Case Management Flashcards

A case manager notices that a client's urine drug screen is inconsistent with reported sobriety. The most clinically appropriate response is to:

Answer: Explore the result with the client using a non-judgmental, motivational approach

A non-judgmental, motivational approach opens dialogue, preserves the therapeutic alliance, and allows clinical reassessment of the treatment plan.

When is it appropriate for a case manager to involve natural supports (family, friends) in a client's treatment planning?

Answer: When the client provides informed consent and it is clinically indicated

Natural supports may be involved when the client has consented and clinical judgment supports their inclusion in enhancing recovery.

What is the role of community resources in chemical dependency case management?

Answer: To supplement clinical treatment by addressing social determinants of health

Community resources address needs like housing, employment, and social support that directly affect recovery outcomes alongside clinical treatment.

A client reports that their prescribed buprenorphine has been stolen. The case manager should:

Answer: Consult with the prescribing provider and document the incident thoroughly

Consulting the prescribing provider and thorough documentation allows for a clinical response that balances patient safety with diversion prevention.

Which type of monitoring best measures whether case management services are achieving intended outcomes?

Answer: Tracking client progress against measurable treatment plan goals

Progress against measurable goals is the most clinically meaningful indicator of whether case management services are effective.

A case manager is working with a client who has chronic pain and a history of opioid use disorder. The most important coordination task is:

Answer: Communicating with both the pain management physician and the addiction treatment team to align care plans

Coordinating between pain management and addiction treatment providers ensures safe, integrated care that addresses both conditions without undermining either.

Which action represents a breach of case management ethical boundaries?

Answer: Accepting a gift of significant monetary value from a grateful client

Accepting gifts of significant value violates professional boundary standards and can compromise the therapeutic relationship and objectivity.