Case Management Final II Exam questions with answers, Exams of Nursing

Download Case Management Final II Exam questions with answers and more Exams Nursing in PDF only on Docsity! Case Management Final II Exam questions with answers Which of the following are phases of case management? 1. Implementation 2. Planning 3. Finalizing 4. Assessing ✔1,2,4 (Implementation, Planning, & Assessing) Which of the following tasks of case management could occur in all phases of the case management process? a. Criticism b. Assessment c. Consulting with other case managers d. Client participation ✔D. Client participation Which of the following is NOT a fundamental principle or goal of case management? a. To complete services in a timely fashion b. Client empowerment c. Continuity of care d. Equal access to services/advocacy ✔A. To complete services in a timely fashion. How might a case manager measure their level of efficiency? a. Resources required b. Resources, costs and outcomes c. Outcomes achieved d. Cost of services ✔B. Resources, costs and outcomes Which of the following does NOT represent the definition of client empowerment? a. Expecting the client to make decisions without help b. Moving the client toward self-sufficiency c. Respecting the client as an individual d. Placing the client in a partnership role Hide ✔a. Expecting the client to make decisions without help Which of the following represent the focus of proper case management evaluation? 1. Client progress and satisfaction 2. Integration of services 3. Relevance for the client 4. Quality of services ✔D (1,2,3,4) Which of the following is NOT a skill necessary for contemporary case managers? a. Networking b. Referral c. Independence d. Teamwork ✔C. Independence The role of the government in the lives of clients is an important aspect of case management. TRUE OR FALSE ✔true The word "manage" in case management can be seen as connoting a. control b. service c. quality d. ownership ✔A. control The dual role of case management does NOT include which of the following? a. Directing service providers b. Linking services c. Monitoring services d. Providing direct services ✔A. Directing service providers Case management is defined and mandated through federal regulation. ✔A. 1,4 The Rehabilitation Act of 1973 addressed client involvement. TRUE OR FALSE ✔TRUE Which of the following changes to case management did NOT result from the shift to managed care? a. Increased demand for case management services b. Decreased interest in pursuing case management services c. New models of case management d. New definitions of service delivery ✔B. Decreased interest in pursuing case management services The prevalence of managed care is now commonly regarded as being connected to the rising cost and decreasing quality of health care and mental health care. TRUE OR FALSE ✔TRUE Which of the following definitions do NOT describe managed care? a. The inclusion of quality assurance practices, such as agreements for prior authorization and audits of performance b. The policy of restricting clients' access to providers such as physicians and other health professionals c. An organizational structure that uses prepayment rather than fee-for-service payment d. The policy of allowing clients freedom of choice with a wide range of service providers ✔D. The policy of allowing clients freedom of choice with a wide range of service providers The POS is the most structured and controlled managed care model and offers customers the least choice. TRUE OR FALSE ✔FALSE The PPO managed care model is characterized by ________. a. contracts established with providers of medical care b. the benefit contract provides significantly better benefits for services received from providers. c. covered persons are allowed benefits for nonparticipating providers' services d. all of the above ✔d. all of the above The professionalization of case management is characterized by a focus on national credentialing. TRUE OR FALSE ✔TRUE The Human Services Board-Certified Practitioner (HS- BCP) certification requires __________. a. letters of recommendation and support from at least three licensed social workers with experience in case management b. a degree earned at a regionally accredited college or university or a state- approved community or junior college at the Technical Certificate level or above c. involvement minimum of 3 to 5 years of experience as a supervised case manager at a state-licensed provider d. state-level licensure as a social worker by a state that has a reciprocity agreement with at least three other states ✔B. a degree earned at a regionally accredited college or university or a state- approved community or junior college at the Technical Certificate level or above The escalation of costs as a result of the managed care model can be attributed to all of the following EXCEPT ___________. a. an older population b. improvements in technology c. high expectations for a longer life d. less compliance among