CCTC CCTC - Certified Clinical Transplant Coordinator Psychosocial Assessment and Support Questions and Answers 3

Question 1

When assessing social support in a transplant candidate who lives alone, the coordinator should prioritize:

Accepted Answer

Developing a structured support plan with identified backup caregivers and community resources

Answer

Living alone is a risk factor but not an absolute contraindication; a documented plan identifying available support people and community services can adequately address this gap.

Question 2

Nicotine use is most critically addressed in pre-transplant evaluation for which organ recipient population?

Accepted Answer

Lung and heart transplant recipients

Answer

Active smoking is a major risk factor for graft failure and bronchiolitis obliterans in lung recipients, and nearly all US lung and heart transplant programs require smoking cessation as a listing criterion.

Question 3

A transplant candidate has an intellectual disability with a supportive guardian and stable home environment. How should the team approach candidacy evaluation?

Accepted Answer

Conduct an individualized assessment of functional capacity, support system strength, and ability to adhere to the post-transplant regimen

Answer

Intellectual disability is not an automatic contraindication; UNOS non-discrimination policies require individualized assessment based on medical suitability and support system adequacy.

Question 4

Which of the following is a recognized psychological response specific to the post-transplant period that coordinators should monitor?

Accepted Answer

Survivor guilt, particularly in living donor recipient relationships

Answer

Survivor guilt — particularly when a recipient knows a donor died or a living donor sacrificed an organ — is a documented psychological response requiring psychosocial monitoring and support.

Question 5

A transplant coordinator notices that a recipient has repeatedly missed medication refill calls and labs over 3 months. What is the first step in addressing this non-adherence?

Accepted Answer

Contact the patient to assess barriers to adherence and document the outreach attempt

Answer

The first step is direct outreach to understand barriers (transportation, cost, side effects, mental health) before any escalation, with thorough documentation of all contact attempts.

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC CCTC - Certified Clinical Transplant Coordinator Psychosocial Assessment and Support Questions and Answers 3