CCMC - Commission for Case Manager Psychosocial Concepts & Support Questions and Answers

Question 1

A case manager is working with a 68-year-old client recently diagnosed with congestive heart failure.
The client lives alone, has a limited income, and expresses feelings of hopelessness.
The client's adult children live out of state and are unable to provide direct support.
Which of the following is the MOST critical initial step for the case manager to take?

Accepted Answer

Conduct a comprehensive psychosocial assessment to identify strengths, coping mechanisms, and support systems.

Answer

Arrange for home-delivered meals to address nutritional needs.

Answer

Schedule a follow-up appointment with the client's cardiologist.

Answer

Provide education on the pathophysiology of congestive heart failure.

Question 2

A client with a new disability is struggling with adherence to their physical therapy regimen. They state, "I just don't see the point. Nothing is going to change." This statement most likely indicates a need to assess for which psychosocial factor?

Accepted Answer

Depression and lack of self-efficacy

Answer

Financial toxicity

Answer

Health literacy

Answer

Caregiver burnout

Question 3

Which of the following BEST describes the case manager's role in facilitating shared decision-making?

Accepted Answer

Ensuring the client understands their diagnosis, treatment options, risks, and benefits to make an informed choice.

Answer

Making the final treatment decision based on what is medically best for the client.

Answer

Persuading the client to choose the most cost-effective treatment option.

Answer

Delegating all care decisions to the client's family and primary care physician.

Question 4

A case manager is coordinating care for a client from a culture with strong patriarchal family structures. The client, a 45-year-old woman, defers all questions to her husband during a planning meeting. How should the case manager proceed?

Accepted Answer

Respect the cultural dynamic while creating opportunities to gently include the client and ensure her needs are heard.

Answer

Insist on speaking only with the client to promote her autonomy.

Answer

Document that the husband is the sole decision-maker and proceed with his directives.

Answer

Postpone the meeting until the client is willing to participate independently.

Question 5

During a home visit, a case manager observes that their elderly client appears unkempt, has significant weight loss, and there is expired food in the refrigerator. The client's son, who is the primary caregiver, seems stressed and dismissive of the case manager's questions. The case manager should be MOST concerned about the possibility of:

Accepted Answer

Elder abuse or neglect.

Answer

The client's lack of motivation.

Answer

A need for a higher level of care.

Answer

A language barrier.

Question 6

All of the following are considered social determinants of health (SDOH) that a case manager must assess EXCEPT:

Accepted Answer

Genetic predisposition to a specific cancer.

Answer

Access to reliable transportation.

Answer

The safety and walkability of the client's neighborhood.

Answer

The client's level of education and employment status.