CCM Client Advocacy and Engagement 2

Question 1

A client with limited English proficiency refuses a recommended surgical procedure. What is the case manager's priority action?

Accepted Answer

Arrange for a qualified medical interpreter and ensure informed consent is fully understood

Answer

A qualified medical interpreter must be provided to ensure the client fully understands the procedure and can give true informed consent.

Question 2

Which principle best describes a case manager acting as a client advocate when the insurance plan denies a medically necessary treatment?

Accepted Answer

Filing an appeal supported by clinical evidence on the client's behalf

Answer

Advocacy includes initiating and supporting appeals with clinical documentation when a denial conflicts with the client's medical needs.

Question 3

A case manager notices that a client's care plan goals were set entirely by the medical team without the client's input. What should the case manager do?

Accepted Answer

Revisit the care plan with the client to incorporate their preferences and priorities

Answer

Person-centered care requires that clients actively participate in developing their own care plans, not merely be informed of them.

Question 4

A client discloses they cannot afford their prescribed medications and has been skipping doses. The case manager's best initial response is to:

Accepted Answer

Assess all barriers, then connect the client to manufacturer assistance programs, copay cards, or community resources

Answer

The case manager must first conduct a thorough needs assessment and then proactively connect the client to financial assistance resources.

Question 5

Which action demonstrates the highest level of client engagement in discharge planning?

Accepted Answer

Collaborating with the client to set post-discharge goals and confirm they have transportation and support

Answer

True engagement means the client co-creates the discharge plan, including identifying personal barriers such as transportation and social support.

CCM - Certified Case Manager Exam Practice Test

CCM - Certified Case Manager Exam Practice Test

CCM Client Advocacy and Engagement 2