Af32-year-oldfsinglefmotherfoffaf4-year-
oldfchildfisfbeingfdischargedfafterfafhysterectomyfforfcervicalfcancer.fShefstatesfshefisfveryfdepressedfbe
causefshefhasflostfherfjob,fcannotffeedfherffamily,fandfwillfsoonfbefhomeless.fWhichfreferralfisfmostfappr
opriate?
A. Foodfbank
B. Homelessfshelter
C. Socialfworker
D. Mentalfhealthfclinicf-f✔◻✔◻C.fSocialfworker
Af67-year-
oldfterminallyfillfpatientfwishesftofreceivefcomfortfcarefmeasuresfinfhisfhome.fThefpatient'sfphysicianfreco
mmendsfplacementfinfafhospiceffacilityfsofthatfMedicarefwillfcoverfthefcostfoffhospicefcare.fWhichfofftheff
ollowingfstatementsfmostfaccuratelyfdescribesfthefMedicarefhospicefbenefit?
A. ThefMedicarefhospicefbenefitfappliesftofpatientsfwhofhavefaflifefexpectancyfoff12fmonthsforfless.
B. ThefMedicarefhospicefneedfitfdoesfnotfcoverfthefcostfoffmedicationsfusedftoftreatfsymptomsfoffter
minalfillness
C. ThefMedicarefhospicefbenefitfcoversfthefcostfoffhospicefservicesfinfmultiplefsettings,fincludingfthefpa
tient'sfhome
D. ServicesfprovidedfunderfthefMedicarefhospicefbenefitfvaryffromfstateftofstate.f-
f✔◻✔◻C.fThefMedicarefhospicefbenefitfcoversfthefcostfoffhospicefservicesfinfmultiplefsettings,fincludingf
thefpatient'sfhome
Af76-year-
oldffemalefwithflungfcancerfwasfplacedfonfhospicefcarefbyfherfphysicianf6fmonthsfearlierf(twof90-
dayfperiods),fbutfshefisfstillfalive.fHerffamilyfasksfthefcasefmanagerfiffthefpatientfwillfbefremovedffromfhos
picefcare.fThefbestfresponsefis:
A. "Shefwillfbefremovedffromfhospicefcarefuntilfherfconditionfworsensfbecausefshefhasfexceededfthef6-
fmonthfperiod."
B. "Shefhasfexhaustedfallfoffherfhospicefcarefbenefitsfandfwillfbefremovedffromfhospicefcare."
C. "Shefcanfcontinuefwithfhospicefcarefasflongfasfthefphysicianfauthorizesfthefcarefeveryf60fdays."
,D. "Shefcanfcontinuefwithfhospicefcarefiffthefphysicianfcontinuesftofauthoredfcarefeveryf90fdays."f-f✔◻
✔◻C.f"Shefcanfcontinuefwithfhospicefcarefasflongfasfthefphysicianfauthorizesfthefcarefeveryf60fdays."
Afcaregiverfisfkeepingfafclientfwithfdementiafsedatedftofthefpointfthatftheyfsleepfmostfoffthefday.fThisfis:
A. Neglect
B. PhysicalfAbuse
C. PsychologicalfAbuse
D. Anfacceptablefsafetyfmeasuref-f✔◻✔◻B.fPhysicalfAbuse
Afcasefmanagerfisfcaringfforfafclientfwithfafchronicfillness.fThefhealthcarefteamfstronglyfrecommendsftreat
mentfbutfthefpatientfandffamilyfopposefit.fWhichfisfthefmostfappropriatefstepftoftakefnext?
A. Arrangefforfafsecondfopinion
B. Carefullyfreviewfoptionsfwithfthefpatientftofensurefcompletefunderstanding
C. Consultfthefhospitalfethicsfcommittee
D. Transferfthefpatient'sfcareftofanotherfhospitalf-
f✔◻✔◻B.fCarefullyfreviewfoptionsfwithfthefpatientftofensurefcompletefunderstanding
AfcasefmanagerfisfpartfoffafteamfoffphysiciansfwhofassumefcarefforfthefPCPfwhenfpatientsfarefadmittedftoft
hefhospital.fThisfisfknownfasfa:
A. Skilledfnursingffacility
B. Entrepreneurialfsetting
C. Hospitalistfteam
DfHospicefsettingf-f✔◻✔◻C.fHospitalistfteam
Afcasefmanagerfknowinglyfrefersfafpatientftofafproviderfwhofisfunqualifiedftofrenderfservicesftofthefpatient
.fThisfisfknownfas:
A. Temporaryfreferral
B. Dualfrelationship
C. Referralfbyfclientfconsent
D. Negligentfreferralf-f✔◻✔◻D.fNegligentfreferral
,Afcasefmanagerfwhofmainlyffocusesfonfvocational/freturnftofworkfactivitiesfworksfinfwhatfareafoffcasefma
nagement?
