CCM General 2

Question 1

Which ethical principle requires a case manager to act in the best interest of the client, even when it conflicts with institutional policies?

Accepted Answer

Beneficence

Answer

Beneficence obligates case managers to promote client welfare and act in the client's best interest above all.

Question 2

A case manager is coordinating discharge for a patient with complex needs. Which tool is MOST useful for ensuring all team members share the same care goals?

Accepted Answer

Interdisciplinary care conference

Answer

An interdisciplinary care conference aligns all team members around shared goals and promotes coordinated discharge planning.

Question 3

Under HIPAA, which of the following is a permitted disclosure of protected health information (PHI) WITHOUT patient authorization?

Accepted Answer

Treatment coordination among providers

Answer

HIPAA permits PHI disclosure for treatment, payment, and healthcare operations without explicit patient authorization.

Question 4

A client with a new spinal cord injury is refusing rehabilitation services. The case manager's first action should be to:

Accepted Answer

Explore the client's concerns and reasons for refusal

Answer

Exploring the client's concerns respects autonomy while identifying barriers that may be addressable through education or support.

Question 5

The PRIMARY goal of utilization management in case management is to:

Accepted Answer

Ensure appropriate use of healthcare resources

Answer

Utilization management ensures clients receive necessary, appropriate, and cost-effective care at the right level of service.

CCM - Certified Case Manager Exam Practice Test

CCM - Certified Case Manager Exam Practice Test

CCM General 2