CCM Health Promotion & Risk Reduction 3 — Questions and Answers
Question 1: A care manager notices a client has a BMI of 32 and borderline fasting glucose. The MOST appropriate first step is to:
- Immediately prescribe metformin
- Refer the client to a diabetes prevention program (Correct answer)
- Advise the client to fast for 48 hours
- Schedule weekly weigh-ins without any lifestyle counseling
Correct answer: Refer the client to a diabetes prevention program
Evidence-based diabetes prevention programs (e.g., the CDC-recognized DPP) are first-line interventions for prediabetes, targeting 5–7% weight loss through lifestyle changes.
Question 2: Which social determinant of health most directly influences a client's ability to adhere to a health promotion plan?
- Genetic predisposition to disease
- Access to healthy food and safe exercise environments (Correct answer)
- The client's blood type
- Laboratory reference ranges
Correct answer: Access to healthy food and safe exercise environments
Social determinants such as food security and neighborhood safety significantly shape an individual's capacity to adopt and sustain healthy behaviors.
Question 3: In motivational interviewing, 'rolling with resistance' means the care manager should:
- Confront the client directly about their unhealthy behaviors
- Avoid arguing and reflect the client's ambivalence back to them (Correct answer)
- Provide extensive educational material to overcome resistance
- Discharge the client who refuses to change
Correct answer: Avoid arguing and reflect the client's ambivalence back to them
Rolling with resistance involves acknowledging and reflecting the client's perspective rather than arguing, which preserves therapeutic alliance and supports change.
Question 4: A care manager is educating a 65-year-old client about recommended vaccines. Which vaccine is recommended ANNUALLY for this age group?
- Pneumococcal vaccine
- Influenza vaccine (Correct answer)
- Shingles (zoster) vaccine
- Tdap booster
Correct answer: Influenza vaccine
Annual influenza vaccination is universally recommended for all adults, especially those 65 and older, due to higher risk of complications.
Question 5: A client with chronic obstructive pulmonary disease (COPD) asks about pulmonary rehabilitation. The care manager correctly explains that pulmonary rehab primarily helps by:
- Reversing airway damage caused by smoking
- Improving exercise tolerance and quality of life (Correct answer)
- Eliminating the need for bronchodilator medications
- Curing chronic bronchitis through breathing exercises
Correct answer: Improving exercise tolerance and quality of life
Pulmonary rehabilitation improves exercise capacity, reduces dyspnea, and enhances quality of life, even though it does not reverse structural lung damage.
Question 6: Which approach best reflects a strengths-based model in health promotion care management?
- Focusing on the client's diagnoses and deficits to create a problem list
- Identifying and building on existing client capabilities and resources (Correct answer)
- Prioritizing the care manager's clinical expertise over client preferences
- Standardizing interventions regardless of individual circumstances
Correct answer: Identifying and building on existing client capabilities and resources
A strengths-based approach leverages what clients already do well and the resources they have to empower sustainable health behavior change.
Question 7: A care manager developing a workplace wellness program should measure program effectiveness PRIMARILY by:
- Number of health education pamphlets distributed
- Changes in participant health outcomes and behaviors over time (Correct answer)
- Amount spent on program development
- Number of employees who attended at least one session
Correct answer: Changes in participant health outcomes and behaviors over time
True program effectiveness is measured by actual changes in health outcomes and behaviors, not by participation counts or resource expenditures alone.
CCM Health Promotion & Risk Reduction 3
A care manager notices a client has a BMI of 32 and borderline fasting glucose.
The MOST appropriate first step is to: