CCM Trivia 3 — Questions and Answers
Question 1: Which ethical principle obligates a case manager to act in the client's best interest even when the client cannot advocate for themselves?
- Autonomy
- Beneficence (Correct answer)
- Justice
- Veracity
Correct answer: Beneficence
Beneficence requires that the case manager act in ways that benefit the client, promoting their well-being and best interests.
Question 2: A Diagnosis-Related Group (DRG) system is primarily used for reimbursement of which type of care?
- Outpatient physician visits
- Long-term nursing facility care
- Inpatient hospital stays (Correct answer)
- Home health episodes
Correct answer: Inpatient hospital stays
DRGs are used by Medicare and other payers to reimburse hospitals for inpatient stays based on the patient's diagnosis, procedures, and complexity.
Question 3: In motivational interviewing, 'rolling with resistance' means the case manager should:
- Confront the client directly about their barriers
- Avoid arguing and instead explore the client's ambivalence (Correct answer)
- Escalate intervention intensity to overcome reluctance
- Document non-compliance in the medical record
Correct answer: Avoid arguing and instead explore the client's ambivalence
Rolling with resistance means avoiding direct confrontation and instead reflecting back the client's statements to explore ambivalence and promote intrinsic motivation.
Question 4: Which level of Bloom's Taxonomy involves a patient being able to apply health information to manage their own condition?
- Knowledge
- Comprehension
- Application (Correct answer)
- Synthesis
Correct answer: Application
The application level of Bloom's Taxonomy requires the learner to use acquired knowledge in new situations, such as self-managing a chronic condition.
Question 5: What is the maximum number of hours per week that constitutes 'full-time' employment under the ACA's employer shared responsibility provision?
- 32 hours
- 35 hours
- 40 hours
- 30 hours (Correct answer)
Correct answer: 30 hours
The ACA defines a full-time employee as one working 30 or more hours per week on average, triggering employer coverage obligations.
Question 6: Which document gives a designated person legal authority to make healthcare decisions for an incapacitated individual?
- Living will
- Do-not-resuscitate order
- Healthcare power of attorney (Correct answer)
- POLST form
Correct answer: Healthcare power of attorney
A healthcare power of attorney (or healthcare proxy) designates a specific individual to make medical decisions on behalf of someone who lacks decision-making capacity.
Question 7: The 'dual eligibles' population in the US refers to individuals who are enrolled in both:
- Medicare and Medicaid (Correct answer)
- Medicare Part A and Part B
- Medicaid and CHIP
- Medicare and private insurance
Correct answer: Medicare and Medicaid
Dual eligibles are individuals who qualify for both Medicare (federal, primarily age/disability-based) and Medicaid (state, income-based), often representing high-need, high-cost populations.
CCM Trivia 3
Which ethical principle obligates a case manager to act in the client's best interest even when the client cannot advocate for themselves?