Nursing
CCCTM
MSNCB Certified in Care Coordination and Transition
Management (CCCTM)
• Up to Date products, reliable and verified.
• Questions and Answers in PDF Format.
Full Version Features:
•
•
•
•
90 Days Free Updates
30 Days Money Back Guarantee
Instant Download Once Purchased
24 Hours Live Chat Support
For More Information:
https://www.testsexpert.com/
• Product Version
Visit us at: https://www.testsexpert.com/ccctm
Latest Version: 6.0
Question: 1
You are the case manager at a public hospital. A 45-year-old male patient is admitted from a physician’s
office with colon cancer. The patient lives with his wife and 1 teenage son. His immediate family does
not have any medical problems. An uncle of the patient’s had colon cancer, and was treated 10 years
ago.
Simulation History
Current medication: Chemotherapy
Education level: High school graduate
Current height and weight: 5'11'', 180 pounds
Pain management: Pain management therapy
Living situation: Lives with healthy spouse and child
Family history: Uncle had colon cancer (Survived)
With the given information, which of the following should you do first?
A. Discharge the patient and prescribe multiple medications that may help.
B. Continue medication and arrange home care.
C. Arrange home care, change medications, and stop pain management therapy.
D. Continue medication, review the care plan with the patient, and encourage pain management
therapy and following the care plan precisely.
Answer: D
Explanation:
The most appropriate and immediate course of action for the case manager in this scenario is to
continue the patient’s current medication, review the care plan with the patient, and encourage
adherence to both pain management therapy and the overall care plan. Here’s why this approach is
optimal: 1. **Continuity of Medication**: The patient is currently undergoing chemotherapy, which is a
critical component of cancer treatment. Abrupt changes or discontinuation could negatively impact the
treatment’s effectiveness and the patient’s overall prognosis. Continuing with the prescribed medication
ensures that the treatment regimen remains consistent, which is vital for its success. 2. **Reviewing the
Care Plan**: It is essential for patients, especially those dealing with complex conditions like cancer, to
fully understand their treatment plan. This includes the goals of the treatment, what to expect during
the process, potential side effects, and the importance of adherence to the prescribed therapies.
Reviewing the care plan also provides an opportunity to make any necessary adjustments based on the
patient’s current health status and any new medical information. 3. **Encouragement of Pain
Management Therapy**: Managing pain effectively is crucial for improving the quality of life in cancer
patients. Pain can affect physical function, emotional well-being, and overall ability to cope with
treatment. Encouraging the patient to continue with pain management therapy ensures that he remains
as comfortable as possible throughout his treatment journey. 4. **Ensuring Adherence to the Care
Plan**: Adherence to the care plan, including medication schedules, dietary recommendations, and
follow-up appointments, is essential for the effectiveness of the treatment. The case manager should
emphasize the importance of following the plan precisely to optimize health outcomes. 5.
Visit us at: https://www.testsexpert.com/ccctm
**Personalized Care Based on Patient’s Needs and Family Situation**: The patient has a supportive
home environment, living with his wife and teenage son who are currently healthy. This family support
can be crucial in managing the emotional and physical challenges of cancer treatment. Tailoring the care
approach to leverage this support effectively can further assist in his treatment. In summary, the best
initial step involves reinforcing the current treatment strategy and ensuring the patient fully
understands and follows the care plan. This approach is not only about continuing medical treatment
but also about educating and empowering the patient to handle his health conscientiously, thereby
potentially improving his overall treatment outcomes.
Question: 2
In the majority of medical malpractice claims filed, the facility where the nurse or physician cared for the
patient is named as a defendant. Vicarious liability is the legal doctrine cited when dealing with facility
liability. Essential to vicarious liability is the legal doctrine that literally means, “let the master answer.”
This doctrine is which of the following?
A. caveat emptor
B. respondeat superior
C. res ipsa loquitor
D. ratio decidendi
Answer: B
Explanation:
The correct answer to the question is "respondeat superior." This legal doctrine is pivotal in cases where
an organization or employer is held liable for the actions of its employees or subordinates. The term
"respondeat superior" is derived from Latin, translating to "let the master answer." This principle has its
roots in English common law and is a fundamental component of vicarious liability.
Under the doctrine of respondeat superior, an employer can be held legally responsible for the negligent
or wrongful acts committed by an employee, provided these acts occur within the scope of
employment. This means that any action taken by an employee while performing duties that benefit the
employer could render the employer liable. For example, in the medical field, if a nurse or a doctor
commits malpractice while treating a patient, the hospital or medical facility where they are employed
could be held responsible for their actions under this doctrine.
