CRC Case Management 3 — Questions and Answers
Question 1: A rehabilitation counselor notices a client is missing appointments and not returning calls. This pattern MOST likely indicates the need to assess for:
- Motivational barriers, secondary gain, or unaddressed psychosocial issues (Correct answer)
- Fraudulent intent to extend benefits
- A need to immediately close the case as uncooperative
- Referral to law enforcement
Correct answer: Motivational barriers, secondary gain, or unaddressed psychosocial issues
Missed appointments often signal unaddressed barriers such as transportation, mental health issues, motivation problems, or competing life demands.
Question 2: In the context of disability management, 'transitional work programs' are designed to:
- Permanently reassign injured workers to lighter duties
- Return injured workers to productive employment while they recover (Correct answer)
- Provide early retirement options for disabled employees
- Assess whether workers qualify for permanent disability
Correct answer: Return injured workers to productive employment while they recover
Transitional work programs allow injured employees to perform modified or alternative duties during recovery, reducing disability duration and costs.
Question 3: Which of the following BEST describes the role of a rehabilitation counselor acting as a 'case coordinator' versus a 'case manager'?
- Case coordinators provide direct clinical therapy; case managers only handle paperwork
- Case coordinators link and monitor existing services; case managers may provide direct services as well (Correct answer)
- Case managers work only in hospitals; case coordinators work in community settings
- There is no functional difference between the two roles
Correct answer: Case coordinators link and monitor existing services; case managers may provide direct services as well
Case coordination focuses on linking and monitoring services, while case management may additionally involve direct service provision and clinical decision-making.
Question 4: A client's IPE goal is to become a medical billing specialist. The rehabilitation counselor should ensure the plan includes:
- Only the training program with no additional services
- Measurable intermediate milestones and related support services (Correct answer)
- A guaranteed job offer from a specific employer
- Goals set exclusively by the counselor based on labor market data
Correct answer: Measurable intermediate milestones and related support services
An effective IPE includes measurable milestones, timelines, and comprehensive support services needed to achieve the stated vocational goal.
Question 5: Under the Workforce Innovation and Opportunity Act (WIOA), what is the primary purpose of 'pre-employment transition services' (Pre-ETS)?
- Providing job placement for adults with significant disabilities
- Helping students with disabilities explore and prepare for postsecondary education and employment (Correct answer)
- Funding adult literacy programs for individuals without disabilities
- Managing employer tax incentive programs
Correct answer: Helping students with disabilities explore and prepare for postsecondary education and employment
Pre-ETS under WIOA targets students with disabilities ages 14-21 to explore careers, develop work readiness skills, and prepare for post-school transitions.
Question 6: A rehabilitation counselor is conducting a functional capacity evaluation (FCE) review. The FCE is PRIMARILY used to:
- Diagnose the cause of a client's disability
- Determine safe work abilities and physical limitations for job matching (Correct answer)
- Establish eligibility for Social Security Disability Insurance
- Replace the treating physician's medical opinion
Correct answer: Determine safe work abilities and physical limitations for job matching
An FCE objectively measures a client's physical work capacities and limitations to guide safe job placement and return-to-work planning.
Question 7: Which ethical principle is MOST at risk when a counselor accepts gifts from vendors who provide services to clients on the counselor's caseload?
- Fidelity
- Autonomy
- Nonmaleficence
- Conflict of interest and integrity (Correct answer)
Correct answer: Conflict of interest and integrity
Accepting gifts from service vendors creates a conflict of interest that compromises the counselor's objectivity in recommending services for clients.
CRC Case Management 3
A rehabilitation counselor notices a client is missing appointments and not returning calls.
This pattern MOST likely indicates the need to assess for: