When choosing a community vendor to supply Durable Medical Equipment (DME) to a client, the most important factor is A-reliability, B-Proximity, C-Quality, D-Cost - Correct Answers: A-Reliability
When conducting a survey or program evaluation, the easiest way to quantify are A-Descriptive i...
,When choosing a community vendor to supply Durable Medical Equipment (DME) to a client, the most
important factor is A-reliability, B-Proximity, C-Quality, D-Cost - Correct Answers: A-Reliability
When conducting a survey or program evaluation, the easiest way to quantify are A-Descriptive
informational questions, B-yes-no questions; C-Multiple choice questions, D-Rating scale - Correct
Answers: B-yes no questions
The primary purpose of the Caseload Matrix is caseload calculations to A-Differentiate activities and
interventions; B-measure specific outcomes; C-determine accuracy of caseload calculations; D-identify
variables in various settings affecting caseloads - Correct Answers: D-identify variables in various settings
affecting caseloads
Using a 4 point Likert scale to assess clients with low self-care, a client with severe risk of failing to
adhere to medical regiments/treatments is classified as: A-Level 1; B-Level 2; C-Level 3; D-Level 4 -
Correct Answers: C-Level 3
A young adult in the emergency department for attempted suicide with three previous attempts should
be: A-referred to outpatient mental health services; B-treated and discharged to family; C-asked to sign
a no suicide contract before discharge; D-admitted to the hospital - Correct Answers: D-admitted to the
hospital
The 3 midnight rule for extended Medicare benefits applies to clients transferring to: A-skilled nursing
facilities; B-home health agency services; C-long-term care facilities for rehabilitation; d-assisted living
facilities - Correct Answers: A-skilled nursing facilities
The InterQual utilization management tool, which is used to determine if interventions are appropriate
and properly sequenced, is considered to be: A-a retrospective monitoring tool; B-clinical evidence
summaries; C-level of care criteria tools; D-care planning criteria tools - Correct Answers: D-care
planning criteria tools
Identifying the need for environmental modifications in a client's home is a role of the CCM under the
domain of: A-Outcomes evaluation/case closure; B-utilization management; C-vocation concepts &
strategies; D-clinical care management - Correct Answers: C-vocation concepts & strategies
,A set of expected behaviors and consequences related to a CCMs place in particular social structure,
such as an acute hospital is: A-process; B-role; C-activity; D-function - Correct Answers: B-role
Under the CMS Quality Framework for Home & Community Based Services, participant safeguards
include: A-licensure and certification of staff; B-right to make decisions; C-incident reporting; D-surveys
of outcomes - Correct Answers: C-incident reporting
The most significant challenge to community based CCMs is: A-The acutely ill; B-pediatric clients; C-
mothers and infants; D-the chronically ill - Correct Answers: D-the chronically ill
The primrary purpose of negotiation in CCM practice is to: A-control costs and provide medically
necessary services; B-avoid conflict and promote cooperation; C-educate participants; D-represent the
payor's interests - Correct Answers: A-control costs and provide medically necessary services
A requirement for participation in a pharmacy assistance program usually includes: A-prescription
insurance coverage or Medicare D; B-generic prescriptions only; C-U.S. residency; D-income of less than
200% of Federal poverty level - Correct Answers: D-income of less than 200% of Federal poverty level
Under InterQual's ISD criteria of severity of illness (SI) reflecting the need for acute hospitalization, onset
of symptoms within one week is categorized as: A-acute/sudden onset; B-recently or newly discovered;
C-recent onset; D-newly discovered. - Correct Answers: C-recent onset
With mandatory beneficiary ownership of capped rental durable medical equipment (DME) once
ownership has based to the beneficiary, Medicare will pay for: A-routine service & maintenance; B-only
repairs necessary to make DME serviceable; C-all routine service & repairs; D-no service or repairs. -
Correct Answers: B-only repairs necessary to make DME serviceable
If a client in an acute hospital has comorbidities of prostate cancer, Type I diabetes, hypertension and
pneumonia, the priority treatment is: A-prostate cancer; B-Type 1 diabetes; C-hypertension; D-
pneumonia - Correct Answers: D-pneumonia
Denial or non-certification of services may result from: A-extended hospitalization because of
postoperative myocardial infarction; B-extended hospitalization because PT is not available on
weekends; C-change in policy after services rendered; D-client's death - Correct Answers: B-extended
hospitalization because PT is not available on weekends
, The best place for a 47 year old male with an IQ of 68 who cannot live along is probably: A-group home;
B-skilled nursing facility; C-assisted living facility; D-mental health facility - Correct Answers: A-group
home
The average length of stay (LOS) in an acute hospital for a complete knee replacement is approximately:
A-3 days; B-4 days; C-7 days; D-10 days. - Correct Answers: B-4 days
If a client has outpatient surgery in the morning and stays overnight for extended observation, the client
become inpatient: A-At midnight; B-after 8 hours; C-when the physician order inpatient services; D-after
24 hours. - Correct Answers: C-when the physician orders inpatient services
A CCM is in the emergency department (ED) must consider national indicators for ED crowding such as:
A-need for follow up appointments; B-acute hospitalization; C-diversions; D-unsafe discharges - Correct
Answers: D-unsafe discharges
The CCM in the admitting department services essentially as: A-gatekeeper; B-negotiator; C-
communicator; D-supervisor - Correct Answers: A-gatekeeper
When a client is receiving occupational therapy in the home, documentation must include: A-costs; B-
client preference; C-realistic and measurable goals; D-indirect supervision of unlicensed staff. - Correct
Answers: C-realistic and measurable goals
The best initial method of ensuring correct medication dosage for a home client who wants to remain
independent but sometimes forgets to taker her morning medications or takes a double dose is: A-hiring
an aide to come in daily and give medications; B-providing an electronic alarmed medication delivery
device; C-placing the client in an assisted living facility; D-arranging for someone to telephone daily -
Correct Answers: B-providing an electronic alarmed medication delivery device;
The Older Americans Act provides: A-hospital services; B-pharmacy assistance; C-home and community
services; D-financial assistance to older adults - Correct Answers: C-home and community services
Initial symptom management of shortness of breath in a palliative care client usually includes: A-
elevating the head and using a fan aimed toward the person's face; B-corticosteroids; C-oxygen by nasal
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