healthcare professionals ✔D. less compliance among healthcare professionals This model of case management has primary roles that include advocate, broker, coordinator, planner, problem-solver and record-keeper. a. Client-based case management b. Responsibility-based case management c. Organization-based case management d. Role-based case management ✔C. Organization-based case management This model of case management allows case management responsibilities to be assumed by various individuals or groups including family, neighbors, volunteers, and the client. a. Organization-based case management b. Responsibility-based case management c. Role-based case management d. Client-based case management ✔B. Responsibility-based case management The goal of this method of providing case management services is to meet all the needs of the client through a single point of access. a. Psychosocial rehabilitation center b. Interdisciplinary team c. Crisis response d. One-stop comprehensive center ✔D. One-stop comprehensive center In this role, the case manager represents the interests of the client, helping to gain access to services or improve their quality. a. Broker b. Consultant c. Advocate d. Coordinator ✔C. Advocate In this role, the case manager helps clients determine their strengths and find alternatives to their current situations. a. Planner b. Problem solver c. Counselor d. Record keeper ✔B. Problem solver The models of case management presented in your text have their basis in all of the following EXCEPT________. a. roles b. responsibilities c. government regulation d. goals If a case manager knows a client's history of violence or sees potential for violence from warning signs, she should first _________. a. ignore the issue b. confront the client c. notify her interdisciplinary team d. call the police ✔C. notify her interdisciplinary team Confidentiality and trust between the helper and the client are prerequisites to the success of their relationship. TRUE OR FALSE ✔TRUE Which of the following was NOT part of the purpose for the Health Insurance Portability and Accountability Act of 1996 (HIPAA)? a. Requiring health professionals to explain how they will use patient information on health records b. Allowing patient access to medical records c. Increasing the amount of paperwork for helping professionals d. Limiting the personal information a health professional may share with others ✔C. Increasing the amount of paperwork for helping professionals The Family Educational Rights and Privacy Act (FERPA) requires that schools get permission of parents or guardians before they __________ the educational records of a minor child. a. release b. consider c. evaluate d. update ✔A. release If the case manager needs information about the client from other agencies or institutions, the case manager need only to obtain written consent from the agency or institution in order to do so. TRUE OR FALSE ✔FALSE As the use of technology expands, all of the following areas of security and confidentiality should be addressed by the agency policy and procedures EXCEPT _______. a. communicating with clients or other professionals via e-mail, text, or other electronic means b. storage and transmission of recordings of client interviews c. rendering of counseling or supervision services via electronic correspondence d. training clients to independently modify their electronic health records ✔D. training clients to independently modify their electronic health records A case manager working with a client who needs an interpreter should expect the interpreter to speak clearly in a manner that reflects the _____________ of the speaker. a. unspoken desires and hidden motives b. culture and dialect c. tone and emotions d. status and wealth ✔c. tone and emotions The duty to warn arises when a helping professional must _________ the confidentiality that has been promised a client in order to warn others. a. enhance b. violate c. disclose d. protect ✔B. violate There are both advantages and disadvantages to involving the client if the case manager believes that the situation warrants a duty to warn. TRUE OR FALSE ✔TRUE The main case management responsibilities for working with managed care include all of the following EXCEPT _________. a. establishing positive relationships with professionals who work in the managed care environment b. writing clear, well-documented treatment plans c. completing all insurance paperwork for the client d. measuring and appropriately documenting outcomes ✔C. completing all insurance paperwork for the client When considering client autonomy, treatment plans must support client choice and promote _______. a. healthy risks b. interdependence c. self-sufficiency d. positively-stated goals ✔C. self-sufficiency A medical power of attorney is a document that ___________. a. prevents managed care service providers from malpractice suits b. records the name of the person designated to decide about medical care if the person is unable