CCM practice questions: Psychosocial Concepts & Support Systems Flashcards
Gene is a forty-eight-year-old male who someday wishes to stop smoking. He has given fleeting thought to it, but still very much enjoys his two-pack-a-day habit and will not listen when his daughter lectures him about quitting. what stage of the transtheoretical model is Gene in now?
a. contemplation stage
b. pre-contemplation stage
c. maintenance stage
d. action stage
b. correct. The pre-contemplation stage is when the individual is not thinking about behavioral change and not ready to take the steps to change.
incorrect answers:
a. The contemplation stage occurs when the individual seriously thinks about changing a behavior and what steps may be involved.
c. The maintenance stage occurs after the action stage, when the individual has made the change in behavior and is trying to stick to it.
d. The action stage is when the individual has performed the action and changed the behavior.
Anna is a case manager who will contact a client for an initial interview. She should do all of the following EXPEPT
a. review recent hospitalizations.
b. examine client’s provider information.
c. enter a utilization review (UR) request for the client.
d. review client’s substance abuse history.
c. correct. The case manager will not enter a UR request for the client, as she has not spoken to the client yet, and that is usually handled by a different department.
Incorrect answers:
a. While preparing to contact a client for an initial interview, the case manager will review recent hospitalizations, if any exist.
b. The case manager will review the client’s provider information.
d. The case manager will review any substance abuse history.
Katy is a case manager with a twenty-three-year-old Spanish -speaking client who has diabetes. She plans to work with her client on building new eating habits to help manage her condition. which health literacy assessment tool should she use?
a. Rapid Estimate of Adult Literacy in Medicine (REALM)
b. Test of Functional Health Literacy in Adults (TOFHLA)
c. Short Test of Functional Health Literacy in Adults (S-TOFHLA)
d. The Newest Vital Sign (NVS)
d. correct. The NVS would be an appropriate tool to use, as it focuses on reading nutrition labels and is available in English and Spanish.
Eleanor is a seventy-three-year-old female who recently fell in her bathroom and hit her head on the corner of her sink. She is currently comatose, and the Ranchos Los Amigos LCFS is being used to assess the level of impairment. When an ice cube is placed in her palm, she shivers. when it is placed in the same palm again she flexes the hand holding the ice cube. This is an example of which type of response?
a. localized response
b. a confused-appropriate response
c. purposeful-appropriate response
d. no response
a. correct. This behavior typifies a localized response. Eleanor is responding to stimuli, but the same stimuli produces a different reaction each time.
Incorrect answers:
b. Eleanor is not quite at the stage where she is aware of herself and family, which is indicative of the confused-appropriate stage of recovery.
c. Eleanor is far from independently functioning within society, which is indicative of the purposeful-appropriate stage of recovery.
No response should mean that Eleanor did not respond at all to the ice cube in her palm.
Sam is speaking with his case manager about his hypertension and mentions that he does not have a blood pressure monitor at home. What should the case manager do to help Sam self-advocate and manage his care?
a. call Sam’s family member and report that Sam needs a blood pressure monitor
b. encourage Sam to call his primary care provider to ask for a prescription for a monitor
c. provide Sam with a pamphlet on the importance of closely monitoring his blood pressure
d. help Sam speak with his insurance provider about acquiring a blood pressure monitor
d. correct. Sam should speak with his insurance provider. Often there are benefits that help cover some or all o the costs of the monitor.
incorrect answers:
a. The CCM is delegating an important CCM task to the family member.
b. Blood pressure monitors are bought over the counter and do not need a prescription.
c. Simply providing a pamphlet on the importance of the blood pressure monitoring is not likely to help Sam, who needs to learn how to acquire and use a monitor.
Which of the following best describes substance abuse?
a. the unwanted, intentional, and continual use of a substance.
b. the deep need to use a substance to achieve a particular feeling
c. excessive but sporadic use of a substance
d. the use of a controlled substance while not under the care of a doctor
a. correct. Abuse is the continual, intentional use of a substance without a medical reason.
incorrect answers:
b. Dependence is the need to use a substance to achieve a desired effect.
c. Substance abuse is continual, not sporadic.
d. The definition of substance abuse does not address whether a person is under the care of a doctor.
Peter is an 8-year-old boy who presents to the ED with a broken arm. The ED case manager notices that this is Peter’s 4th ED visit in three weeks. Upon further review of the chart, the case manager also notices that every time Peter has presented to the ED, his chief complaint is that he fell. Peter also has bruises on his inner forearms and upper arms, and his bottom lip is swollen. Based on these findings, the CCM believes that Peter is being subjected to physical abuse. What should be the case manager’s next step?
A. Ignore these findings
B. Contact the local Police Department
C. Contact Child Protective Services (CPS)
D. Speak with the ED physician.
C. Correct. The case manager would contact CPS, he or she has an obligation to report. Any suspected or known abuse of a child.
Incorrect answer
A. The case manager would not ignore these findings.
B. The case manager would not contact the local police department.
D. The case manager should notify the ED physician, but this would not be the immediate step following the conclusion of abuse.
Tina has stage-four breast cancer and is currently being cared for in a Hospice facility. Which question is MOST appropriate for the case manager to discuss with Tina and her family regarding end of life? decisions?
A. “How would you prefer to be remembered?”
B. “Do you have an advanced directive or power of attorney?”
C. “Have you chosen a funeral home yet?”
D. “When would you like to discuss your options and desires for end-of-life care?”
D. Correct. This is the correct and appropriate question to ask; The client and family should control the timing of unpleasant discussions.
Incorrect answers
A. This question is not the most appropriate question to ask at this time.
B. Advance directive or power attorney should already have been discussed, And the information should be in the client’s file.
C. This question is completely inappropriate and insensitive. Furthermore, it may cause the client to feel resentment toward the case manager.
A case manager is caring for a client with type 2 diabetes and chronic hypertension. How would the case manager BEST start a conversation with the client to assess how she feels about her healthcare experience?
A. “Would you like to tell me what you’re thinking and feeling about your care?”
B. “I’d like for you to tell me how you feel about your treatment.”
C. “Is there something you want to tell me about your care?”
D. “Would you like me to tell you more about your treatment options?”
A. Correct. This question is inviting the client to verbalize concerns and allows her to decide how much she would like to share.
Incorrect answers
B. This statement is addressing what the care manager wants, not what the client wants.
C. This question assumes the client has a particular issue to discuss and does not explicitly offer the client a chance to share her feelings.
D. This question focuses on treatment options, not the client’s feelings about her care, and does not offer the client the opportunity to share with the case manager.
What is the LEAST appropriate thing a case manager can say to a client who is on the phone? And threatening to take his own life?
A. “I’m here to help you.”
B. “Calm down so I can understand you.”
C. “I understand that you’re having a difficult time right now.”
D. “Please talk to me and tell me how you feel.”
B. Correct. A case manager must never tell a client threatening to take his or her own life to “calm down”. This expression invalidates the client’s feelings. The client may hang up the phone.
Incorrect answers
A. It is important to let the client know that someone is there to help them.
C. Sympathizing with the client assures him that someone is listening to him and cares about his concerns and well-being.
D. Encouraging conversation about the client’s feelings and thoughts will keep him talking (and not acting out with harmful impulses) while the case manager alerts another individual to call 911.
Crisis intervention is composed of all of the following elements EXCEPT:
A. Active listening.
B. Immediate action.
C. Long term care.
D. Education.
C. Correct. Crisis intervention is based on short term goals, and long term often follows once the critical situation is diffused.
Incorrect answers
A. Crisis intervention must involve active listening to get to the root of the issue.
B. Crisis intervention is immediate and is only meant to employ short term strategies.
D. Crisis intervention has an educational component to help individuals in crisis understand that a crisis (and the intense emotional reaction to it) is temporary.
Which of the following is a modifiable risk factor for developing hypertension?
A. Age.
B. Race.
C. Diet.
D. Gender.
C. Correct. Diet is within one’s control and is therefore modifiable.
Incorrect answers
A. Age is not a modifiable risk factor.
B. Race is not a modifiable risk factor.
D. Gender is not a modifiable risk factor.
Which of these is NOT an element of support groups?
A. The facilitator determines if participants can join the support group.
B. Participants are there voluntarily because they want to heal.
C. All participants share a common experience.
D. The facilitator may have experienced the condition.
A. Correct. In most support groups, participants only need to show up-they do not need approval beforehand.
Incorrect answers
B. Most members of support groups want to be there to work on healing.
C. Support groups are built around a particular issue or experience (e.g., alcoholism) that participants share.
D. The facilitator of a support group is an individual who may have experienced what the support group focuses on.
What is the main goal of community resources?
A. Enhance the quality of life for community members.
B. Provide meals and medical care for members of the community.
C. Build homes for the homeless in the community.
D. Deliver meals to members of the community.
A. Correct. The main goal of community resources is to improve the quality of life for those who live in the community. The other choices are part of this larger main goal.
The wellness vision developed by an individual and health coach does all of the following EXCEPT:
A. Center on the desired results.
B. Concentrate on deadlines.
C. Focus on steps to achieve goals.
D. Concentrate on strengths and weaknesses.
B. Correct. The vision will not concentrate on deadlines, but will focus on an achievable time frame.
Incorrect answers
A. The Wellness vision will focus on desired results.
C. The vision will focus on steps to take in the goal-achievement process.
D. The wellness vision will concentrate on strengths as a means towards goal achievement.
