CCM Health Promotion & Risk Reduction 2 — Questions and Answers
Question 1: A care manager is developing a fall prevention program for a 78-year-old client. Which intervention has the STRONGEST evidence base for reducing fall risk?
- Prescribing calcium supplements
- Conducting a home safety assessment and modification (Correct answer)
- Recommending complete bed rest during illness
- Increasing sedative medications to reduce nighttime restlessness
Correct answer: Conducting a home safety assessment and modification
Home safety assessments with targeted modifications (removing rugs, adding grab bars) are among the most evidence-based interventions for fall prevention in older adults.
Question 2: Which of the following best describes secondary prevention in the context of care management?
- Immunizations to prevent disease onset
- Early detection and treatment of existing conditions (Correct answer)
- Rehabilitation after a disabling injury
- Health education to promote wellness
Correct answer: Early detection and treatment of existing conditions
Secondary prevention focuses on early detection (e.g., screening) and prompt treatment of existing disease to minimize progression.
Question 3: A care manager assesses a client's readiness to quit smoking. The client says, 'I know I should quit but I'm not ready yet.' Which stage of change does this represent?
- Precontemplation
- Contemplation (Correct answer)
- Preparation
- Maintenance
Correct answer: Contemplation
Contemplation is characterized by awareness of the need to change but ambivalence or lack of commitment to act in the near future.
Question 4: When counseling a client on dietary changes to reduce cardiovascular risk, the care manager should FIRST:
- Provide a standardized low-sodium meal plan
- Assess the client's current dietary habits and cultural preferences (Correct answer)
- Refer the client immediately to a registered dietitian
- Recommend eliminating all fats from the diet
Correct answer: Assess the client's current dietary habits and cultural preferences
Effective dietary counseling begins with a thorough assessment of current habits, preferences, and cultural factors to tailor recommendations appropriately.
Question 5: A care manager working with a client who has hypertension should prioritize which lifestyle modification as having the greatest blood pressure reduction potential?
- Reducing caffeine intake
- Weight reduction in overweight individuals (Correct answer)
- Eliminating artificial sweeteners
- Increasing vitamin D supplementation
Correct answer: Weight reduction in overweight individuals
Weight loss in overweight individuals has the greatest evidence for reducing blood pressure, with approximately 1 mmHg reduction per kilogram lost.
Question 6: Which screening interval is recommended by the USPSTF for colorectal cancer screening with colonoscopy in average-risk adults?
- Every 5 years
- Every 10 years (Correct answer)
- Every 15 years
- Every 20 years
Correct answer: Every 10 years
The USPSTF recommends colonoscopy every 10 years for average-risk adults aged 45–75 as a standard colorectal cancer screening interval.
Question 7: A care manager helping a client manage Type 2 diabetes emphasizes self-monitoring of blood glucose. This intervention is BEST classified as:
- Primary prevention
- Secondary prevention
- Tertiary prevention (Correct answer)
- Quaternary prevention
Correct answer: Tertiary prevention
Tertiary prevention aims to minimize disability and complications of an existing disease, such as managing blood glucose to prevent diabetic complications.
CCM Health Promotion & Risk Reduction 2
A care manager is developing a fall prevention program for a 78-year-old client.
Which intervention has the STRONGEST evidence base for reducing fall risk?