CCM Client & Care Planning 2 — Questions and Answers
Question 1: When conducting a functional assessment for care planning, which tool specifically measures a client's ability to perform basic self-care tasks such as bathing, dressing, and toileting?
- Instrumental Activities of Daily Living (IADL) scale
- Activities of Daily Living (ADL) scale (Correct answer)
- Mini-Mental State Examination (MMSE)
- Functional Independence Measure (FIM)
Correct answer: Activities of Daily Living (ADL) scale
The ADL scale measures basic self-care tasks, while IADLs cover more complex activities like managing finances and transportation.
Question 2: A care manager is updating a client's care plan after a hospitalization. Which principle should guide the revision process?
- The care plan should remain unchanged to ensure continuity
- The plan should be revised based solely on the physician's discharge instructions
- The plan should be updated to reflect current needs, goals, and available resources (Correct answer)
- The plan revision should wait until the client has fully recovered
Correct answer: The plan should be updated to reflect current needs, goals, and available resources
Care plans must be dynamic documents that reflect the client's current status, evolving goals, and available resources after any significant health event.
Question 3: Which of the following best describes the concept of 'client-centered care' in care planning?
- The care manager determines the best interventions based on clinical expertise alone
- Services are prioritized based on cost-effectiveness for the payer
- The client's values, preferences, and goals drive the care planning process (Correct answer)
- Care is standardized according to evidence-based protocols without individual variation
Correct answer: The client's values, preferences, and goals drive the care planning process
Client-centered care places the client's own values, preferences, and goals at the center of all planning and decision-making.
Question 4: A 78-year-old client with mild cognitive impairment refuses a recommended home health aide. What is the care manager's most appropriate response?
- Override the refusal because cognitive impairment invalidates decision-making capacity
- Document the refusal and proceed with the aide arrangement anyway
- Explore the client's specific concerns and discuss alternatives that respect autonomy (Correct answer)
- Immediately refer to adult protective services
Correct answer: Explore the client's specific concerns and discuss alternatives that respect autonomy
Mild cognitive impairment does not eliminate decision-making capacity; the care manager should explore concerns and seek acceptable alternatives while respecting autonomy.
Question 5: Which care planning element ensures that services are coordinated across multiple providers without duplication or gaps?
- Risk stratification
- Transition planning
- Care coordination (Correct answer)
- Utilization review
Correct answer: Care coordination
Care coordination is the deliberate organization of client care activities and sharing of information among all providers involved in a client's care.
Question 6: When establishing care plan goals with a client, they should ideally be written using the SMART framework. What does the 'T' in SMART stand for?
- Therapeutic
- Trackable
- Time-bound (Correct answer)
- Transferable
Correct answer: Time-bound
In the SMART framework, 'T' stands for Time-bound, meaning goals should have a specific deadline or timeframe for achievement.
Question 7: A care manager identifies that a client's informal caregiver is experiencing burnout. What is the most appropriate care planning action?
- Remove the caregiver from the care plan and arrange all formal services
- Ignore the caregiver's needs as care planning focuses only on the client
- Incorporate caregiver support resources and respite care into the care plan (Correct answer)
- Refer the caregiver to a separate social worker and continue the current plan
Correct answer: Incorporate caregiver support resources and respite care into the care plan
Caregiver wellbeing directly affects the client's care quality, so effective care planning must incorporate supports and respite for caregivers.
CCM Client & Care Planning 2
When conducting a functional assessment for care planning, which tool specifically measures a client's ability to perform basic self-care tasks such as bathing, dressing, and toileting?