia
- 18-23 is mild dementia
- 0-17 is sever dementia
hopkins symptom checklist-25 correct answers health risk assessment: self-reporting
questionnaire symptom inventory which measures symptoms of anxiety and depression.
-The scale for each question includes four categories of response ("Not at all," "A little,"
"Quite a bit," "Extremely," rated 1 to 4, respectively). Two scores are calculated: the
total score is the average of all 25 items, while the depression score is the average of
the 15 depression items
mcgill pain questionnaire correct answers scale of rating pain. It is a self-report
questionnaire that allows individuals to give their doctor a good description of the quality
and intensity of pain that they are experiencing. Users first select a single word from
each group that best reflects their pain. Users then review the list and select the three
words from groups 1-10 that best describe their pain, two words from groups 11-15, a
single word from group 16, and then one word from groups 17-20. After completing the
questionnaire, users will have selected seven words that best describe their pain.
A correct answers What part of Medicare covers skilled nursing facility?
B correct answers What part of Medicare covers durable medical equipment?
Goals correct answers 1. Patient focused
2. Measurable
3. Attainable
4. Relevant
5. Time oriented
Piaget correct answers Developmental theory for cognitive ability to process/analyze
information
questions with correct answers
2025/2026
case management correct answers 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 correct answers parameters to measure the quality of healthcare
clinical guidelines correct answers statements to help make decisions about health
specific circumstances.
clinical pathway correct answers structured multi-disciplined plan of care to support
clinical guidelines and protocol to improve continuity and coordination.
4 parts of clinical pathway correct answers 1. timeline
2. categories of care/activities and interventions
3. intermediate and long term outcome criteria
4. variance tracking
are 4 parts of what?
decision tree correct answers used to select the best course of action in decisions
where there is no clear decisions.
descriptive screening tool correct answers identifies characteristics about a population
to show health prevention.
predictive screening tool correct answers shows what may happen to a specific
population.
evaluative screening tool correct answers evaluates the understanding/effectiveness
SF-36 correct answers 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 correct answers 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.
health risk assessment correct answers 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 correct answers 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."
seattle angina questionnaire correct answers 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 correct answers 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 correct answers health risk assessment: Cancer-specific,
functionally-oriented quality of life instrument.
, -22 items assessing 5 domains: Physical well-being and ability, emotional state,
sociability, family situation, nausea
- Higher score indicates better quality of life.
BASIS-32 correct answers health risk assessment: 32-item Behavior and Symptom
Identification Scale. behavioral health assessment tool.
- measures the change in self-reported symptom and problem difficulty over the course
of treatment.
- assesses: Relation to Self and Others, Depression and Anxiety, Daily Living and Role
Functioning, Impulsive and Addictive Behavior, Psychosis.
- higher score poorer outcome
mini mental state exam correct answers health risk assessment:
30-point questionnaire measures cognitive impairment to screen for dementia.
- higher the score, less dementia
- 18-23 is mild dementia
- 0-17 is sever dementia
hopkins symptom checklist-25 correct answers health risk assessment: self-reporting
questionnaire symptom inventory which measures symptoms of anxiety and depression.
-The scale for each question includes four categories of response ("Not at all," "A little,"
"Quite a bit," "Extremely," rated 1 to 4, respectively). Two scores are calculated: the
total score is the average of all 25 items, while the depression score is the average of
the 15 depression items
mcgill pain questionnaire correct answers scale of rating pain. It is a self-report
questionnaire that allows individuals to give their doctor a good description of the quality
and intensity of pain that they are experiencing. Users first select a single word from
each group that best reflects their pain. Users then review the list and select the three
words from groups 1-10 that best describe their pain, two words from groups 11-15, a
single word from group 16, and then one word from groups 17-20. After completing the
questionnaire, users will have selected seven words that best describe their pain.
A correct answers What part of Medicare covers skilled nursing facility?
B correct answers What part of Medicare covers durable medical equipment?
Goals correct answers 1. Patient focused
2. Measurable
3. Attainable
4. Relevant
5. Time oriented
Piaget correct answers Developmental theory for cognitive ability to process/analyze
information
