CCM Rehabilitation and Vocational Concepts 3 — Questions and Answers
Question 1: Which model of disability focuses on societal barriers as the primary cause of disability rather than the individual's impairment?
- Medical model
- Social model (Correct answer)
- Biopsychosocial model
- Vocational model
Correct answer: Social model
The social model holds that disability results from societal barriers, attitudes, and exclusions rather than from the person's physical or mental impairment alone.
Question 2: A case manager coordinating services for a client with a traumatic brain injury (TBI) should prioritize which rehabilitation specialist FIRST to address cognitive deficits affecting daily functioning?
- Physical therapist
- Occupational therapist
- Neuropsychologist (Correct answer)
- Vocational rehabilitation counselor
Correct answer: Neuropsychologist
A neuropsychologist conducts standardized testing to identify specific cognitive impairments from TBI, establishing the baseline necessary for all rehabilitation planning.
Question 3: The Dictionary of Occupational Titles (DOT) classifies jobs according to which primary factor?
- Geographic location and industry sector
- Physical demand levels and skill requirements (Correct answer)
- Salary range and benefit packages
- Education level and licensing requirements
Correct answer: Physical demand levels and skill requirements
The DOT categorizes occupations based on worker functions (data, people, things), physical demands, and General Educational Development (GED) levels.
Question 4: Which term describes the practice of placing a person with a disability into competitive employment and providing ongoing support rather than training first in a sheltered setting?
- Transitional employment
- Supported employment (Correct answer)
- Sheltered workshop model
- Vocational evaluation
Correct answer: Supported employment
Supported employment places individuals with significant disabilities directly into integrated, competitive jobs and provides individualized ongoing support (job coaching) as needed.
Question 5: A client refuses a modified-duty position offered by their employer following a work injury. Which consequence most commonly applies in workers' compensation cases?
- The employer must offer full duty return immediately
- Temporary disability benefits may be suspended or reduced (Correct answer)
- The case manager must file a grievance on the client's behalf
- The claim automatically converts to permanent disability
Correct answer: Temporary disability benefits may be suspended or reduced
Most state workers' compensation laws allow suspension or reduction of temporary disability benefits when a claimant refuses a bona fide, medically-appropriate offer of modified duty.
Question 6: Which measure assesses the degree to which a person can perform activities of daily living (ADLs) independently, commonly used in rehabilitation settings?
- Glasgow Coma Scale
- Functional Independence Measure (FIM) (Correct answer)
- Short Form-36 (SF-36)
- Beck Depression Inventory
Correct answer: Functional Independence Measure (FIM)
The FIM is a standardized 18-item tool rating the level of assistance required for self-care, sphincter control, transfers, locomotion, communication, and social cognition.
Question 7: In vocational rehabilitation, 'labor market survey' is conducted primarily to:
- Determine a client's wage history for benefits calculations
- Identify available jobs consistent with a client's functional limitations (Correct answer)
- Assess the national unemployment rate for a specific occupation
- Establish a client's earning capacity for legal proceedings
Correct answer: Identify available jobs consistent with a client's functional limitations
A labor market survey documents actual job openings or employer hiring practices in a defined geographic area to verify that jobs exist that match a client's residual functional capacity.
CCM Rehabilitation and Vocational Concepts 3
Which model of disability focuses on societal barriers as the primary cause of disability rather than the individual's impairment?