CCM Advanced Professional Practice 2 — Questions and Answers
Question 1: A case manager discovers that a client's physician has ordered a medication that conflicts with another prescribed drug. What is the MOST appropriate first action?
- Contact the prescribing physician immediately to discuss the interaction (Correct answer)
- Advise the client to stop taking both medications until resolved
- Document the concern in the chart and wait for the next care conference
- Notify the pharmacist and let them handle the issue independently
Correct answer: Contact the prescribing physician immediately to discuss the interaction
The case manager should contact the prescribing physician immediately to address a potential medication interaction and prevent patient harm.
Question 2: Which ethical principle is MOST relevant when a client refuses a recommended treatment that could be life-saving?
- Beneficence
- Non-maleficence
- Autonomy (Correct answer)
- Justice
Correct answer: Autonomy
Autonomy upholds a competent client's right to make their own healthcare decisions, including refusing treatment.
Question 3: When conducting a functional assessment, which tool is most commonly used to evaluate a client's ability to perform basic activities of daily living?
- PHQ-9
- Barthel Index (Correct answer)
- CAGE Questionnaire
- GAF Scale
Correct answer: Barthel Index
The Barthel Index measures a client's independence in performing basic ADLs such as feeding, bathing, and mobility.
Question 4: A case manager is working with a client who has limited English proficiency. What is the BEST approach to ensure informed consent?
- Ask a bilingual family member to interpret during the consent discussion
- Use a trained medical interpreter to facilitate the consent process (Correct answer)
- Provide written materials in the client's language without verbal explanation
- Proceed with consent in English and document language barriers
Correct answer: Use a trained medical interpreter to facilitate the consent process
A trained medical interpreter ensures accurate communication and protects the client's legal rights during informed consent.
Question 5: Which of the following BEST describes the 'teach-back' method in client education?
- The case manager repeats instructions multiple times to reinforce learning
- The client is asked to demonstrate or restate what they have learned (Correct answer)
- Written educational materials are sent home for the client to review
- A family member is trained to teach the client after discharge
Correct answer: The client is asked to demonstrate or restate what they have learned
Teach-back confirms client comprehension by asking them to explain or demonstrate the information in their own words.
Question 6: Under HIPAA, which of the following is a permissible disclosure of protected health information without patient authorization?
- Sharing records with the client's employer for insurance purposes
- Disclosing information to public health authorities to prevent disease spread (Correct answer)
- Providing a summary to the client's attorney without a court order
- Releasing records to a pharmaceutical company for marketing research
Correct answer: Disclosing information to public health authorities to prevent disease spread
HIPAA permits disclosure to public health authorities for activities such as disease surveillance and prevention without patient authorization.
Question 7: A case manager identifies that a client is experiencing caregiver burnout. Which intervention is MOST appropriate as an initial step?
- Immediately arrange for placement in a skilled nursing facility
- Provide the caregiver with a list of community respite care resources (Correct answer)
- Recommend the caregiver take a leave of absence from work
- Refer the family to a social worker without further assessment
Correct answer: Provide the caregiver with a list of community respite care resources
Providing information about respite care resources addresses caregiver burnout while supporting the client's continued home-based care.
CCM Advanced Professional Practice 2
A case manager discovers that a client's physician has ordered a medication that conflicts with another prescribed drug.
What is the MOST appropriate first action?