CCM Psychosocial & Behavioral Health Support 2 — Questions and Answers
Question 1: A care manager is assessing a family member who provides daily care for a client with dementia. Which assessment tool is MOST appropriate for evaluating caregiver burden?
- Barthel Index
- Zarit Burden Interview (Correct answer)
- Katz ADL Scale
- MMSE
Correct answer: Zarit Burden Interview
The Zarit Burden Interview is a validated, widely used tool specifically designed to measure the subjective burden experienced by informal caregivers of individuals with chronic conditions.
Question 2: A client with a substance use disorder (SUD) is being discharged from inpatient detoxification. Which level of care is MOST appropriate as a step-down per the ASAM criteria?
- Partial hospitalization program (PHP) (Correct answer)
- Outpatient medication management only
- Peer support group only
- Return to primary care for monitoring
Correct answer: Partial hospitalization program (PHP)
Per the ASAM (American Society of Addiction Medicine) criteria, a partial hospitalization program (Level 2.5) provides intensive structured services that are appropriate as a step-down from inpatient detox for clients who still require significant support.
Question 3: When a care manager recognizes that a client's cultural beliefs may conflict with the recommended treatment plan, the MOST appropriate action is to:
- Educate the client about evidence-based practices until they agree
- Document the conflict and refer the case to a supervisor
- Explore the client's beliefs and collaboratively adapt the plan to be culturally congruent (Correct answer)
- Obtain a signed waiver acknowledging the client's refusal
Correct answer: Explore the client's beliefs and collaboratively adapt the plan to be culturally congruent
Cultural competence in care management requires exploring and respecting cultural beliefs and working collaboratively with the client to create a plan that aligns with both clinical evidence and the client's cultural values.
Question 4: Which of the following BEST describes health literacy?
- A client's ability to read written health materials
- The degree to which individuals can obtain, process, and understand basic health information needed to make decisions (Correct answer)
- A client's level of educational attainment
- The availability of health information in multiple languages
Correct answer: The degree to which individuals can obtain, process, and understand basic health information needed to make decisions
Health literacy, as defined by the CDC and USDHHS, encompasses the ability to obtain, process, understand, and use health information to make appropriate decisions — it goes beyond just reading ability.
Question 5: A client with major depression consistently cancels appointments and stops engaging in previously enjoyed activities. Which evidence-based intervention directly targets this behavioral pattern?
- Psychodynamic therapy
- Behavioral activation (Correct answer)
- Eye Movement Desensitization and Reprocessing (EMDR)
- Dialectical behavior therapy (DBT)
Correct answer: Behavioral activation
Behavioral activation is an evidence-based approach for depression that focuses on increasing engagement in rewarding activities to counter avoidance and withdrawal, directly addressing behavioral inactivity.
Question 6: When a client has both a mental health disorder and a substance use disorder occurring simultaneously, this is referred to as:
- Sequential disorder
- Comorbid condition
- Co-occurring disorder (Correct answer)
- Dual pathology
Correct answer: Co-occurring disorder
The term 'co-occurring disorder' (also called dual diagnosis) is the standard clinical and policy term for when a mental health disorder and substance use disorder exist simultaneously in the same individual.
Question 7: A care manager recognizes that a client avoids seeking mental health care due to shame and fear of judgment. This MOST accurately describes which barrier to care?
- Financial barrier
- Logistical barrier
- Stigma (Correct answer)
- Health literacy deficit
Correct answer: Stigma
Stigma — negative attitudes, beliefs, and stereotypes about mental illness — is one of the most significant psychosocial barriers to seeking and adhering to behavioral health treatment.
CCM Psychosocial & Behavioral Health Support 2
A care manager is assessing a family member who provides daily care for a client with dementia.
Which assessment tool is MOST appropriate for evaluating caregiver burden?