CERTIFIED BEHAVIORAL HEALTH CASE
MANAGER (CBHCM) PRACTICE EXAM
QUESTIONS WITH 100% VERIFIED
ANSWERS
Question 1: Primary Role of a Behavioral Health Case Manager
Which of the following best describes the primary role of a behavioral
health case manager?
A. Providing long-term psychotherapy
B. Coordinating services and resources to support client recovery
C. Diagnosing mental health disorders
D. Prescribing psychiatric medications
Correct Answer: B. Coordinating services and resources to support
client recovery
Rationale: The primary function of a behavioral health case manager is
to coordinate care, connect clients with appropriate resources, and
ensure continuity of services across systems to support recovery and
wellness . This distinguishes case management from direct clinical
treatment roles:
• Option A (Psychotherapy) is incorrect because providing long-
term therapy is the role of a licensed therapist or counselor, not a
case manager .
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• Option C (Diagnosing) is incorrect because diagnosing mental
health disorders requires specific clinical licensure (e.g.,
psychologist, psychiatrist) beyond the case manager scope .
• Option D (Prescribing) is incorrect because only qualified medical
professionals (psychiatrists, nurse practitioners) with prescriptive
authority can prescribe medications .
Question 2: Confidentiality and Release of Information
When can you share information about a client with a third party
WITHOUT a valid release of information on file?
A. When the third party is a family member requesting an update
B. When the client verbally agrees during a phone call
C. Never; information can only be released when a valid release is on file
D. When sharing with another agency within the same building
Correct Answer: C. Never; information can only be released when a
valid release is on file
Rationale: HIPAA and behavioral health confidentiality standards strictly
protect client information . Written consent through a valid Release of
Information (ROI) is required before sharing any protected health
information with third parties . The only exceptions are legally mandated
situations such as suspected child abuse, imminent threat of harm to
self or others, or court orders . Verbal consent is insufficient, and family
relationships do not override confidentiality requirements .
Question 3: Initial Response to Domestic Violence Disclosure
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Your client has just revealed that she has been in an abusive
relationship for two years and doesn't know how to safely leave.
What would be an appropriate response as a case manager?
A. Immediately call law enforcement
B. Tell her she must leave the relationship today
C. Engage the client in developing a safety plan
D. Refer her to couples counseling
Correct Answer: C. Engage the client in developing a safety plan
Rationale: When a client discloses domestic violence, the case
manager's priority is to support client safety while respecting autonomy .
Developing a safety plan collaboratively empowers the client to identify
safe options, emergency contacts, and escape strategies tailored to their
specific situation . This approach is client-centered and recognizes that
leaving an abusive relationship is a complex process . Calling law
enforcement without client consent (Option A) could increase danger,
demanding an immediate exit (Option B) disregards client self-
determination, and couples counseling (Option D) is contraindicated in
abusive relationships.
Question 4: Case Management Process Sequence
Which of the following represents the correct sequence of the case
management process?
A. Treatment, assessment, evaluation, planning
B. Assessment, planning, implementation, evaluation
C. Diagnosis, treatment, follow-up, discharge
D. Referral, assessment, treatment, discharge
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Correct Answer: B. Assessment, planning, implementation,
evaluation
Rationale: The standardized case management process follows a
logical, sequential flow :
1. Assessment: Comprehensive gathering of client information,
needs, strengths, and resources
2. Planning: Developing a service plan with measurable goals based
on assessment findings
3. Implementation (or Linking): Coordinating and connecting clients
to identified services and supports
4. Evaluation (or Monitoring): Ongoing review of progress and
adjustment of the plan as needed
This sequence ensures that interventions are based on thorough
understanding, planned systematically, and continuously evaluated for
effectiveness.
ASSESSMENT & INTAKE (Questions 5-16)
5. What is the PRIMARY purpose of the intake process?
A. Provide initial therapy
B. Collect demographic and clinical information
C. Assign medications
D. Enforce compliance
Correct Answer: B. Collect demographic and clinical information
Rationale: The intake process serves to gather essential baseline
information about the client, including demographics, presenting
problems, and preliminary clinical data . This information forms the
foundation for subsequent assessment and service planning. It is distinct