CRC Case Management 4 — Questions and Answers
Question 1: When conducting a community needs assessment for rehabilitation services, which data source provides the MOST comprehensive picture of unmet disability-related needs?
- Single agency intake records from the past year
- Multiple data sources including surveys, focus groups, and census data (Correct answer)
- Feedback from rehabilitation counselors only
- National disability statistics without local adaptation
Correct answer: Multiple data sources including surveys, focus groups, and census data
Triangulating multiple data sources—quantitative statistics, qualitative community input, and agency data—provides the most accurate and comprehensive needs assessment.
Question 2: A client with a spinal cord injury wants to return to work as a construction foreman. The FIRST step in case management should be to:
- Inform the client this goal is unrealistic and suggest alternatives
- Complete a comprehensive assessment including functional capacity and transferable skills (Correct answer)
- Arrange immediate job placement at a desk job
- Refer to vocational training for a completely different career
Correct answer: Complete a comprehensive assessment including functional capacity and transferable skills
Comprehensive assessment of functional capacity, transferable skills, and job demands is the essential foundation before any vocational planning or redirection.
Question 3: Which of the following BEST describes 'supported employment' as a case management approach?
- Placement in a sheltered workshop with supervised tasks
- Competitive integrated employment with individualized ongoing support for people with significant disabilities (Correct answer)
- Part-time work with no expectation of full employment
- Employment exclusively in nonprofit disability service organizations
Correct answer: Competitive integrated employment with individualized ongoing support for people with significant disabilities
Supported employment places individuals with significant disabilities in competitive, integrated jobs with individualized, long-term support as needed.
Question 4: A rehabilitation counselor working in a workers' compensation setting has conflicting obligations to the injured worker and the insurance carrier. This situation represents:
- A minor administrative inconvenience
- Dual relationship and role conflict requiring transparent disclosure (Correct answer)
- Standard practice with no ethical implications
- A reason to immediately terminate services
Correct answer: Dual relationship and role conflict requiring transparent disclosure
Serving both the injured worker and the insurer creates role conflict that must be transparently disclosed and managed to protect the client's interests.
Question 5: Which case management function involves linking clients to needed community resources they cannot access independently?
- Brokerage (Correct answer)
- Advocacy
- Monitoring
- Assessment
Correct answer: Brokerage
The brokerage function involves identifying and connecting clients with community services and resources they need but cannot access on their own.
Question 6: An employer asks a rehabilitation counselor to share detailed psychological evaluation results for a job applicant with a disability. The counselor should:
- Share all records since the employer is considering hiring the client
- Refuse and explain that clinical records require specific written authorization and are protected (Correct answer)
- Share a summary only without the client's knowledge
- Ask the client verbally and proceed if they seem to agree
Correct answer: Refuse and explain that clinical records require specific written authorization and are protected
Detailed psychological records are protected health information requiring explicit written client authorization before disclosure to third parties including employers.
Question 7: In catastrophic case management, which client condition would MOST likely trigger assignment to a specialized high-intensity case manager?
- Mild ankle sprain requiring two weeks off work
- Traumatic brain injury with multiple comorbidities and lengthy rehabilitation needs (Correct answer)
- Controlled diabetes with stable employment
- Carpal tunnel syndrome treated with a wrist splint
Correct answer: Traumatic brain injury with multiple comorbidities and lengthy rehabilitation needs
Catastrophic cases involve severe, complex injuries or conditions with extensive, long-term, multi-disciplinary rehabilitation needs that require specialized intensive management.
CRC Case Management 4
When conducting a community needs assessment for rehabilitation services, which data source provides the MOST comprehensive picture of unmet disability-related needs?