CCM Ethical & Legal Issues in Care Management 1 — Questions and Answers
Question 1: Which ethical principle requires care managers to act in the best interest of the patient, even when it conflicts with other considerations?
- Autonomy
- Beneficence (Correct answer)
- Non-maleficence
- Justice
Correct answer: Beneficence
Beneficence obligates care managers to actively promote the patient's wellbeing and act for their benefit.
Question 2: A patient refuses a recommended treatment despite the care manager's advice. Which ethical principle supports the patient's right to make this decision?
- Beneficence
- Non-maleficence
- Autonomy (Correct answer)
- Fidelity
Correct answer: Autonomy
Autonomy recognizes a competent patient's right to make their own informed healthcare decisions, including the right to refuse treatment.
Question 3: The principle of 'first, do no harm' in care management is associated with which ethical concept?
- Beneficence
- Non-maleficence (Correct answer)
- Justice
- Veracity
Correct answer: Non-maleficence
Non-maleficence, derived from the Latin 'primum non nocere,' requires care managers to avoid actions that cause unnecessary harm to patients.
Question 4: Which ethical principle requires care managers to distribute resources fairly and equitably among all patients?
- Autonomy
- Beneficence
- Justice (Correct answer)
- Fidelity
Correct answer: Justice
Justice requires that care managers treat patients fairly and allocate resources equitably without discrimination.
Question 5: A care manager discovers a colleague is falsifying patient documentation. According to the CCMC Code of Professional Conduct, the most appropriate action is to:
- Ignore it if patients are not immediately harmed
- Report the misconduct through appropriate channels (Correct answer)
- Confront the colleague and take no further action
- Wait to confirm the behavior before acting
Correct answer: Report the misconduct through appropriate channels
The CCMC Code of Professional Conduct requires care managers to report unethical or illegal conduct through proper organizational or regulatory channels.
Question 6: Which document specifically outlines the professional ethical standards for Certified Case Managers?
- The AMA Code of Medical Ethics
- The CCMC Code of Professional Conduct (Correct answer)
- The Joint Commission Standards
- The NASW Code of Ethics
Correct answer: The CCMC Code of Professional Conduct
The Commission for Case Manager Certification (CCMC) Code of Professional Conduct is the governing ethical framework specifically for CCMs.
Question 7: A conflict of interest in case management is BEST described as a situation where:
- A patient disagrees with the care manager's plan
- A care manager's personal or financial interest could compromise professional judgment (Correct answer)
- Two patients require the same limited resource simultaneously
- A care manager works across multiple care settings
Correct answer: A care manager's personal or financial interest could compromise professional judgment
A conflict of interest arises when personal or financial interests could impair a care manager's ability to act objectively in the patient's best interest.
Which ethical principle requires care managers to act in the best interest of the patient, even when it conflicts with other considerations?