CCM Health Promotion & Risk Reduction 3

Question 1

A care manager notices a client has a BMI of 32 and borderline fasting glucose. The MOST appropriate first step is to:

Accepted Answer

Refer the client to a diabetes prevention program

Answer

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?

Accepted Answer

Access to healthy food and safe exercise environments

Answer

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:

Accepted Answer

Avoid arguing and reflect the client's ambivalence back to them

Answer

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?

Accepted Answer

Influenza vaccine

Answer

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:

Accepted Answer

Improving exercise tolerance and quality of life

Answer

Pulmonary rehabilitation improves exercise capacity, reduces dyspnea, and enhances quality of life, even though it does not reverse structural lung damage.

(CCM) Certified Care Manager Practice Test

(CCM) Certified Care Manager Practice Test

CCM Health Promotion & Risk Reduction 3