CCM practice questions: Rehabilitation Concepts & Strategies Flashcards
Mrs. Jones is a 50-year-old patient at a local hospital who is recovering from a stroke. She is medically stable and not cognitively impaired. However, she will require physical therapy to regain gross and fine motor function. Where should Miss Jones start her rehabilitation?
A. A long-term acute care hospital.
B. A skilled nursing facility.
C. An inpatient rehabilitation hospital.
D. Her home.
C. Correct. She is medically stable and needs the intensive therapy offered at an inpatient rehabilitation hospital.
Incorrect answers
A. Mrs. Jones is medically stable and no longer needs medical care.
B. She will require more intensive therapy than is offered at a skilled nursing facility and does not need the additional nursing care.
D. Mrs. Jones does not yet have the motor function necessary to live at home.
Which of these patients is considered eligible for Medicare-covered home health rehabilitation services?
A. Lucy, who is recovering from alcoholism and works at the local grocery store
B. George, who had a heart attack and is rebuilding cardiovascular endurance using a treadmill
C. Peggy, a patient with Alzheimer’s disease and recently fractured her hip
D. Paul, an office manager who fractured his ankle on a camping trip
C. Correct. Because of Peggy’s disease and injury, it takes a great effort for her to leave her home.
Incorrect answers
A. Lucy works and is not homebound.
B. George can use a treadmill without the services of a specialized therapist.
D. Although a fractured ankle may temporarily hinder Paul’s mobility, he is not considered homebound.
Mercedes was injured at work, and she is ready to return to her former position. An FCE is requested. Who CANNOT perform the FCE?
A. Mercedes’s primary care physician
B. An occupational therapist
C. A physical therapist
D. A physician in the community
A. Correct. The medical opinion needs to be unbiased, so her primary care physician cannot perform the FCE. The other answer choices are professionals who may perform the FCE.
Ari was injured at work, and he loses the use of his right arm. He is doing rehabilitation to build strength and gain function of his injured arm. Which type of rehabilitation services is he most likely using?
A. Work Conditioning
B. Work Adjustment
C. Work Hardening
D. Transitional work duty
A. Correct. Work conditioning focuses on restoring function.
Incorrect answers
B. Work adjustment focuses on behavioral health issues.
C. Work hardening is an intense rehabilitation and likely beyond Ari’s needs, given the scope of his injury.
D. Transitional work duty provides lower-capacity work until the injury is healed.
Janice, ACM, has a new client who had a massive stroke. He has lost significant motor and cognitive function. Which goal on the care plan created by Janice is reasonable and achievable?
A. The client will drive to all medical appointments within two weeks of leaving the hospital.
B. The client will discuss his emotional concerns with the psychiatrists within one week of beginning rehabilitation.
C. The client will have resources in place for a wheelchair when he leaves the hospital.
D. The client will begin physical therapy within two days of being admitted to the hospital for acute care.
C. Correct. That would be client will likely not need a wheelchair until he returns home, Janice should be preparing those resources before the client leaves the hospital.
Incorrect answers
A. The client will not drive, so soon after leaving the hospital he is likely to be transferred to a skilled nursing facility for rehabilitation.
B. The client has had a brain injury, and processing information will likely still be difficult after one week of rehabilitation.
D. Two days is unreasonable to begin physical therapy after a massive stroke.
An employee with a disability needs a job accommodation to return to work. Which accommodation should NOT be awarded under the ADA?
A. Building a wheelchair ramp
B. Providing A stipend to cover medical expenses
C. Bringing in a personal assistant to help with job duties
D. Installing voice recognition software on her computer
B. Correct. Under the ADA, an employer is not required to provide an extra stipend for medical expenses.
Incorrect answers
A. The Department of Labor acknowledges wheelchair ramps as a job accommodation.
C. Personal assistants would not cause undue hardship.
D. Computer program should not cause undue hardship to the employer.
Which of the following individuals would be eligible to participate in the Ticket to Work program?
A. A factory worker who broke his arm on the job and will not be able to work for six weeks
B. A man with muscular dystrophy who receives Social Security Disability Insurance
C. A woman who receives Social Security Disability Insurance after a stroke left her homebound with significant cognitive impairments
D. An office worker with visual impairments who requires accommodations to perform her job duties
B. Correct. Ticket to Work is for people with disabilities who collect Social Security Disability Insurance and who are able to work.
Incorrect answers
A. Ticket to Work is not for people with temporary injuries who will return to work.
C. A woman who is homebound and has significant cognitive impairments is unlikely to find work through Ticket to Work.
D. A person with disabilities who already has employment is not eligible for Ticket to Work.
Kiara Provides case management services for supported employment. Which person would NOT qualify for Kiara’s services?
A. Ahmed, who has been blind since birth
B. Michelle, who just graduated from college without family or community assistance
C. John, whose personality disorder causes socialization problems in the workplace
D. Natalie, who lost both her legs in a work-related accident
B. Correct. Michelle has no disabilities, so she does not qualify for supported employment.
Incorrect answers
A. Ahmed has a blindness disability, so he qualifies for supported employment.
C. John has a personality disorder, so he qualifies for Kiara’s services.
D. Natalie has a physical disability, so she qualifies for supported employment.
Which of the following is an assistive device that’s most likely covered by Medicare?
A. Crutches
B. Zipper pulls
C. Non-slip bath mat
D. Screen reader
A. Correct. Crutches are durable medical equipment, which is covered by Medicare. The other items are not medical equipment and thus are not covered.
