ANCC Case Management Certification Practice Test

These questions are part of the practice quiz. Start practicing

• What does subrogation in health insurance refer to?
• Which title of the ADA addresses public accommodations and services operated by private entities?
• What type of assessment does the Personal Assessment of Physical Functioning provide?
• Which of the following signifies a primary responsibility of a guardian appointed to a child?
• What is an important aspect of the Case Closure stage in care management?
• PTSD is often misdiagnosed due to symptom overlap with what other condition?
• What does SF-36 stand for in healthcare assessments?
• Concurrent review is primarily concerned with what aspect of patient care?
• Which mental health diagnosis is most commonly associated with patients that have medical diagnoses?
• What is a primary goal in the execution of case management activities?
• What does plenary guardianship entail?
• What does the term "syndrome" refer to in a medical context?
• What type of tort results in unexpected negative outcomes?
• What is the first stage of Powell and Tahan's 7 stages of care management?
• What are the key components of the rights of delegation in case management?
• What does "parens patriae" power signify?
• How does the Partnership for Health Act define well-being?
• Which standard focuses on the ethical guidelines for case managers?
• What is required for informed consent in medical treatment?
• What does Quantitative Risk Assessment measure?
• Which of the following best describes the focus of provision 3 of the ANA Code of Ethics?
• Which title of the ADA covers telecommunications?
• What does the first condition of the Nurses Bill of Rights emphasize?
• During which stage of care management is a detailed plan developed to address the client's needs?
• How long does it typically take to administer the DAST?
• In the context of cognitive rehabilitation, which level would most likely require 24-hour supervision?
• What percentage of patients with persistent mental health issues typically have comorbidity with two or more medical disorders?
• What is a key characteristic of motivational interviewing?
• Who are considered stakeholders in the case management process?
• What outcome is associated with the ANA Code of Ethics?
• At which stage is the PDSA cycle focused on analyzing the results of an action?
• What is the focus of clinician variance?
• What is predictive modeling primarily used for?
• What data type would be best for a health survey analysis across multiple communities?
• What is the first stage of the Stages of Change Model?
• What is the purpose of diagnosis in risk management?
• What does a biopsychosocial assessment evaluate?
• What is the role of the Joint Commission in healthcare?
• An unexpected occurrence that requires immediate investigation is known as what?
• What is a crucial step following the case plan implementation in Powell and Tahan's model?
• Case management implementation primarily requires which of the following?
• Which psychological principle emphasizes unconscious processes in learning?
• What is a key component of benchmark practices?
• Which of the following is a key concept in case management?
• What motivates individuals according to the "pleasure principle" in Psychodynamic Learning Theory?
• What is the purpose of a living will?
• Which of the following does NOT define a barrier to change within the Systems Thinking model?
• What aspect of nursing practices does the ANA Code of Ethics highlight in terms of social justice?
• Which is NOT one of the steps of Risk Management?
• What does case management assessment involve?
• What is a concept of adult learning according to Knowles theory?
• Which of the following is one of the steps in the Systems Thinking model?
• What are activities of daily living (ADLs)?
• What does justice in ethical practice emphasize?
• What is the primary aim of nursing case management?
• What does accreditation symbolize in the healthcare industry?
• What does demand management aim to achieve in healthcare?
• In motivational interviewing, listening with empathy is related to which part of the RULE mnemonic?
• What protections are in place for individuals reporting suspected abuse?
• In terms of recognizing leadership, what does the Nurses Bill of Rights provide for nurses?
• According to Knowles Adult Learning Theory, what is a significant characteristic of adult learners?
• Return on investment (ROI) in a healthcare context measures what aspect?
• What is the final stage in the Stages of Change Model?
• What is the primary virtue developed during the stage of Trust vs. Mistrust in infancy?
• What is the purpose of Kotter's Change Model in case management?
• Which of the following best describes an advocate's role in case management?
