×

Quiz Session - Attempts With Random Questions

CCMC CCM Exam Questions

Page 6 of 25

101.

In general, when determining which plan is primary, when does Medicaid pay?

  • Medicaid always pays last 

  • Medicaid always pays first

  • Medicaid sometimes pays first

  • Medicaid reimbursement varies by state

Correct answer: Medicaid always pays last 

Coordinating care often amounts to determining who pays first. In determining who is the primary payer, it is important to remember that Medicaid always pays last.

This does not vary by jurisdiction.

102.

Which of the following is the most accurate description of "ethnocentrism"?

  • The belief that one's own ethnic or cultural group is superior to others

  • The idea that one's own ethnic or cultural group is inferior to others

  • The idea that a certain culture should rule others 

  • The idea that a certain ethnic group should rule others 

Correct answer: The belief that one's own ethnic or cultural group is superior to others 

Ethnocentrism refers to the belief that one's own ethnic or cultural group is superior to others. When present, it poses difficulties in providing culturally relevant care. 

The idea that a certain culture or ethnic group should rule over others is not necessarily ethnocentric and does not meet the full definition of the term.

103.

Which of the following is the best definition of group dynamics?

  • The manner in which group members relate to each other

  • The manner in which group members enter a group

  • The manner in which group members differ from the group

  • The manner in which individuals become group members

Correct answer: The manner in which group members relate to each other

Group dynamics refers to the manner in which members of a given group relate to each other. These include such things as norms, roles, and conformity, among others.

Group dynamics does not specifically refer to the way in which group members enter a group, differ from the group, or become group members. 

104.

Which of the following is not measured by the Mini-Mental Status Exam?

  • Delusions

  • Recall

  • Orientation

  • Attention

Correct answer: Delusions

The Mini-Mental Status Exam is an assessment designed to measure one's immediate state of cognitive ability relative to possible impairment. It consists of items that assess such things as recall, orientation, and attention.

The Mini-Mental Status Exam does not address delusions. 

105.

When is the best time to do documentation? 

  • Immediately after a patient encounter

  • While the patient is present

  • Once during the week for all patients

  • Once during the day for all patients

Correct answer: Immediately after a patient encounter 

The best time to perform clinical documentation is immediately after a patient encounter. This is the time when thoughts and recall about the encounter are freshest and most available.

One should not perform documentation while the patient is present, if only because it takes attention from the patient. Nor should documentation be done once for all patients at certain intervals, as in the intervening time between encounter and documentation important data might be forgotten.

106.

Which of the following is untrue about mediation?

  • It is an involuntary process 

  • It is a voluntary process 

  • A third party is involved 

  • It is an informal process 

Correct answer: It is an involuntary process 

Mediation is a conflict resolution strategy in which the parties engage in an informal, voluntary process overseen by a third party (the mediator). The intention is to reach a mutually acceptable agreement.

107.

Which of the following does EMTALA stand for?

  • The Emergency Medical Treatment and Labor Act

  • The Emergency Mandation of Treatment and Liability Act

  • The Emergency Medical Treatment and Liability Act

  • The Emergency Mandation of Treatment and Labor Act

Correct answer: The Emergency Medical Treatment and Labor Act

The Emergency Medical Treatment and Labor Act (EMTALA) of 1986 is a law mandating emergency care for individuals regardless of ability to pay, as well as the stabilization of patients or transfer of patients to a place where they can be stabilized. It ensures that hospitals and other emergency facilities cannot turn emergency patients away for financial reasons.

108.

Does HIPAA cover the personal notes of care providers? 

  • Yes

  • No, under no circumstances

  • Yes, if a court order is presented

  • No, unless it is related to a fatality

Correct answer: Yes

According to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), most documentation of a patient's care is liable to the provisions of the law, including personal notes.

It is not a matter of court order or case fatality, but rather an overarching provision of federal law.

109.

Is there a relationship between accreditation status and clinical outcomes?

  • Yes, accreditation is linked with better clinical outcomes

  • No, accreditation is not clearly linked with better clinical outcomes

  • No, accreditation is more clearly linked with client perception

  • No, accreditation is more clearly linked with timeliness of reimbursement 

Correct answer: Yes, accreditation is linked with better clinical outcomes

Accreditation can be a lengthy process for healthcare organizations, but is generally considered worth the trouble. Not only does public opinion tend to favor organizations that have successfully gone through the process, accreditation is clearly linked with better clinical outcomes. 

Accreditation is not more clearly linked with client perception or timeliness of reimbursement than it is with better clinical outcomes.

110.

Is state of residency relevant to the Nursing Licensure Compact (NLC)?

  • Yes, a nurse must be licensed in their state of residence

  • No, the NLC supersedes residency requirements

  • Yes, a nurse must be licensed in the state where they practice

  • No, the NLC does not address residency requirement

Correct answer: Yes, a nurse must be licensed in their state of residence 

The Nursing Licensure Compact (NLC) allows a nurse to practice in states in which they do not have a license, provided they have a valid nursing license in good standing in the state in which they reside. 