This principle is based on the rationale that employers have control over their employees' actions and
the work environment. Therefore, it follows that they should also bear some responsibility for any harm
caused by their employees during their employment. The doctrine of respondeat superior aims to
ensure that victims have a means of compensation when the direct perpetrator may not have the
financial means to cover the damages.
In summary, respondeat superior is a key legal doctrine in many liability cases, particularly in sectors like
healthcare. It underscores the accountability of employers for the actions of their employees when
those actions are undertaken within the course of their duties. This ensures a higher degree of
protection for individuals harmed by the actions of others in a professional setting.
Question: 3
Visit us at: https://www.testsexpert.com/ccctm
What would the case manager use to evaluate outcomes?
A. QI.
B. CMS.
C. CMIS.
D. All of the above.
Answer: C
Explanation:
To evaluate outcomes in case management, a case manager would typically utilize a Case Management
Information System (CMIS).
CMIS is a comprehensive tool designed to store, manage, and analyze data related to patient care and
case management processes. The primary function of CMIS is to facilitate the effective tracking of a
patient's entire care journey, from initial assessment through to the completion of their case. By
integrating various types of data, such as medical records, treatment plans, and follow-up outcomes,
CMIS enables case managers to assess the effectiveness of the care provided.
One of the key benefits of using CMIS is its ability to generate detailed reports and analytics. These
reports can include metrics on patient outcomes, service efficiency, and resource utilization, which are
crucial for evaluating the success of case management interventions. For instance, a case manager can
use CMIS to track whether patients are achieving their health goals, how quickly services are delivered,
and if there are any recurring issues that need addressing.
Furthermore, CMIS supports the identification of trends and patterns within the data. This capability is
particularly useful for continuous improvement efforts. By analyzing data from CMIS, case managers and
healthcare organizations can identify areas where processes can be optimized, where additional training
may be needed, or where there are gaps in service delivery. This strategic use of data directly
contributes to enhancing the quality of patient care and operational efficiency.
Lastly, CMIS also plays a pivotal role in compliance and reporting. Healthcare providers are often
required to meet various regulatory standards and to report certain outcomes. CMIS can be configured
to ensure that all necessary data is collected and maintained in a manner that complies with legal and
ethical standards, making it easier for organizations to fulfill their reporting obligations. In summary,
CMIS is an indispensable tool for case managers aiming to evaluate and improve healthcare outcomes
through comprehensive data management and analysis. This system not only assists in monitoring and
reporting on current cases but also helps in planning and improving future care strategies.
Question: 4
Who would Not be included in goal setting for the care plan?
A. Patient's employer.
B. Patient.
C. Case manager.
D. Social worker.
Answer: A
Visit us at: https://www.testsexpert.com/ccctm
Explanation:
The correct answer to the question "Who would not be included in goal setting for the care plan?" is the
"Patient's employer."
The rationale behind this answer is that the care plan is primarily focused on the health and wellness of
the patient, tailored to their specific medical needs and personal circumstances. The care planning
process typically involves the patient, healthcare professionals such as doctors, nurses, and therapists,
and may also include social workers who support the patient's social and emotional needs.
Involving the patient is crucial because it ensures that the care plan aligns with their preferences,
understanding, and life goals, thereby promoting greater adherence to the treatment plan. Healthcare
professionals bring their expertise in diagnosing and treating medical conditions, while social workers
can address any social issues affecting the patient's health and assist in accessing community resources.
However, the patient's employer does not have a role in the medical or therapeutic aspects of patient
care. The employer's primary connection to the patient is their employment status and not their health
management. Although employers can have policies to support employees' health, such as providing
health insurance or accommodating medical appointments, they do not participate in setting specific
health goals within a clinical care plan. Their involvement does not extend to making decisions about
medical treatments or care strategies, which are personal and confidential matters between the patient
and their healthcare team.
Therefore, while the care plan is a collaborative effort among healthcare providers, the patient, and
possibly a social worker, the patient's employer does not typically participate in this process. Including
an employer in healthcare planning could breach confidentiality and may not be relevant to the medical
or therapeutic goals established for the patient. Hence, the patient's employer would not be included in
the goal-setting for the care plan.
Question: 5
When working with a patient who does not speak English fluently, which of the following is an
appropriate action?