to do so c. prevents anyone but the client from making decisions about medical care d. allows lawyers to perform emergency medical services ✔B. records the name of the person designated to decide about medical care if the person is unable to do so In some situations, case managers must weigh differing sets of rules in their roles of representing an agency and advocating for their client and as a result may have to make difficult decisions about breaking established rules. TRUE OR FALSE ✔TRUE In general, the individual client's culture has little relevance within the case management process. TRUE OR FALSE ✔FALSE Brammer's "resigned" African American identity refers to those individuals who feel oppressed by their racial and cultural identity and believe that there is little hope for the future. TRUE OR FALSE ✔TRUE Asian Americans are perceived to be a "model minority" because even those who live in low-income housing rarely have unmet needs. TRUE OR FALSE ✔FALSE The term "Hispanic" refers to a racial identity. TRUE OR FALSE a. a situation b. both a situation and the person involved c. client financial status d. the person involved ✔B. both a situation and the person involved Which of the following factors affect how potential clients seek information for services? 1. Cultural values 2. Prior experience 3. Embarrassment ✔D. 1 , 2 , 3 Which of the following is NOT a common source for mandated referrals? a. Churches b. Prisons c. Courts d. Schools ✔A. Churches Many people receive information about services from informal networks. TRUE OR FALSE ✔TRUE Primary objectives of interviewing include all of the following EXCEPT _________. a. implementing a plan of service for the client b. helping people increase their understanding of the situation c. helping people explore their situation d. identifying client resources and strengths ✔A. implementing a plan of service for the client The process of the interview is best described as _________. a. the agency interview procedures b. the context of the interview c. what is said d. how "what is said" is actually said ✔D. how "what is said" is actually said What key characteristic distinguishes counseling from interviewing? a. More intensive, personal process b. Collection of relevant information c. The systematic use of assessment d. Can be conducted by almost anyone ✔A. More intensive, personal process Sharing and mutual interaction characterize all helping interviews. TRUE OR FALSE ✔TRUE Developing the focus of the relationship between the applicant and the case manager occurs during the ______ phase of the interview. a. relationship b. middle c. end d. beginning ✔B. middle ____________ interviews are directive and focused; they are usually guided by a form or a set of questions that elicit specific information. a. Informal b. Structured c. Formal d. Unstructured ✔B. Structured In addition to the right to see their records, clients have the right to correct or amend the records. TRUE OR FALSE ✔TRUE Secondary sources that may contribute to understanding of a client's situation include all of the following EXCEPT _________. a. referral source b. client c. client's family d. employer ✔B. client Who takes over the client's case once eligibility has been established and the applicant accepted for services? a. Assignment to a case manager b. Assignment to a specialized worker c. Assignment to a team of workers d. Assignment to a case manager, specialized worker, or team of workers can happen, depending on the client's situation and needs ✔D. Assignment to a case manager, specialized worker, or team of workers can happen, depending on the client's situation and needs The acronym SOAP stands for subjective, objective, assessment, patient. TRUE OR FALSE ✔FALSE Staff notes may also be called__________. a. case notes b. patient summaries c. intake summaries d. process notes ✔A. case notes Research on the success of helping interventions suggests that ________. a. helping methods are much more critical than client or helper characteristics b. only personal characteristics of the client impact the success of helping interventions c. only extremely abrasive personal characteristics can impact the success of helping interventions d. certain personal characteristics are as significant in helping as the methods that are used ✔D. certain personal characteristics are as significant in helping as the methods that are used A sensitive case manager is cognizant of ________ such as sexism, racism, and ageism. a. deficits b. barriers c. identifiers d. opportunities ✔B. barriers Many __________ cultures view informality as an important part of any activity, even the sharing of information. a. Native American b. Asian ✔FALSE Before moving to service delivery, case managers should revisit the assessment phase to __________. a. satisfy state regulations b. complete a second assessment c. see if relevant information has changed d. remind the client why they have requested services ✔C. see if relevant