81. A case manager is developing a plan for a client without an established support system, who is being discharged home from a skilled nursing facility, following a stroke. The knowledge area that will best assist the case manager during this phase of the case management process is:
A) cost-benefit analysis.
B) insurance principles.
C) community resources and support programs.
D) psychosocial aspects of chronic illness and disability.
Ans: C
82. It is important for the case manager to be aware of Medicare's definition of part-time or intermittent, when recommending ongoing services. Combined skilled nursing and home health aide services cannot total more than ____ hours per week.
A) 20
B) 24
C) 28
D) 30
Ans: C
83. A case manager is working with a client diagnosed with terminal metastatic cancer and in need of money to pay for medical care and living expenses. Selling a life insurance policy at 50-80% of its face value is:
A) not a viable option.
B) called a viatical settlement.
C) an option frequently recommended by case managers.
D) not ethical.
Ans: B
84. Best practices are predicted to do all the following EXCEPT:
A) Improve clinical outcomes
B) Increase health care costs
C) Enhance administrative efficiency
D) Increase patient satisfaction
Ans: B
85. Demand management, which provides risk appraisals, telephone health information services, and prevention and wellness initiatives, involves:
A) a health professional contacting the client at prespecified intervals.
B) the client calling an independent call center, a center set up by the health plan, or a number made available by the provider.
C) the client initiating a call for emergency needs when the case manager is unavailable.
D) None of the above
Ans: B
86. Upon meeting your client, a 40-year-old Asian woman, you note that throughout the assessment process she avoids eye contact. Your study of various cultural practices helps you understand that the behavior in this case is related to:
A) embarrassment about her health problem.
B) passivity.
C) language barrier.
D) a sign of deference.
Ans: D
89. The root cause of problems such as malnutrition, social isolation, alcohol abuse, and not adhering to treatment in the elderly population, is most frequently associated with:
A) dementia.
B) Alzheimer's disease.
C) depression.
D) endocrine imbalance.
Ans: C
90. The Glasgow Outcome Scale was commonly used prior to the development of the Rancho Los Amigos levels. Which of its five levels describes the stage where the client is able to follow commands but requires assistance for activities of daily living?
A) Gross disability
B) Severe disability
C) Moderate disability
D) Mild disability
Ans: B
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A) cost-benefit analysis.
B) insurance principles.
C) community resources and support programs.
D) psychosocial aspects of chronic illness and disability.
Ans: C
82. It is important for the case manager to be aware of Medicare's definition of part-time or intermittent, when recommending ongoing services. Combined skilled nursing and home health aide services cannot total more than ____ hours per week.
A) 20
B) 24
C) 28
D) 30
Ans: C
83. A case manager is working with a client diagnosed with terminal metastatic cancer and in need of money to pay for medical care and living expenses. Selling a life insurance policy at 50-80% of its face value is:
A) not a viable option.
B) called a viatical settlement.
C) an option frequently recommended by case managers.
D) not ethical.
Ans: B
84. Best practices are predicted to do all the following EXCEPT:
A) Improve clinical outcomes
B) Increase health care costs
C) Enhance administrative efficiency
D) Increase patient satisfaction
Ans: B
85. Demand management, which provides risk appraisals, telephone health information services, and prevention and wellness initiatives, involves:
A) a health professional contacting the client at prespecified intervals.
B) the client calling an independent call center, a center set up by the health plan, or a number made available by the provider.
C) the client initiating a call for emergency needs when the case manager is unavailable.
D) None of the above
Ans: B
86. Upon meeting your client, a 40-year-old Asian woman, you note that throughout the assessment process she avoids eye contact. Your study of various cultural practices helps you understand that the behavior in this case is related to:
A) embarrassment about her health problem.
B) passivity.
C) language barrier.
D) a sign of deference.
Ans: D
89. The root cause of problems such as malnutrition, social isolation, alcohol abuse, and not adhering to treatment in the elderly population, is most frequently associated with:
A) dementia.
B) Alzheimer's disease.
C) depression.
D) endocrine imbalance.
Ans: C
90. The Glasgow Outcome Scale was commonly used prior to the development of the Rancho Los Amigos levels. Which of its five levels describes the stage where the client is able to follow commands but requires assistance for activities of daily living?
A) Gross disability
B) Severe disability
C) Moderate disability
D) Mild disability
Ans: B
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