CCMC - Commission for Case Manager Rehabilitation Concepts and Strategies Questions and Answers

Question 1

A client recovering from a severe stroke is medically stable but has significant physical and cognitive deficits requiring intensive, coordinated therapy.
The client is capable of participating in several hours of therapy per day.
Which of the following is the MOST appropriate level of care for this client's rehabilitation?

Accepted Answer

Inpatient Rehabilitation Facility (IRF)

Answer

Skilled Nursing Facility (SNF)

Answer

Long-Term Acute Care Hospital (LTACH)

Answer

Home health care with outpatient therapy

Question 2

Which of the following BEST describes the core philosophy of the Clubhouse Model of psychosocial rehabilitation for individuals with serious mental illness?

Accepted Answer

A member-led community where individuals achieve recovery through shared work and meaningful relationships.

Answer

A clinically-focused environment providing daily group therapy and medication management.

Answer

A residential program focused on developing independent living skills through direct staff supervision.

Answer

A transitional housing program that mandates employment as a condition of participation.

Question 3

A case manager is working with a client who lost a limb in a work-related accident and is now cleared to consider returning to the workforce. What is the primary goal of a vocational rehabilitation program for this client?

Accepted Answer

To help the client maximize independence and employability through counseling, training, and job placement.

Answer

To provide long-term disability payments to ensure financial stability.

Answer

To secure any available job for the client as quickly as possible.

Answer

To focus solely on physical therapy to improve the client's mobility for any future work.

Question 4

A client is being evaluated for admission to an Inpatient Rehabilitation Facility (IRF). The '3-hour rule' is a key criterion considered for Medicare reimbursement. This rule generally requires that the client:

Accepted Answer

Is able to tolerate and benefit from at least 3 hours of intensive therapy per day, 5 days per week.

Answer

Receives a minimum of 3 hours of nursing care per day.

Answer

Has a prognosis of being discharged within 3 weeks.

Answer

Has been in an acute care hospital for at least 3 days prior to transfer.

Question 5

In an interdisciplinary rehabilitation team meeting for a client with a traumatic brain injury, which team member is primarily responsible for assessing cognitive-communication deficits, such as issues with memory, problem-solving, and social communication skills?

Accepted Answer

Speech-Language Pathologist

Answer

Occupational Therapist

Answer

Rehabilitation Physician (Physiatrist)

Answer

Physical Therapist

Question 6

A case manager is coordinating the discharge plan for a 70-year-old client who underwent hip replacement surgery. The client is not yet able to manage 3 hours of intensive therapy per day but requires daily skilled nursing and therapy services to regain function before returning home. Which setting would be the most suitable transition from the acute care hospital?

Accepted Answer

Skilled Nursing Facility (SNF)

Answer

Inpatient Rehabilitation Facility (IRF)

Answer

Outpatient Rehabilitation Clinic

Answer

Assisted Living Facility