information has changed Which of the following does NOT characterize a plan for service delivery? a. Sets forth goals and objectives b. Written without input from the client c. Written in advance of service delivery d. Describes the service to be provided ✔B. Written without input from the client A well-designed goal must be ____________. a. challenging b. realistic and achievable c. incentive-based d. applicable to everyone ✔B. realistic and achievable An objective identifies the criteria for acceptable performance. TRUE OR FALSE ✔TRUE Determining the implementation of service delivery occurs after ___________. a. the plan is complete and agreed upon by the case manager and client b. family and close friends have signed off on the plan c. the program supervisor agrees to the goals for the client d. all alternative sources of care have been explored ✔A. the plan is complete and agreed upon by the case manager and client Developing an information and referral system requires a case manager to ask which of the following questions? 1. Who do I (the case manager) know? 2. What services are available? 3. How does one access the services? 4. Is there a waiting list? ✔B. 1,2,3,4 Case manager data collection methods include which of the following? 1. Testing 2. Accessing public records 3. Interviewing ✔A. 1 , 3 An intake interview is an example of an assessment interview. TRUE OR FALSE ✔TRUE A mental status examination aids in the diagnosis of which of the following conditions? 1. brain damage 2. achievement 3. psychosis 4. major mental health problems ✔B. 1, 3, 4 To effectively use test results, what must case managers understand about tests? 1. How often the test is used 2. The purpose of the test 3. The tests validity and reliability 4. The cultural dimensions of the tests ✔D. 2, 3, 4 The validity of a test is its consistency of results. TRUE OR FALSE ✔FALSE Maximum performance tests include which of the following? 1. Mental status tests 2. Achievement tests 3. Aptitude tests 4. Intelligence tests ✔D. 2, 3, 4 The term norm means _____. a. person giving a test b. equivalent versions of the same test c. the number of times a test has been published or revised d. the average score for some particular group ✔D. the average score for some particular group Which of the following considerations impact the decision to use a test? 1. Validity 2. Reliability 3. Usability 4. Popularity ✔B. 1, 2, 3 An advantage of computer-assisted test administration is bias control. TRUE OR FALSE ✔TRUE Which of the following is NOT one of the ways agencies approach medical situations? a. Not seeking medical information unless the client presents a health indicator that would affect service delivery b. Requiring documentation of mental or physical disability to determine eligibility for services c. Requiring full disclosure of complete medical history before administering an intake interview d. Using medical examination as part of assessment procedures ✔C. Requiring full disclosure of complete medical history before administering an intake interview It is important for the case manager to prepare the client for medical examinations because many clients have ________. 1. little or no knowledge When case managers gather vocational information, they often focus on which of the following? 1. Work habits 2. Jobs previously held 3. Ability to get along with coworkers 4. Reasons for changes in employment ✔D. 1, 2, 3, 4 _______ provides most of the information for a social history. a. The client b. The Social Security Administration c. The psychologist d. The case manager ✔A. The client It is important that case managers ask culturally sensitive professionals to conduct necessary assessments. TRUE OR FALSE ✔TRUE Coordination of services provides many benefits to a client, including ___________. 1. an array of services 2. improved access to services 3. effective and efficient service delivery 4. assurance of confidentiality among professionals ✔B. 1, 2, 3 If a client needs services that an agency does not provide, it is the ___________ responsibility to locate such resources in the community and arrange for use of them. a. case manager's b. federal government's c. municipal government's d. client's ✔A. case manager's Documentation during service coordination includes all of the following EXCEPT __________. a. client psychological testing b. barriers c. meetings d. services ✔A. client psychological testing Client participation is not expected during the service coordination process. TRUE OR FALSE ✔FALSE Resource selection includes all of the following resources that can meet the needs of the client, EXCEPT _______. a. support networks b. agencies c. individuals d. programs ✔A. support networks When conducting a referral for a client, which role assumption benefits the case manager most? a. Record-keeper b. Problem-solver c. Broker d. Counselor ✔C. Broker Monitoring services can include which of the following tasks? 