CCM Case Analysis & Practical Application 3

Question 1

A case manager receives a referral for a 55-year-old with newly diagnosed heart failure. Which initial assessment is MOST critical for developing a safe care plan?

Accepted Answer

Functional status, living situation, and support system

Answer

Functional status and social supports determine the patient's capacity to self-manage and identify gaps requiring intervention.

Question 2

A case manager is coordinating care for a patient whose primary care physician and specialist have conflicting treatment recommendations. The BEST action is to:

Accepted Answer

Facilitate a collaborative conversation between both providers and the patient

Answer

Facilitating provider communication resolves conflicts and produces an integrated plan that serves the patient's best interest.

Question 3

A case manager notes that a patient from a non-English-speaking background consistently misses appointments. The MOST likely contributing factor to investigate first is:

Accepted Answer

Language and cultural barriers to navigating the health system

Answer

Language and cultural barriers are documented drivers of appointment non-adherence and must be assessed before other assumptions are made.

Question 4

A utilization review flags a patient for a longer-than-expected inpatient stay. The case manager's FIRST step is to:

Accepted Answer

Review the clinical record to identify clinical and social barriers to discharge

Answer

A thorough review of clinical and social barriers ensures discharge planning is safe and individualized.

Question 5

During care planning, a patient with chronic pain states their goal is to return to work. The case manager should:

Accepted Answer

Incorporate the return-to-work goal and coordinate vocational rehabilitation resources

Answer

Supporting patient-identified goals like return to work and linking vocational resources reflects person-centered practice.

(CCM) Certified Care Management Professional Practice Test

(CCM) Certified Care Management Professional Practice Test

CCM Case Analysis & Practical Application 3