A. Ask a colleague to translate.
B. Ask the patient's child to translate.
C. Communicate with the patient through gesture.
D. Engage a medical interpreter.
Answer: D
Explanation:
When working with a patient who does not speak English fluently, it is crucial to ensure effective
communication to provide accurate medical care and advice. Various options might seem viable, but the
most appropriate and professional approach is to engage a medical interpreter. Here’s a detailed
explanation of why this is the most suitable action compared to the other options listed:
**Engage a Medical Interpreter:** This is the correct and most appropriate action. Medical interpreters
are trained professionals who are knowledgeable in medical terminology and can bridge the
communication gap between the healthcare provider and the patient. By using a medical interpreter,
you ensure that complex medical information is conveyed accurately and that the patient fully
understands the diagnosis, treatment options, and any instructions. Medical interpreters are bound by a
Visit us at: https://www.testsexpert.com/ccctm
code of ethics and confidentiality, which helps in maintaining the professional integrity of the
interaction.
**Ask a Colleague to Translate:** While this might seem convenient, it is not advisable unless the
colleague is a certified medical interpreter. Colleagues who are bilingual may not have the necessary
training in medical terminology or interpreting skills, which can lead to errors in translation and
miscommunication. This could adversely affect patient care and outcomes.
**Ask the Patient’s Child to Translate:** This approach is inappropriate and unprofessional. Children are
not equipped to handle the responsibility of translating medical information. This can place undue stress
on them and lead to inaccurate translations. Moreover, it breaches professional boundaries and can
compromise the confidentiality of the medical information discussed.
**Communicate with the Patient Through Gesture:** Relying on gestures for communication in a
medical setting is highly unreliable and inadequate. Gestures can be misinterpreted and are insufficient
to convey detailed and specific medical information. This method does not provide the accuracy needed
in a healthcare environment and risks significant misunderstandings.
In summary, when dealing with non-English speaking patients, it is essential to engage a medical
interpreter to ensure clear, accurate, and effective communication. This not only aids in providing highquality care but also upholds the dignity and rights of the patient by ensuring they are fully informed
and can participate actively in their own healthcare decisions.
Question: 6
When screening patients, a computer software flag should be ________.
A. Accepted at face value.
B. Ignored.
C. Referred to physicians.
D. Mixed with personal interaction.
Answer: D
Explanation:
When screening patients, a computer software flag should be mixed with personal interaction.
In the context of healthcare, computer software is increasingly used to identify potential health issues or
risks by screening patient data. These software systems often employ predictive modeling techniques to
analyze a wealth of information, such as medical history, test results, and other pertinent health data.
The software flags conditions that might require further attention—this is a critical step in modern
healthcare practices aimed at preventing and managing diseases more effectively.
However, software algorithms, while powerful, are not infallible. They can generate false positives or
overlook nuances that a trained human eye might catch. Therefore, it is essential that these computergenerated flags are not accepted at face value or ignored outright.
Integrating personal interaction into the process means that healthcare professionals—doctors, nurses,
and other clinicians—review the flags generated by the software. They use their judgment and
experience to interpret these flags within the broader context of each patient’s health status. For
instance, a flag indicating a potential cardiovascular issue could lead to a more detailed discussion with
the patient about their family history, lifestyle, and symptoms, which might not be fully captured by the
software alone.
Visit us at: https://www.testsexpert.com/ccctm
This blended approach leverages the efficiency and breadth of data analysis provided by computers with
the nuanced understanding and experiential knowledge of human clinicians. By doing so, it enhances
the accuracy of patient assessments, leads to better-informed healthcare decisions, and ultimately
provides care that is better tailored to individual patient needs. Thus, when a computer software flags a
condition, mixing this information with personal interaction creates a more comprehensive and precise
healthcare delivery process.
Question: 7
There is some confusion about case management with executives at a hospital. The case manager needs
the support of the _________ to help present the benefits of case management to executives.
A. Social workers.
B. Nurses.
C. No one.
D. Medical staff.
Answer: D
Explanation:
In the given scenario, where a case manager needs to present the benefits of case management to
executives at a hospital, the correct support team is identified as the medical staff. Here’s a detailed
explanation of why the medical staff is the appropriate choice:
The medical staff, including doctors and senior medical professionals, typically has more direct
interaction and influence with hospital executives compared to other healthcare providers such as
nurses or social workers. This closer relationship is crucial because it means that the medical staff can
more effectively communicate and advocate for the integration of case management practices, which
might otherwise be overlooked or underestimated by executive leadership.
