CRC Case Management 5 — Questions and Answers
Question 1: The 'closing successful' case status in vocational rehabilitation typically requires the client to have maintained employment for a minimum of:
- 30 days
- 60 days
- 90 days (Correct answer)
- 6 months
Correct answer: 90 days
Federal VR regulations require that a client maintain employment in a competitive integrated setting for at least 90 days before a case may be closed as successfully rehabilitated.
Question 2: A rehabilitation counselor is using motivational interviewing (MI) during case management. Which response BEST reflects an MI-consistent approach when a client expresses ambivalence about returning to work?
- 'You need to return to work or we'll have to close your case.'
- 'What are the things about working that feel appealing to you?' (Correct answer)
- 'Most clients in your situation return to work within 60 days.'
- 'Your doctor says you are medically cleared, so there's no reason to wait.'
Correct answer: 'What are the things about working that feel appealing to you?'
MI uses open-ended questions to elicit the client's own motivations for change, avoiding confrontation and respecting ambivalence.
Question 3: Which instrument is MOST appropriate for identifying a client's transferable skills when developing a vocational rehabilitation plan?
- Beck Depression Inventory (BDI)
- Occupational Information Network (O*NET) skills profiler (Correct answer)
- Minnesota Multiphasic Personality Inventory (MMPI)
- Wechsler Adult Intelligence Scale (WAIS)
Correct answer: Occupational Information Network (O*NET) skills profiler
O*NET's skills profiler systematically matches a client's existing skills and work history to occupational requirements, identifying transferable skill clusters.
Question 4: A client receiving vocational rehabilitation services reports that their employer is denying reasonable accommodation requests. The rehabilitation counselor's MOST appropriate response is to:
- Advise the client to quit and find a new employer
- Explain ADA accommodation rights and assist the client in advocating with the employer or filing a complaint (Correct answer)
- Contact the employer directly without informing the client
- Document the issue but take no action since it is an employment law matter
Correct answer: Explain ADA accommodation rights and assist the client in advocating with the employer or filing a complaint
Rehabilitation counselors have an advocacy role that includes educating clients about ADA rights and supporting them in resolving workplace accommodation disputes.
Question 5: When calculating cost-benefit in vocational rehabilitation case management, which outcome measure is MOST directly relevant to program justification?
- Number of assessments completed per counselor
- Ratio of client earnings after rehabilitation to program service costs (Correct answer)
- Average number of job applications submitted by clients
- Client satisfaction scores on service quality surveys
Correct answer: Ratio of client earnings after rehabilitation to program service costs
Cost-benefit analysis in VR compares post-rehabilitation earnings (and associated tax revenue and benefit savings) against the cost of services to demonstrate program value.
Question 6: A rehabilitation counselor identifies that a client is experiencing domestic violence that is affecting service participation. The FIRST priority action should be to:
- Close the case until the situation is resolved
- Assess the client's immediate safety and provide information about available resources (Correct answer)
- Report immediately to local media to raise awareness
- Confront the abusive partner directly
Correct answer: Assess the client's immediate safety and provide information about available resources
Safety assessment and connecting the client to appropriate resources is the immediate priority when domestic violence is identified during case management.
Question 7: Which case management approach is MOST consistent with the philosophy of independent living (IL) for people with severe disabilities?
- Counselor directs all service decisions to ensure optimal outcomes
- Consumer control over decisions about services and life goals (Correct answer)
- Medical professionals determine the client's rehabilitation plan
- Families are the primary decision-makers for adult clients with disabilities
Correct answer: Consumer control over decisions about services and life goals
The independent living philosophy is grounded in consumer control and self-determination, with individuals with disabilities directing their own service plans and life choices.
CRC Case Management 5
The 'closing successful' case status in vocational rehabilitation typically requires the client to have maintained employment for a minimum of: