Ethics, Advocacy, & Legal Issues 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 Ethics, Advocacy, & Legal Issues flashcards as text
A case manager discovers that a client's family member has been making financial decisions without the client's consent. Which legal concept is most relevant to this situation?
Answer: Elder financial abuse
Unauthorized financial decision-making by a family member constitutes elder financial abuse, a reportable legal violation.
Under HIPAA, which of the following is a permitted disclosure of protected health information WITHOUT patient authorization?
Answer: Reporting to public health authorities for disease surveillance
HIPAA permits disclosure to public health authorities for surveillance, investigation, and prevention of communicable diseases without patient authorization.
A client with moderate dementia refuses a recommended medication. The case manager should FIRST:
Answer: Assess the client's decision-making capacity
Assessing decision-making capacity is the first step before determining the appropriate course of action regarding a refusal.
The ethical principle of JUSTICE in case management is best demonstrated by:
Answer: Allocating scarce resources fairly and equitably across a client population
Justice requires fair and equitable distribution of resources and services across populations without discrimination.
A case manager is pressured by a supervisor to deny a medically necessary service to reduce costs. The MOST appropriate response is to:
Answer: Advocate for the client and escalate through proper channels
Case managers are ethically obligated to advocate for clients and use internal escalation channels when client rights are at risk.
Which document specifically designates another person to make healthcare decisions on a patient's behalf if the patient becomes incapacitated?
Answer: Durable power of attorney for healthcare
A durable power of attorney for healthcare (healthcare proxy) designates a specific individual to make medical decisions when the patient cannot.
A case manager who fails to report suspected child abuse in a state with mandatory reporting laws may face:
Answer: Civil and criminal liability
Failure to report suspected child abuse as a mandated reporter can result in both civil and criminal penalties under state law.