CCM exam secrets practice Test Bank Exam 2026-
2027\NEWEST EXAM | ALL QUESTIONS AND CORRECT
ANSWERS WITH EXPLANATIONS | GRADED A+ | VERIFIED
ANSWERS | JUST RELEASED
Which of the following is a major component of essential knowledge for
case manager?
A. Healthcare reimbursement.
B. Moral character.
C. Independent practice principles.
D. Statistical analysis.
A. Healthcare reimbursement is one of the major categories of knowledge
necessary for a case manager, because there are many different
reimbursement mechanisms available, depending upon the patients
particular situation.
,The primary role of the case manager is to act as a:
A. Patient advocate.
B. Disease manager.
C. Utilization reviewer
D. Care plan creator
A. Patient advocate is the best answer. Advocacy is essential to a case
managers daily practice. A case manager acts on behalf of clients who
may not be able to speak for themselves or who are not knowledgeable
about healthcare. Above
all, the case manager should always have the clients best interest in mind.
Which model of healthcare decision-making best demonstrates the
principle of beneficence?
A. Patient sovereignty.
B. Paternalism
C. Shared decision-making.
D. Maternalism
B. A relationship between healthcare practitioners and patients is
paternalistic and beneficial. This means that people trust the practitioner
to do what is in the
best medical interest of the patient. Paternalism is justified in that
patient usually don't comprehend medical concepts well enough to
make the correct decision about their care. In the patient sovereignty
model, the patient is open. "boss." In this case, one could argue that the
patient knows better than anyone else what is in his best interest.
Shared decision making means the healthcare team and the patient
work together.
,According to the standards of practice for case managers, there are four key
functions of a case manager. Which of the following is not one of the key
functions?
A. Planner
B. Assessor.
See. Litigator.
D. Advocate.
C. The four key functions of the case manager are planner, assessor, facilitator,
and advocate. A case manager must assess a situation to identify problems that
need case management. The case manager must also planned long and short
term goals, and collaboration with the client, the clients family, and with other
healthcare professionals. Facilitation includes coordinating and implementing the
care plan, maintaining communication, and expediting care. As an advocate, the
case manager, ensure that the clients needs are identified and addressed.
Nursing case management that is "within the walls" refers to which setting?
A. Outpatient setting.
B. Community clinic setting.
See. Health maintenance organization (HMO).
D. Acute hospital setting
D. The term "within the walls" (WTW) refers to activities within the acute
hospital environment. This is distinct from "beyond the walls" (BTW),
which refers to case management in outpatient and community
settings.
, A terminally ill. Client is exhausting, all financial resources to pay medical
cost.
The case manager has suggested obtaining cash value on his life
insurance policy prior to death. This process is known as a:
a. Nontraditional policy.
B. Supplementary policy
C. Viatical settlement.
D. Gatekeeping.
C. This scenario describes the process known as viatical settlement,
whereby a patient can obtain a cash value from a life insurance policy
prior to death. Answers a, B, and D are irrelevant to the situation.
A relationship, whereby a case manager act in a client best interest
based on trust is known as:
A. Fiduciary.
B. Ex parte.
C tort
D. Due diligence.
A. A case manager establishes a relationship with a client to advocate for
his best interest. This makes the case manager a fiduciary. The term ex
parte refers to
illegal, proceeding or a legal order. A tort, on the other hand, refers to a
wrongful act performed will it fully. When a person investigates a business
or
personal relationship prior to signing a contract, he is performing due
diligence.
2027\NEWEST EXAM | ALL QUESTIONS AND CORRECT
ANSWERS WITH EXPLANATIONS | GRADED A+ | VERIFIED
ANSWERS | JUST RELEASED
Which of the following is a major component of essential knowledge for
case manager?
A. Healthcare reimbursement.
B. Moral character.
C. Independent practice principles.
D. Statistical analysis.
A. Healthcare reimbursement is one of the major categories of knowledge
necessary for a case manager, because there are many different
reimbursement mechanisms available, depending upon the patients
particular situation.
,The primary role of the case manager is to act as a:
A. Patient advocate.
B. Disease manager.
C. Utilization reviewer
D. Care plan creator
A. Patient advocate is the best answer. Advocacy is essential to a case
managers daily practice. A case manager acts on behalf of clients who
may not be able to speak for themselves or who are not knowledgeable
about healthcare. Above
all, the case manager should always have the clients best interest in mind.
Which model of healthcare decision-making best demonstrates the
principle of beneficence?
A. Patient sovereignty.
B. Paternalism
C. Shared decision-making.
D. Maternalism
B. A relationship between healthcare practitioners and patients is
paternalistic and beneficial. This means that people trust the practitioner
to do what is in the
best medical interest of the patient. Paternalism is justified in that
patient usually don't comprehend medical concepts well enough to
make the correct decision about their care. In the patient sovereignty
model, the patient is open. "boss." In this case, one could argue that the
patient knows better than anyone else what is in his best interest.
Shared decision making means the healthcare team and the patient
work together.
,According to the standards of practice for case managers, there are four key
functions of a case manager. Which of the following is not one of the key
functions?
A. Planner
B. Assessor.
See. Litigator.
D. Advocate.
C. The four key functions of the case manager are planner, assessor, facilitator,
and advocate. A case manager must assess a situation to identify problems that
need case management. The case manager must also planned long and short
term goals, and collaboration with the client, the clients family, and with other
healthcare professionals. Facilitation includes coordinating and implementing the
care plan, maintaining communication, and expediting care. As an advocate, the
case manager, ensure that the clients needs are identified and addressed.
Nursing case management that is "within the walls" refers to which setting?
A. Outpatient setting.
B. Community clinic setting.
See. Health maintenance organization (HMO).
D. Acute hospital setting
D. The term "within the walls" (WTW) refers to activities within the acute
hospital environment. This is distinct from "beyond the walls" (BTW),
which refers to case management in outpatient and community
settings.
, A terminally ill. Client is exhausting, all financial resources to pay medical
cost.
The case manager has suggested obtaining cash value on his life
insurance policy prior to death. This process is known as a:
a. Nontraditional policy.
B. Supplementary policy
C. Viatical settlement.
D. Gatekeeping.
C. This scenario describes the process known as viatical settlement,
whereby a patient can obtain a cash value from a life insurance policy
prior to death. Answers a, B, and D are irrelevant to the situation.
A relationship, whereby a case manager act in a client best interest
based on trust is known as:
A. Fiduciary.
B. Ex parte.
C tort
D. Due diligence.
A. A case manager establishes a relationship with a client to advocate for
his best interest. This makes the case manager a fiduciary. The term ex
parte refers to
illegal, proceeding or a legal order. A tort, on the other hand, refers to a
wrongful act performed will it fully. When a person investigates a business
or
personal relationship prior to signing a contract, he is performing due
diligence.
