Case Analysis & Practical Application Flashcards
7 cards from real CCM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Case Analysis & Practical Application flashcards as text
A 78-year-old patient with COPD is repeatedly readmitted within 30 days due to medication non-adherence. Which case management intervention is MOST likely to reduce readmissions?
Answer: Coordinate a home health aide to perform daily medication reconciliation
Home health support with daily medication reconciliation directly addresses the non-adherence barrier in the patient's own environment.
During a case conference, a social worker reports that a client with schizophrenia refuses to take antipsychotics. The case manager's FIRST step should be to:
Answer: Explore the client's reasons for refusing medication
Understanding the client's reasons for refusal is essential before escalating interventions, as barriers may be addressable.
A case manager identifies that a diabetic patient's HbA1c has worsened despite attending diabetes education classes. The MOST appropriate next action is to:
Answer: Assess barriers to self-management such as food insecurity or health literacy
Worsening outcomes despite education signal that unaddressed social or literacy barriers may be undermining self-management.
A case manager is developing a care plan for a patient with multiple chronic conditions. Which framework BEST guides prioritization of goals?
Answer: Use the patient's self-identified goals as the primary driver
Person-centered care planning centers on the patient's own goals to maximize engagement and adherence.
A case manager working with a frail elderly client notes that the family caregiver is showing signs of burnout. The MOST appropriate intervention is to:
Answer: Assess caregiver needs and connect them to respite care resources
Caregiver burnout threatens care quality; assessing needs and offering respite maintains the caregiving relationship.
A patient is discharged to home following a hip replacement but lacks transportation to follow-up appointments. The case manager's PRIORITY action is to:
Answer: Identify community transportation resources or telehealth alternatives
Connecting the patient to transportation or telehealth removes a social determinant barrier to follow-up care.
When conducting a post-discharge follow-up call, a case manager discovers the patient has not filled a prescription because of cost. The BEST response is to:
Answer: Explore patient assistance programs, generics, or pharmacy discount cards
Identifying cost-reduction strategies ensures the patient can access prescribed therapy and prevents adverse outcomes.