Clinical Assessment & Risk Management 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 Clinical Assessment & Risk Management flashcards as text
When assessing a patient's readiness to change a health behavior, the Transtheoretical Model (Stages of Change) identifies which stage as involving active modification of behavior for less than six months?
Answer: Action
The Action stage is defined by active behavior change that has been ongoing for less than six months, distinguishing it from the longer-term Maintenance stage.
A case manager discovers that a patient's care plan has not been updated in 18 months despite multiple hospitalizations. This represents a failure in which core case management function?
Answer: Ongoing monitoring and reassessment
Regular monitoring and reassessment is a core case management function that ensures care plans reflect the patient's current clinical status and are updated after significant events like hospitalizations.
The Vulnerable Elders Survey-13 (VES-13) is designed to identify which patient population?
Answer: Community-dwelling older adults at risk for functional decline or death over 2 years
VES-13 is a validated self-report tool that identifies community-dwelling older adults at elevated risk for functional decline and mortality within a two-year period.
A patient with schizophrenia repeatedly declines home health services. The case manager should first:
Answer: Assess the patient's decision-making capacity and explore barriers to acceptance
Before escalating, the case manager must assess whether the patient has decision-making capacity and understand the specific barriers driving the refusal to guide a patient-centered response.
Which clinical indicator would most appropriately trigger an immediate unplanned outreach call to a heart failure patient enrolled in a remote monitoring program?
Answer: Weight gain of 3 lbs in 24 hours with new-onset dyspnea
Rapid weight gain of 3 lbs in 24 hours combined with dyspnea is a hallmark sign of acute fluid retention and heart failure decompensation requiring immediate clinical response.
In risk management, 'failure mode and effects analysis' (FMEA) is best described as:
Answer: A proactive method to identify potential failure points in a process before harm occurs
FMEA is a proactive quality and safety tool that systematically identifies potential process failures and their effects before they cause patient harm.
When performing a pain assessment on a non-verbal dementia patient, which tool is most appropriate?
Answer: PAINAD (Pain Assessment in Advanced Dementia)
The PAINAD scale assesses pain in non-verbal patients with advanced dementia by observing breathing, vocalization, facial expression, body language, and consolability.