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 case manager receives a referral for a 55-year-old with newly diagnosed heart failure. Which initial assessment is MOST critical for developing a safe care plan?
Answer: Functional status, living situation, and support system
Functional status and social supports determine the patient's capacity to self-manage and identify gaps requiring intervention.
A case manager is coordinating care for a patient whose primary care physician and specialist have conflicting treatment recommendations. The BEST action is to:
Answer: Facilitate a collaborative conversation between both providers and the patient
Facilitating provider communication resolves conflicts and produces an integrated plan that serves the patient's best interest.
A case manager notes that a patient from a non-English-speaking background consistently misses appointments. The MOST likely contributing factor to investigate first is:
Answer: Language and cultural barriers to navigating the health system
Language and cultural barriers are documented drivers of appointment non-adherence and must be assessed before other assumptions are made.
A utilization review flags a patient for a longer-than-expected inpatient stay. The case manager's FIRST step is to:
Answer: Review the clinical record to identify clinical and social barriers to discharge
A thorough review of clinical and social barriers ensures discharge planning is safe and individualized.
During care planning, a patient with chronic pain states their goal is to return to work. The case manager should:
Answer: Incorporate the return-to-work goal and coordinate vocational rehabilitation resources
Supporting patient-identified goals like return to work and linking vocational resources reflects person-centered practice.
A case manager learns that a patient has been visiting the ED repeatedly for issues that could be managed in a primary care setting. The BEST strategy is to:
Answer: Establish a primary care relationship and provide ED diversion education
Connecting patients to a primary care home and educating them on appropriate care settings reduces inappropriate ED utilization.
A case manager identifies that an older adult client is at risk for falls. Which intervention reflects best practice?
Answer: Coordinate a home safety assessment and fall prevention program
A home safety assessment and fall prevention program are evidence-based interventions proven to reduce fall risk.