CCM Client Advocacy and Engagement 4

Question 1

Which technique is MOST effective when a client appears resistant to a recommended care plan change?

Accepted Answer

Exploring the client's ambivalence using open-ended questions and reflective listening

Answer

Motivational interviewing techniques—open questions and reflective listening—are the evidence-based approach to resolving ambivalence and resistance.

Question 2

A client with diabetes consistently misses appointments. Before labeling the client as 'non-compliant,' the case manager should:

Accepted Answer

Assess for social determinants of health such as transportation barriers, work schedule conflicts, or financial hardship

Answer

Missed appointments often reflect unaddressed social determinants of health, and the case manager must assess these root causes before any other action.

Question 3

Shared decision-making differs from informed consent primarily because it:

Accepted Answer

Is a collaborative process where clinician expertise and client values jointly guide the treatment decision

Answer

Shared decision-making integrates clinical evidence with the client's personal values and preferences to reach a mutually agreed-upon plan.

Question 4

When a client is transitioning from inpatient to home care, what is the case manager's PRIMARY advocacy responsibility?

Accepted Answer

Verifying that all post-discharge services, equipment, and follow-up are in place before the client leaves

Answer

The case manager must ensure a safe, coordinated transition by confirming all needed services and supports are secured prior to discharge.

Question 5

A client with a terminal diagnosis wants to pursue aggressive curative treatment against the palliative care team's recommendation. The case manager should:

Accepted Answer

Ensure the client's wishes are documented, respected, and that all options including palliative care are fully explained

Answer

The client's autonomous decision to pursue curative treatment must be honored while ensuring they have complete information about all care options.

CCM - Certified Case Manager Exam Practice Test

CCM - Certified Case Manager Exam Practice Test

CCM Client Advocacy and Engagement 4