Occupational Case Management Flashcards
7 cards from real COHN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Occupational Case Management flashcards as text
When conducting a telephonic case management call with an injured worker, which action is MOST important at the start of the call?
Answer: Identify yourself, your role, and explain the purpose and voluntary nature of case management services
Ethical case management requires transparency: identifying yourself and explaining your role and the voluntary nature of services protects worker rights and builds trust.
A case manager is reviewing a treatment plan for an injured worker that includes procedures with questionable evidence of effectiveness. The MOST appropriate response is to:
Answer: Apply evidence-based guidelines to evaluate appropriateness and communicate concerns through proper channels
Occupational case managers apply evidence-based clinical guidelines to assess treatment appropriateness and raise concerns professionally and through appropriate channels.
An injured worker is cleared for return to work but refuses due to fear of re-injury. Which intervention is MOST appropriate?
Answer: Coordinate a graded exposure or work-hardening program and address fear-avoidance with behavioral support
Work hardening and graded exposure address kinesiophobia and fear-avoidance behaviors that impede return to work following occupational injury.
What does the 'impairment rating' assigned at MMI primarily determine in the workers' compensation system?
Answer: The degree of permanent physical loss, which is used to calculate permanent disability benefits
An impairment rating quantifies the degree of permanent physical loss using standardized guides (e.g., AMA Guides) and is used to calculate permanent disability benefits.
Which of the following best illustrates the principle of 'least restrictive environment' in return-to-work planning?
Answer: Returning the worker to the closest possible approximation of their pre-injury job with minimal modification
Returning the worker to the highest functional level with the least restriction possible promotes faster recovery and workforce integration.
A case manager receives pressure from an employer client to document findings in a way that minimizes the worker's injury severity. The COHN should:
Answer: Refuse and document findings objectively in accordance with professional and ethical standards
COHNs are bound by professional ethics to document accurately and objectively; falsifying or minimizing records violates ethical and potentially legal standards.
Which of the following is a KEY difference between the COHN and COHN-S credential?
Answer: COHN-S requires a BSN or higher degree and demonstrates advanced education in occupational health nursing
The COHN-S (Specialist) designation requires a baccalaureate or higher degree in nursing, distinguishing it from the COHN credential which has a more flexible education requirement.