CRC Case Management 2 — Questions and Answers
Question 1: Which model of case management emphasizes the client's strengths and natural community supports rather than deficits?
- Medical model
- Strengths-based model (Correct answer)
- Broker model
- Clinical model
Correct answer: Strengths-based model
The strengths-based model focuses on client assets and natural community resources to promote empowerment and self-determination.
Question 2: A rehabilitation counselor is developing a written rehabilitation plan (IPE). Which element is legally required under the Rehabilitation Act?
- Vocational goal consistent with the client's informed choice (Correct answer)
- Employer agreement to hire the client upon plan completion
- A minimum of three service options listed
- Counselor signature without client signature
Correct answer: Vocational goal consistent with the client's informed choice
The IPE must include a specific employment outcome based on the client's informed choice, as mandated by the Rehabilitation Act Amendments.
Question 3: In case management, 'utilization review' primarily serves to:
- Assess client satisfaction with services
- Monitor appropriate use of resources and cost-effectiveness (Correct answer)
- Evaluate counselor performance annually
- Document case closure procedures
Correct answer: Monitor appropriate use of resources and cost-effectiveness
Utilization review monitors whether services are necessary, appropriate, and cost-effective within the case management system.
Question 4: A client with a traumatic brain injury has difficulty with executive functioning. Which case management accommodation would BEST support independent follow-through?
- Increase session frequency to weekly counseling
- Use detailed written checklists and structured reminders (Correct answer)
- Refer immediately to long-term care facility
- Defer service planning until cognition improves
Correct answer: Use detailed written checklists and structured reminders
Structured written checklists and reminders are evidence-based compensatory strategies for executive functioning deficits following TBI.
Question 5: The concept of 'medical necessity' in case management refers to:
- Services required by a physician's order regardless of cost
- Services that are appropriate, sufficient, and required for treatment of a condition (Correct answer)
- Any service requested by the client with a documented disability
- Emergency services only covered under Medicaid
Correct answer: Services that are appropriate, sufficient, and required for treatment of a condition
Medical necessity means services must be clinically appropriate, sufficient in amount, and required for evaluation or treatment of the presenting condition.
Question 6: When a rehabilitation counselor transfers a case to another counselor, which action is MOST critical?
- Closing the current case and opening a new one
- Providing a comprehensive case summary and warm handoff (Correct answer)
- Informing the client by mail only
- Deleting outdated records before transfer
Correct answer: Providing a comprehensive case summary and warm handoff
A comprehensive case summary and warm handoff ensures continuity of care and prevents service disruption during counselor transitions.
Question 7: Which legislation established the concept of an 'order of selection' in state vocational rehabilitation programs?
- Americans with Disabilities Act (ADA)
- Individuals with Disabilities Education Act (IDEA)
- Rehabilitation Act of 1973 and its amendments (Correct answer)
- Social Security Act
Correct answer: Rehabilitation Act of 1973 and its amendments
The Rehabilitation Act allows states with insufficient resources to establish an order of selection prioritizing individuals with the most significant disabilities.
