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Case Manager Certification Exam ACTUAL UPDATED QUESTIONS AND CORRECT ANSWERS

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Case Manager Certification Exam ACTUAL UPDATED QUESTIONS AND CORRECT ANSWERS case management - CORRECT ANSWERSthe 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 ANSWERSparameters to measure the quality of healthcare clinical guidelines - CORRECT ANSWERSstatements to help make decisions about health specific circumstances. clinical pathway - CORRECT ANSWERSstructured multi-disciplined plan of care to support clinical guidelines and protocol to improve continuity and coordination. 4 parts of clinical pathway - CORRECT ANSWERS1. 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 ANSWERSused to select the best course of action in decisions where there is no clear decisions. descriptive screening tool - CORRECT ANSWERSidentifies characteristics about a population to show health prevention. predictive screening tool - CORRECT ANSWERSshows what may happen to a specific population. evaluative screening tool - CORRECT ANSWERSevaluates the understanding/effectiveness SF-36 - CORRECT ANSWERSpredictive 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 ANSWERS13 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 ANSWERSpredictive 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 ANSWERShealth 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 o

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Subido en
27 de noviembre de 2025
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2025/2026
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Case Manager Certification Exam
ACTUAL UPDATED QUESTIONS AND
CORRECT ANSWERS
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.
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