1. Following up on the contact 2. Offering information 3. Intervening in a crisis 4. Making another referral ✔D. 1, 2, 3, 4 Even after a referral, if there are problems with service delivery the case manager has ultimate responsibility to intervene. TRUE OR FALSE ✔TRUE Effective _________ can work to alleviate some of the barriers that exist in service coordination. a. communication b. laws c. turf boundaries d. competition ✔A. communication Advocating for clients stands for all of the following actions EXCEPT _________. a. enabling b. supporting c. defending ✔A. enabling Changes in social, political and economic landscapes can create new needs for advocacy. TRUE OR FALSE ✔TRUE A coordinated approach to treatment that involves several professionals is commonly referred to as a ___________. a. therapy group b. alliance of advocates c. treatment team d. systems approach ✔C. treatment team A case manager often serves as the leader of an interdisciplinary team so that _________. a. all members understand her legal authority in the case b. the meetings take place at the case manager's agency c. she can provide a more holistic view of the client ✔C. she can provide a more holistic view of the client Assessing client's capabilities means finding out the extent of their potential financial contribution. TRUE OR FALSE ✔FALSE A teamwork approach to service coordination can provide all of the following benefits to a client EXCEPT _______. a. more hours spent providing resources for the client A recent movement focused on improving the quality of services has led to which of the following processes? 1. linking outcomes to cost 2. conducting utilization reviews 3. planning quality assurance programs 4. promoting continuous improvement ✔C. 1, 2, 3, 4 Which of the following represent approaches to defining and measuring quality? 1. Linking objectives to outcomes 2. Assessing camaraderie in the workplace 3. Conducting utilization reviews 4. Conducting the "eye test" ✔B. 1, 3 The standard treatment plan and the client satisfaction survey are two examples of quality assurance measures. True OR False ✔TRUE The continuous improvement or total quality management approach began in ________. a. medicine b. government c. social work d. industry ✔D. industry Utilization review is designed to determine _________. 1. the proper treatment for each of the client's problems or conditions 2. the appropriate course of the treatment process as a whole 3. how the submitted plan must be revised ✔A. 1, 2, 3 Rarely are case managers required to understand budget structures and resource allocation. TRUE OR FALSE ✔FALSE Which of the following represents an act of advocacy on the part of a case manager? a. Working with a client's family to help them treat the client fairly b. Discussing financial management issues with a client c. Conducting an initial interview d. Asking the client about personal support systems ✔A. Working with a client's family to help them treat the client fairly Aspects of organization in case management include ___________. 1. completing paperwork 2. consulting with peers about difficult cases 3. managing time 4. understanding organizational policies and procedures ✔B. 1, 3 A case manager can expect paperwork assignments dealing with all of the following EXCEPT _______. a. psychosocial assessments b. service plans c. treatment plan diagnoses d. family histories ✔C. treatment plan diagnoses Self-determination means an ethical consideration where case managers must choose between supporting what the client states they want and what they think is best for the client. TRUE OR FALSE ✔TRUE When role conflict occurs, case managers must assume dual positions that may ___________. a. be at variance with each other b. require them to adopt separate personalities c. both assist client welfare d. present serious legal issues ✔A. be at variance with each other Which of the following represents a potential boundary issue for a case manager? 1. attending a client's wedding 2. helping the client choose between the interests of two family members 3. giving a client multiple rides to work 4. crying often when the client discusses problems in their life ✔A. 1, 3, 4 Which of the following metaphors does NOT describe the role of critical thinking in case management? a. "Not seeing the forest for the trees" b. "Put it all together to get a better picture" c. "Everything I do is wrong" d. "Seeing the whole in addition to individual, narrow parts" ✔C. "Everything I do is wrong" Well-organized case managers eliminate the need for flexibility in their work. TRUE OR FALSE ✔FALSE The inability to care often signals all of the following EXCEPT _________. a. incompetence b. burnout c. ineffectiveness d. objective realism ✔D. objective realism Common sources of burnout include ________. 1. work overload 2. lack of control 3. unfairness 4. value conflicts ✔B. 1, 2, 3, 4 The term ________ refers to the experience of case managers who work with victims of trauma and integrate this trauma into their worldview.