A. Universityfclinics
B. Healthcarefcenters
C. Acutefrehabilitation
D. Workers'fcompensationf-f✔◻✔◻D.fWorkers'fcompensation
Afclientfisfmedicallyfstablefbutfneedsfintermittentfnursingfinterventionftofmaintainfstability.fThefpatientfals
ofneedsfintermittentfsubcutaneousfinjections,froutinefnonfsterilefsuctioning,fandfafstablefrespiratoryfthera
pyfplan.fWhatflevelfoffcarefisfthisfpatientfreceiving?
A. Assistedfliving
B. Custodialfcare
C. Intermediatefcare
D. Skilledfnursingf-f✔◻✔◻C.fIntermediatefcare
Afclientfwhofisfableftofeffectivelyfcommunicatefandfassertfhisfownfinterests,fdesires,fandfneedsfandfisfinvol
vedfinfinformedfdecisionfmakingfisfdemonstrating:
A. Self-advocacy
B. Informedfconsent
C. Benevolence
D. Healthfliteracyf-f✔◻✔◻A.fSelf-advocacy
Afcomprehensivefsetfoffactivitiesfthatfaimsftofidentify,fevaluate,fandftakefcorrectivefactionfagainstfactualfo
rfpotentialfrisksfthatfmayfleadftofclientforfstafffinjuryfandfresultfinfactualforfpotentialffinancialforfclinicalflossfi
sfknownfas:
A. RiskfManagement
B. RootfCausefAnalysis
C. RiskfStratification
D. RiskfMitigationf-f✔◻✔◻A.fRiskfManagement
, Afconstructionfworkerfwhosefhandfwasfbrokenfonfthefjobfisfbeingfevaluatedfbyfafcasefmanager.fThefcasefm
anagerfisfassessingfthefclient'sfabilityftofholdftoolsfandfcarryfvariousfobjectsfoffvariousfweights.fWhichfevalu
ationfisfbeingfperformedfbyfthefcasefmanager?
A. Painftolerancefevaluation
B. Functionalfcapacityfevaluation
C. Disabilityfevaluation
D. Evaluationfbyfclientfinterviewf-
✔◻✔◻B.fFunctionalfcapacityfevaluationfAfcopaymentfisfaf:
f
A. Specificfamountfpaidfatftheftimefoffthefservicefforfspecifiedfservices
B. Yourfmonthlyfpremium
C. Thefamountfoffthefpremiumfpaidfafterfyourfemployerfcontributes
D. Thefamountfyoufmustfpayfbeforefyourfinsurancefbeginsfpayingf-
f✔◻✔◻A.fSpecificfamountfpaidfatftheftimefoffthefservicefforfspecifiedfservices
AfCost-BenefitfAnalysis:
A. Formallyfdocumentsfmonetaryfsavingsfrelatedftofcasefmanagementfinvolvement.
B. Documentsfthefproviderfagreementfbyfthefmanagedfcareforganization.
C. Explainsfthefcostfoffcarefaccordingftoftheftypefoffinsurancefthefpatientfhas.
D. Isfthefamountfoffmoneyfthatfcanfbefclaimedfbyfthefproviderfafterftaxesfareftakenfout.f-
f✔◻✔◻A.fFormallyfdocumentsfmonetaryfsavingsfrelatedftofcasefmanagementfinvolvement.
Afdisabilityfthatfisfcausedfbyfeitherfafwork-
relatedfinjuryforfoccupationalfillnessfresultingfinfsomefformfoffpermanentfimpairmentfthatfmakesfafworke
rfunableftofperformfatftheirffullfcapacityfis:
A. PermanentfPartialfDisabilityfBenefit
B. PermanentfPartialfDisabilityf(PPD)
C. PermanentfTotalfDisability
D. PhysicalfDisabilityf-f✔◻✔◻B.fPermanentfPartialfDisabilityf(PPD)
Afhealthfcoachfisfworkingfwithfafclientfonfweightfloss.fWhatfisfthefmostfimportantfthingfthefhealthfcoachfsh
ouldfdofwhenfsettingfgoals?
A. Setfsmall,fachievablefgoalsfforfthefclient
oldfchildfisfbeingfdischargedfafterfafhysterectomyfforfcervicalfcancer.fShefstatesfshefisfveryfdepressedfbe
causefshefhasflostfherfjob,fcannotffeedfherffamily,fandfwillfsoonfbefhomeless.fWhichfreferralfisfmostfappr
opriate?
A. Foodfbank
B. Homelessfshelter
C. Socialfworker
D. Mentalfhealthfclinicf-f✔◻✔◻C.fSocialfworker
Af67-year-
oldfterminallyfillfpatientfwishesftofreceivefcomfortfcarefmeasuresfinfhisfhome.fThefpatient'sfphysicianfreco
mmendsfplacementfinfafhospiceffacilityfsofthatfMedicarefwillfcoverfthefcostfoffhospicefcare.fWhichfofftheff
ollowingfstatementsfmostfaccuratelyfdescribesfthefMedicarefhospicefbenefit?
A. ThefMedicarefhospicefbenefitfappliesftofpatientsfwhofhavefaflifefexpectancyfoff12fmonthsforfless.
B. ThefMedicarefhospicefneedfitfdoesfnotfcoverfthefcostfoffmedicationsfusedftoftreatfsymptomsfoffter
minalfillness
C. ThefMedicarefhospicefbenefitfcoversfthefcostfoffhospicefservicesfinfmultiplefsettings,fincludingfthefpa
tient'sfhome
D. ServicesfprovidedfunderfthefMedicarefhospicefbenefitfvaryffromfstateftofstate.f-
f✔◻✔◻C.fThefMedicarefhospicefbenefitfcoversfthefcostfoffhospicefservicesfinfmultiplefsettings,fincludingf
thefpatient'sfhome
Af76-year-
oldffemalefwithflungfcancerfwasfplacedfonfhospicefcarefbyfherfphysicianf6fmonthsfearlierf(twof90-
dayfperiods),fbutfshefisfstillfalive.fHerffamilyfasksfthefcasefmanagerfiffthefpatientfwillfbefremovedffromfhos
picefcare.fThefbestfresponsefis:
A. "Shefwillfbefremovedffromfhospicefcarefuntilfherfconditionfworsensfbecausefshefhasfexceededfthef6-
fmonthfperiod."
B. "Shefhasfexhaustedfallfoffherfhospicefcarefbenefitsfandfwillfbefremovedffromfhospicefcare."
C. "Shefcanfcontinuefwithfhospicefcarefasflongfasfthefphysicianfauthorizesfthefcarefeveryf60fdays."
,D. "Shefcanfcontinuefwithfhospicefcarefiffthefphysicianfcontinuesftofauthoredfcarefeveryf90fdays."f-f✔◻
✔◻C.f"Shefcanfcontinuefwithfhospicefcarefasflongfasfthefphysicianfauthorizesfthefcarefeveryf60fdays."
Afcaregiverfisfkeepingfafclientfwithfdementiafsedatedftofthefpointfthatftheyfsleepfmostfoffthefday.fThisfis:
A. Neglect
B. PhysicalfAbuse
C. PsychologicalfAbuse
D. Anfacceptablefsafetyfmeasuref-f✔◻✔◻B.fPhysicalfAbuse
Afcasefmanagerfisfcaringfforfafclientfwithfafchronicfillness.fThefhealthcarefteamfstronglyfrecommendsftreat
mentfbutfthefpatientfandffamilyfopposefit.fWhichfisfthefmostfappropriatefstepftoftakefnext?
A. Arrangefforfafsecondfopinion
B. Carefullyfreviewfoptionsfwithfthefpatientftofensurefcompletefunderstanding
C. Consultfthefhospitalfethicsfcommittee
D. Transferfthefpatient'sfcareftofanotherfhospitalf-
f✔◻✔◻B.fCarefullyfreviewfoptionsfwithfthefpatientftofensurefcompletefunderstanding
AfcasefmanagerfisfpartfoffafteamfoffphysiciansfwhofassumefcarefforfthefPCPfwhenfpatientsfarefadmittedftoft
hefhospital.fThisfisfknownfasfa:
A. Skilledfnursingffacility
B. Entrepreneurialfsetting
C. Hospitalistfteam
DfHospicefsettingf-f✔◻✔◻C.fHospitalistfteam
Afcasefmanagerfknowinglyfrefersfafpatientftofafproviderfwhofisfunqualifiedftofrenderfservicesftofthefpatient
.fThisfisfknownfas:
A. Temporaryfreferral
B. Dualfrelationship
C. Referralfbyfclientfconsent
D. Negligentfreferralf-f✔◻✔◻D.fNegligentfreferral
,Afcasefmanagerfwhofmainlyffocusesfonfvocational/freturnftofworkfactivitiesfworksfinfwhatfareafoffcasefma
nagement?
