Psychological Aspects of Care Flashcards

Case management facilitates the achievement of client wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation. The case managers primary function is:

Answer: Care coordination

A job accommodation refers to any modification or adjustment to a job or work environment that enables a qualified person with a disability to perform essential job functions. Raising the height of a desk to provide wheelchair access is a direct example of modifying the physical work environment. This adjustment facilitates accessibility and allows the individual to perform their duties effectively.

Raising the height of a desk to provide access by a wheelchair is an example of a:

Answer: Job accommodation

Case management is fundamentally a collaborative process, requiring active participation and communication among multiple stakeholders. This includes the client, their family, various healthcare providers, payers, and community resources. This teamwork approach ensures that all parties work together towards common goals for the client's well-being and optimal health outcomes.

Case Management is what type process?

Answer: Collaborative

In a viatical settlement, a terminally ill policyholder sells their life insurance policy to a third party for a lump sum cash payment. A key feature of this transaction is that the buyer (the viatical company) assumes responsibility for paying all future premiums on the policy. Therefore, the original policyholder is no longer required to make premium payments.

Your client is considering a viatical settlement to help cover medical expenses. All of the following are true about viatical settlements except:

Answer: The patient will be required by law to continue making the premium on the policy.

When a client is not compliant with their plan of care, the first and most crucial step for a case manager is to understand the underlying reasons. By discussing barriers to compliance with the client, the case manager can identify challenges such as lack of understanding, financial constraints, cultural beliefs, or practical difficulties. This understanding allows for tailored interventions and adjustments to the care plan.

The first thing for the case manager to do when a client is not compliant with the plan of care is to:

Answer: Discuss barriers to compliance with the member.

Healthcare utilizes a variety of reimbursement models to compensate providers for services. Retrospective cost-based reimbursement, where payment is based on actual costs incurred, and fee-for-service, where providers are paid for each individual service, are both historically and currently common models. Therefore, 'All of the above' is the correct answer as these are widely used.