CCM Clinical Assessment & Risk Management 2

Question 1

A case manager identifies that a 78-year-old patient with heart failure has missed three consecutive medication refills. Which risk factor does this most directly indicate?

Accepted Answer

Medication non-adherence risk

Answer

Missed medication refills are a direct indicator of medication non-adherence risk, which significantly increases rehospitalization risk in heart failure patients.

Question 2

The LACE Index is used in care management to predict which of the following?

Accepted Answer

30-day hospital readmission risk

Answer

The LACE Index (Length of stay, Acuity of admission, Comorbidities, Emergency visits) is a validated tool for predicting 30-day hospital readmission risk.

Question 3

When conducting a functional assessment, which tool specifically measures a patient's ability to perform instrumental activities of daily living (IADLs)?

Accepted Answer

Lawton IADL Scale

Answer

The Lawton IADL Scale assesses complex tasks such as managing finances, using transportation, and preparing meals that are classified as instrumental ADLs.

Question 4

A case manager notices a patient's PHQ-9 score increased from 5 to 14 over the past month. What is the most appropriate immediate action?

Accepted Answer

Notify the treating physician and escalate the care plan

Answer

A PHQ-9 score of 14 indicates moderate depression; a significant increase warrants immediate physician notification and care plan escalation to prevent deterioration.

Question 5

Which principle of risk stratification ensures that the highest-intensity case management resources are directed toward patients with the greatest clinical need?

Accepted Answer

Population segmentation

Answer

Population segmentation stratifies patients by risk level so that intensive case management resources are allocated to high-risk individuals who will benefit most.

(CCM) Certified Care Management Professional Practice Test

(CCM) Certified Care Management Professional Practice Test

CCM Clinical Assessment & Risk Management 2