A. Universityfclinics
B. Healthcarefcenters
C. Acutefrehabilitation
D. Workers'fcompensationf-f✔◻✔◻D.fWorkers'fcompensation
Afclientfisfmedicallyfstablefbutfneedsfintermittentfnursingfinterventionftofmaintainfstability.fThefpatientfals
ofneedsfintermittentfsubcutaneousfinjections,froutinefnonfsterilefsuctioning,fandfafstablefrespiratoryfthera
pyfplan.fWhatflevelfoffcarefisfthisfpatientfreceiving?
A. Assistedfliving
B. Custodialfcare
C. Intermediatefcare
D. Skilledfnursingf-f✔◻✔◻C.fIntermediatefcare
Afclientfwhofisfableftofeffectivelyfcommunicatefandfassertfhisfownfinterests,fdesires,fandfneedsfandfisfinvol
vedfinfinformedfdecisionfmakingfisfdemonstrating:
A. Self-advocacy
B. Informedfconsent
C. Benevolence
D. Healthfliteracyf-f✔◻✔◻A.fSelf-advocacy
Afcomprehensivefsetfoffactivitiesfthatfaimsftofidentify,fevaluate,fandftakefcorrectivefactionfagainstfactualfo
rfpotentialfrisksfthatfmayfleadftofclientforfstafffinjuryfandfresultfinfactualforfpotentialffinancialforfclinicalflossfi
sfknownfas:
A. RiskfManagement
B. RootfCausefAnalysis
C. RiskfStratification
D. RiskfMitigationf-f✔◻✔◻A.fRiskfManagement
, Afconstructionfworkerfwhosefhandfwasfbrokenfonfthefjobfisfbeingfevaluatedfbyfafcasefmanager.fThefcasefm
anagerfisfassessingfthefclient'sfabilityftofholdftoolsfandfcarryfvariousfobjectsfoffvariousfweights.fWhichfevalu
ationfisfbeingfperformedfbyfthefcasefmanager?
A. Painftolerancefevaluation
B. Functionalfcapacityfevaluation
C. Disabilityfevaluation
D. Evaluationfbyfclientfinterviewf-
✔◻✔◻B.fFunctionalfcapacityfevaluationfAfcopaymentfisfaf:
f
A. Specificfamountfpaidfatftheftimefoffthefservicefforfspecifiedfservices
B. Yourfmonthlyfpremium
C. Thefamountfoffthefpremiumfpaidfafterfyourfemployerfcontributes
D. Thefamountfyoufmustfpayfbeforefyourfinsurancefbeginsfpayingf-
f✔◻✔◻A.fSpecificfamountfpaidfatftheftimefoffthefservicefforfspecifiedfservices
AfCost-BenefitfAnalysis:
A. Formallyfdocumentsfmonetaryfsavingsfrelatedftofcasefmanagementfinvolvement.
B. Documentsfthefproviderfagreementfbyfthefmanagedfcareforganization.
C. Explainsfthefcostfoffcarefaccordingftoftheftypefoffinsurancefthefpatientfhas.
D. Isfthefamountfoffmoneyfthatfcanfbefclaimedfbyfthefproviderfafterftaxesfareftakenfout.f-
f✔◻✔◻A.fFormallyfdocumentsfmonetaryfsavingsfrelatedftofcasefmanagementfinvolvement.
Afdisabilityfthatfisfcausedfbyfeitherfafwork-
relatedfinjuryforfoccupationalfillnessfresultingfinfsomefformfoffpermanentfimpairmentfthatfmakesfafworke
rfunableftofperformfatftheirffullfcapacityfis:
A. PermanentfPartialfDisabilityfBenefit
B. PermanentfPartialfDisabilityf(PPD)
C. PermanentfTotalfDisability
D. PhysicalfDisabilityf-f✔◻✔◻B.fPermanentfPartialfDisabilityf(PPD)
Afhealthfcoachfisfworkingfwithfafclientfonfweightfloss.fWhatfisfthefmostfimportantfthingfthefhealthfcoachfsh
ouldfdofwhenfsettingfgoals?
A. Setfsmall,fachievablefgoalsfforfthefclient