Medical staff members are often involved in strategic decisions and have a deeper understanding of the
hospital's operational needs and challenges. Their endorsement and explanation of the benefits of case
management can therefore carry significant weight. They are seen as peers and technical experts,
whose opinions are highly valued by executives, who are often more removed from day-to-day patient
care activities.
Furthermore, creating a partnership with the medical staff for presenting case management initiatives
can lead to better team building. This partnership fosters a collaborative environment where the
medical staff and case managers work together to enhance patient care and hospital efficiency. Such
collaboration not only helps in presenting a unified approach to the executives but also aids in the
smooth implementation of case management practices once they are approved.
In summary, leveraging the influence and expertise of the medical staff in discussions with hospital
executives is strategic. It can enhance the likelihood of gaining executive support and approval for the
integration of case management into the hospital’s operational framework. This approach not only
demonstrates the practical benefits of case management but also aligns it with the hospital’s broader
goals of improving patient care and organizational efficiency.
Question: 8
Visit us at: https://www.testsexpert.com/ccctm
Which of the following statements about Medicare hospice care benefits is least accurate?
A. The Medicare beneficiary pays no deductible for hospice coverage.
B. The Medicare beneficiary pays coinsurance amounts for drugs and inpatient respite care.
C. Medicare beneficiaries will receive standard Medicare benefits for treatment of their terminal
illnesses and receive hospice care as well.
D. Medicare beneficiaries who are terminally ill and whose life expectancies are certified by their
physician to be 6 months or less, may elect to receive hospice services.
Answer: C
Explanation:
The question at hand is identifying the least accurate statement about Medicare hospice care benefits.
The statement in question states that "Medicare beneficiaries will receive standard Medicare benefits
for treatment of their terminal illnesses and receive hospice care as well." This assertion is identified as
the least accurate because it conflicts with the actual rules and conditions under which Medicare
provides hospice care.
To understand why the statement is incorrect, it's essential to grasp what Medicare hospice care entails.
Hospice care is intended for terminally ill patients whose life expectancy is certified by a physician to be
six months or less. The focus of hospice care is on palliative care—relief of pain and symptom
management—rather than curative treatment. The philosophy behind hospice care is to provide
comfort and support to patients in their final stages of life, emphasizing quality rather than length of life.
When a Medicare beneficiary elects to receive hospice care, there is a significant shift in the type of
healthcare coverage they receive. Specifically, beneficiaries must formally choose to forego standard
Medicare benefits for treatments aimed at curing their terminal illness. Instead, they receive benefits
that are focused solely on palliative care. This includes medications for symptom control and pain relief,
nursing care, social services, and other forms of support deemed appropriate by hospice.
However, it's important to note that if a hospice patient requires treatment for a condition that is not
related to their terminal illness, Medicare will still cover all standard benefits necessary for the
treatment of that non-terminal condition. For instance, if a hospice patient develops a new, unrelated
acute condition like an infection or injury, Medicare can cover treatments for that specific condition
under the standard benefits.
The statement in question might lead one to believe that a patient can simultaneously receive full
curative treatments for their terminal illness while also receiving hospice care, which is not the case.
This misunderstanding could result in misleading expectations about the nature of care received under
hospice coverage through Medicare.
Therefore, the correct understanding is that upon electing hospice care under Medicare, beneficiaries
agree to palliative care only for their terminal illness, relinquishing the standard Medicare benefits for
curative treatment of that illness, while still retaining coverage for unrelated medical issues. This
nuanced understanding is crucial for patients and their families when making informed decisions about
hospice care and understanding the scope of coverage provided under Medicare.
Question: 9
A case manager was talking about patient rights to the staff. Patients have the right to what type of
care?
Visit us at: https://www.testsexpert.com/ccctm
A. Considerate care.
B. Respectful care.
C. Safe care.
D. All of the above.
Answer: D
Explanation:
Patients have fundamental rights when it comes to their health care, which are crucial for ensuring they
receive the best possible treatment and outcomes. These rights are designed to foster an environment
of mutual respect and open communication between patients and healthcare providers. Understanding
these rights is essential for both patients and health care providers to ensure that the care delivered is
not only effective but also aligns with the patient’s needs and preferences.
One of the primary rights of patients is to receive safe care. This means that the care provided should
minimize any risk of harm and adhere to established safety standards. Health care providers are
expected to follow best practices and medical guidelines to avoid complications and ensure positive
outcomes. Safety in patient care also involves using medical equipment and procedures that meet safety
regulations and ensuring that the healthcare environment itself does not pose risks to the patient.
