CCM Rehabilitation and Vocational Concepts 5 — Questions and Answers
Question 1: A client who sustained a right-hand crush injury is right-hand dominant. The case manager should coordinate which specialist to assess potential for non-dominant hand use and adaptive techniques?
- Physical therapist
- Occupational therapist (Correct answer)
- Prosthetist/orthotist
- Kinesiologist
Correct answer: Occupational therapist
Occupational therapists specialize in adaptive techniques for ADLs and work tasks, including training in non-dominant hand use and recommending adaptive equipment.
Question 2: Which pain management approach is considered an evidence-based component of interdisciplinary rehabilitation for chronic pain, addressing the psychological dimension?
- Long-term opioid therapy
- Cognitive Behavioral Therapy (CBT) (Correct answer)
- Passive physical modalities only
- Surgical pain intervention
Correct answer: Cognitive Behavioral Therapy (CBT)
CBT is a first-line, evidence-based psychological treatment for chronic pain that targets maladaptive thoughts and behaviors perpetuating pain and disability.
Question 3: Which ADA concept determines whether an individual with a disability can perform the fundamental duties of a job with or without reasonable accommodation?
- Substantial limitation
- Qualified individual (Correct answer)
- Undue hardship
- Direct threat
Correct answer: Qualified individual
A 'qualified individual' is someone who meets the skill, experience, and education requirements of a position and can perform its essential functions with or without reasonable accommodation.
Question 4: A case manager documenting a client's 'maximum medical improvement' (MMI) means the client has:
- Fully recovered with no residual impairment
- Reached the point where further significant recovery is not expected (Correct answer)
- Been approved for permanent disability benefits
- Completed all prescribed medical treatments
Correct answer: Reached the point where further significant recovery is not expected
MMI is the point at which a medical condition has stabilized and is unlikely to substantially improve further with continued treatment, though some residual impairment may remain.
Question 5: Which vocational approach involves systematically analyzing a client's prior work history to identify skills usable in less physically demanding occupations?
- Job restructuring analysis
- Transferable skills analysis (TSA) (Correct answer)
- Situational assessment
- Functional capacity evaluation
Correct answer: Transferable skills analysis (TSA)
Transferable skills analysis (TSA) reviews occupational history to identify skills, aptitudes, and knowledge applicable to other occupations that accommodate the client's new functional limitations.
Question 6: An employer states that providing a sign language interpreter for a deaf employee would cost $80,000 annually and would threaten the company's financial viability. Under the ADA, this may qualify as:
- A direct threat
- An undue hardship (Correct answer)
- An essential function exemption
- A reasonable accommodation
Correct answer: An undue hardship
Undue hardship means an accommodation would require significant difficulty or expense relative to the employer's size, resources, and the nature of the operation.
Question 7: Which outcome measure tracks the percentage of vocational rehabilitation clients who achieve competitive integrated employment, serving as the primary federal performance indicator for state VR programs?
- Successful case closure rate (Status 26) (Correct answer)
- Average weekly wage at closure
- Customer satisfaction score
- Time-to-placement metric
Correct answer: Successful case closure rate (Status 26)
Status 26 closures — cases closed after a client achieves competitive integrated employment for at least 90 days — are the primary federal outcome measure for state VR program performance.
CCM Rehabilitation and Vocational Concepts 5
A client who sustained a right-hand crush injury is right-hand dominant.
The case manager should coordinate which specialist to assess potential for non-dominant hand use and adaptive techniques?