CCM Health Promotion & Risk Reduction 4

Question 1

A care manager is assessing a client's alcohol use. A CAGE score of 2 or more suggests:

Accepted Answer

A clinically significant alcohol problem warranting further evaluation

Answer

A CAGE score of 2 or higher has sensitivity of approximately 74–89% for identifying alcohol use disorders and warrants further clinical evaluation.

Question 2

Which element is MOST important when creating a culturally competent health promotion plan for a diverse client population?

Accepted Answer

Incorporating clients' cultural beliefs, values, and practices into care planning

Answer

Cultural competence requires integrating clients' cultural context into care planning, which is more than translation and includes values, beliefs, and community norms.

Question 3

A care manager uses the ABCDE approach when assessing skin lesions for melanoma risk. What does the 'E' stand for?

Accepted Answer

Evolution

Answer

In the ABCDE melanoma screening mnemonic, 'E' stands for Evolution, referring to any change in a lesion's size, shape, color, or new symptoms.

Question 4

A 55-year-old male client is asymptomatic but has a 30 pack-year smoking history. According to USPSTF guidelines, which screening is recommended?

Accepted Answer

Low-dose CT scan of the chest annually

Answer

USPSTF recommends annual low-dose CT (LDCT) for adults aged 50–80 with a 20+ pack-year history who currently smoke or quit within the past 15 years.

Question 5

Which intervention is MOST effective for helping a client with obesity achieve sustained weight loss?

Accepted Answer

Comprehensive lifestyle programs combining diet, physical activity, and behavioral support

Answer

Comprehensive lifestyle interventions that integrate dietary changes, increased physical activity, and behavioral strategies produce the most durable weight loss outcomes.

(CCM) Certified Care Manager Practice Test

(CCM) Certified Care Manager Practice Test

CCM Health Promotion & Risk Reduction 4