Alongside safety, patients are entitled to respectful care. This aspect of patient rights emphasizes the
need for healthcare professionals to treat each patient with dignity and respect, regardless of their
background, beliefs, or personal characteristics. Respectful care involves listening to the patient’s
concerns, valuing their input, and addressing any questions or anxieties they may have about their
treatment. It also includes respecting patients' privacy and confidentiality, which are critical components
of the trust required between patients and healthcare providers.
Another critical right is to receive considerate care. Considerate care involves being mindful of a
patient's comfort, as well as their emotional and psychological wellbeing. It means providing care that is
empathetic, compassionate, and responsive to the needs of the patient. Healthcare providers should
strive to understand the unique circumstances of each patient, including their familial, cultural, and
social contexts, which might influence their health care needs and outcomes.
In conclusion, when the case manager discusses patient rights with staff, it encompasses a commitment
to providing care that is safe, respectful, and considerate. These components are interlinked, each
playing a vital role in ensuring that health care is not only effective but also humane and personalized.
The overarching goal is to empower patients, ensuring they are well-informed and actively involved in
their treatment decisions, thereby fostering a healthcare environment that respects and upholds these
fundamental rights. The answer to the question about the type of care patients have the right to is,
therefore, "All of the above."
Question: 10
Maslow’s Hierarchy of Needs is being used by a case manager. The case manager is applying her
knowledge about Stage 3 to the plans. Stage 3 is associated with which of the following?
A. Safety needs.
B. Esteem needs.
C. Self-actualization needs.
D. Love and belongingness needs.
Visit us at: https://www.testsexpert.com/ccctm
Answer: D
Explanation:
Maslow's Hierarchy of Needs is a psychological framework that outlines the different levels of human
needs, from the most basic to the most advanced. This hierarchy is typically depicted as a pyramid, with
each level of needs having to be satisfied before moving on to the next higher level. For a case manager,
understanding and applying Maslow’s Hierarchy of Needs is crucial in creating effective care plans for
patients or clients.
At the base of Maslow's pyramid are the **Stage 1: Biological and Physiological Needs**. These are the
absolute essentials for human survival and physical well-being, including air, food, drink, shelter, and
sleep. Ensuring these needs are met is typically the first priority in any care plan.
The next level up is **Stage 2: Safety Needs**. Once physiological needs are met, the focus shifts to
safety and security. This stage includes personal security, financial security, health and well-being, and
safety against accidents/illness and their adverse impacts.
The case manager in question is focusing on **Stage 3: Love and Belongingness Needs**. This stage
encompasses emotional needs such as friendships, relationships, and intimacy. Human beings have a
profound need to feel loved and accepted by others, and this need extends to feeling part of a group or
community. For patients, especially those isolated by their conditions, addressing these needs can be as
important as addressing physical health. A lack of love and belonging can lead to problems such as
depression and loneliness, which can in turn affect physical health.
Above love and belongingness needs are **Stage 4: Esteem Needs**. This level includes the need for
self-esteem and the respect or esteem of others. People need to feel valued, respected, and recognized.
Esteem needs can be fulfilled through achievements, mastery of tasks, independence, and status. When
planning care, helping patients achieve small goals can contribute significantly to meeting these needs.
The pinnacle of Maslow's Hierarchy is **Stage 5: Self-Actualization Needs**. This stage is about realizing
personal potential, self-fulfillment, seeking personal growth and peak experiences. A person's desire to
become everything they are capable of becoming is the focus of this final stage.
When a case manager applies Maslow’s Hierarchy of Needs to a care plan, they start by ensuring that
the most basic needs are met before addressing higher-level needs. However, it is also important to
recognize that not all individuals will move through these stages linearly. Some may have needs from
different levels simultaneously, particularly in complex cases involving psychological and social factors.
In summary, by applying knowledge of Stage 3: Love and Belongingness Needs, the case manager aims
to enhance the patient's emotional and social well-being by fostering relationships and connections,
thereby facilitating a more holistic approach to health care. This not only aids in emotional recovery but
can also have tangible benefits on physical health, ultimately leading to a more successful and
comprehensive care plan.
Visit us at: https://www.testsexpert.com/ccctm
For More Information – Visit link below:
https://www.testsexpert.com/
16$ Discount Coupon: 9M2GK4NW
Features:
Money Back Guarantee…………..……....…
100% Course Coverage………………………
90 Days Free Updates………………………
Instant Email Delivery after Order………………
Visit us at: https://www.testsexpert.com/ccctm