The NLC does not supersede residency requirements. The purpose of the NLC is to allow nurses to practice in states where they do not hold a license.

111.

Which of the following would be the best definition of autonomy?

  • The right of people to act on their own behalf

  • Treating equals equally

  • Telling the truth

  • Loyalty and dedication to clients

Correct answer: The right of people to act on their own behalf

Autonomy refers to the right of people to act on their own behalf. 

Treating equals equally describes the ethical value of justice. Telling the truth refers to the ethical value of veracity. Fidelity refers to the ethical value of loyalty and dedication to clients.

112.

Who is responsible for completing the CAHPS hospital survey?

  • Consumers

  • CMS

  • Peer organizations

  • Medicare

Correct answer: Consumers

The Hospital Consumer Assessment of Healthcare Providers and Systems (CAHPS or HCAHPS) is a nationally standardized survey of the experience of consumers in healthcare. It is used in a public way to inform consumers about the quality of healthcare being offered in venues they might need to use.

It is not completed by CMS, peer organizations, or Medicare.

113.

Which of the following is the most accurate statement about an algorithm in patient care?

  • It is a stepwise process

  • It is a one-way communication

  • It is a study of process

  • It is a statistical calculation

Correct answer: It is a stepwise process

An algorithm in patient care refers to a stepwise process that is meant to clarify and outline necessary steps; a heart procedure, eating disorder assessment and treatment, and so on. Many times it takes the form of a flowchart.

An algorithm in patient care is not a communication per se, nor is it a process study or statistical calculation.

114.

According to the DSM-5, how long must symptoms be present for a person to be diagnosed with substance abuse?

  • 12 months

  • 6 months

  • 3 months

  • 1 month

Correct answer: 12 months

According to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), substance abuse is defined by a maladaptive pattern of behavior regarding substance use over a 12 month period. 

115.

Who funds Medicaid?

  • The federal government and the states

  • The states 

  • The federal government

  • Since 1996, a private sector-government partnership

Correct answer: The federal government and the states

Medicaid is a health insurance program funded in part by the federal government and in part by state governments.

It is not part of a private partnership.

116.

Are those with psychiatric disabilities eligible for vocational rehabilitation?

  • Yes, as long as their disability would not rule out employment

  • No, they are not eligible

  • Yes, as long as they have no criminal record

  • No, unless a psychiatrist has approved

Correct answer: Yes, as long as their disability would not rule out employment

Vocational rehabilitation is available to those with mental or physical disabilities who need assistance in acquiring skills and resources related to employment. However, some psychiatric (and physical) disabilities would be so severe as to rule out employment.

This eligibility is not a function of psychiatry or criminal record.

117.

What is the name for a person trained to assess needs and fabricate, design, and fit orthotic devices?

  • Orthotist

  • Orthandrist

  • Orthoscopist

  • Orthopodist

Correct answer: Orthotist

An orthotist is a person who is trained to assess needs and fabricate, design, and fit orthotics that are custom-designed to that need.

Orthandrist, orthoscopist, and orthopodist are all fabricated terms.

118.

When is an intermediate outcome met?

  • During a patient stay

  • After a patient stay

  • During a long-term care stay

  • During a hospice reimbursement period

Correct answer: During a patient stay

As opposed to discharge outcomes, an intermediate outcome is an outcome that does not determine the end of a patient stay. It is met during the patient stay and is more of a milestone of care that is met before other outcomes can be achieved. 

This kind of outcome is not met after a patient stay, nor is it specifically a matter of long-term care or hospice reimbursement. 

119.

Which of the following is the most appropriate role of case managers with respect to patients' families?

  • Provide support and advocacy

  • Provide referrals to other professionals

  • Treat the family as well as the patient 

  • There is no such role; it violates boundaries 

Correct answer: Provide support and advocacy 

A patient's family is most often the chief support network and caregiver of that patient, and should be included as much as is appropriate in the care of that patient (given proper consent by the patient). The case manager should provide support and advocacy for the family, as this ultimately benefits the patient.

However, taking on the family as another client system would likely overburden the case manager and would be outside the scope of the case manager's role in dealing with the patient. Referring to other professionals might be called for, but not at the expense of providing support and advocacy for the patient. Unless the patient has refused to include their family and has not provided the proper consents, appropriate advocacy and support for the family would not violate boundaries.

120.

Which of the following is the most accurate statement regarding the mission of OSHA?

  • To enforce guidelines that are meant to provide a safe and healthful workplace

  • To audit healthcare environments for safety concerns

  • To assess and enforce guidelines regarding hazardous materials

  • To advocate on behalf of employers who face legal issues related to safety concerns

Correct answer: To enforce guidelines that are meant to provide a safe and healthful workplace 

OSHA (Occupational Safety and Health Administration) was formed in 1970 to assure a safe and healthful workplace by establishing and enforcing standards to that end.

OSHA is concerned about safety in more environments than healthcare alone. It does not mainly deal with hazardous materials, but with workplace safety in general. It does not advocate on behalf of employers in a legal sense.

×