• What do the Case Management Adherence Guidelines (CMAG) focus on?
• What is the primary role of a negotiator in case management?
• What is the primary goal of continuous monitoring in case management evaluation?
• What does Standard G, according to CMSA, address regarding case management?
• What is the primary purpose of the Competency Outcomes and Performance Assessment model (COPA)?
• What is the main task individuals face during the Intimacy vs. Isolation stage?
• What does a patient's response at Level 4 typically characterize?
• In Donabedian's quality model, what does "structure" refer to?
• What is the main goal of the maintenance stage of change?
• Which principle is integral to nursing practice as per the ANA Code of Ethics?
• What is the primary aim of value-based purchasing (VBP) in healthcare?
• What is one key benefit of ergonomics in work environments?
• What is Medicaid designed to do?
• Which condition from the Nurses Bill of Rights highlights the importance of work environments?
• In terms of behavior change, which factor could impede progress?
• What is the function of screening tools in case management?
• What defines a sentinel event?
• What is the primary goal of ergonomics in the workplace?
• Which of the following is a characteristic of Level 2 in the Ranchos Los Amigos scale?
• What does the principle of autonomy refer to?
• Which principle emphasizes the need to refrain from harming others?
• According to provision 1 of the ANA Code of Ethics, what should a nurse practice with?
• What is one of the responsibilities a nurse has according to provision 7 of the ANA Code of Ethics?
• What type of injuries does the Ranchos Los Amigos Levels of Cognitive Functioning primarily assess?
• Critical thinking and problem-solving entail which of the following processes?
• What organization describes the roles and functions of case managers?
• What is a viatical settlement?
• Which step is NOT part of the case management model?
• Which of the following best describes 'variances' in a plan of care?
• What does the ADA's primary aim focus on?
• What does an advance directive allow a person to express?
• What is the primary focus of the principle of beneficence?
• At what life stage is the virtue of wisdom primarily developed?
• Which elements must be established for a claim of malpractice?
• What characterizes a crisis in a medical context?
• In case management, what does the acronym AHA stand for?
• The primary focus of the Barthel Index is to measure what?
• What is the purpose of the Barthel Index of Activities of Daily Living Tool?
• Provision 5 of the ANA Code of Ethics emphasizes the nurse's duties to whom?
• What is the Plan-Do-Study-Act (PDSA) cycle designed for?
• What type of graph is a histogram classified as?
• What does Continuous Quality Improvement (CQI) emphasize in an organization?
• Which of the following best describes the pre-contemplation stage of change?
• What issue can arise from polypharmacy in patients?
• Informed consent requires disclosure of all of the following EXCEPT?
• What landmark legislation was signed into law in 1990 to prevent discrimination against individuals with disabilities?
• Cultural competence is essential in healthcare because it helps to:
• Which measure is considered critical in the Affordable Care Act (ACA)?
• What is the significance of stringent disclosure agreements under ACA?
• What is NOT included in the eight steps of the Systems Thinking model?
• What is a significant factor that can lead to a patient's admission to rehabilitation?
• Who developed the Stages of Change Model?
• Integrated Case Management primarily combines which two disciplines?
• What does Level 6 entail regarding cognitive functioning?
• What age group is typically evaluated for geriatric fall risk?
• What is the preparation stage of change primarily focused on?
• What is the main purpose of an assessment scale in healthcare?
• Which element is NOT part of the Nurse Practice Act?
• Standard O emphasizes the importance of what aspect in case management?
• How is a "very low birth weight baby" defined?
• Which of the following are considered ethical principles in case management?
• What approach does the systems thinking model advocate for addressing health issues?
• Which ethical principle is most aligned with the obligation to provide the best possible care to patients?
• What are the three categories in Donabedian's quality paradigm?
• At which stage are individuals considering changing their behavior in the next six months?
• How many titles are included in the Americans with Disabilities Act (ADA)?
• What does "strict liability" entail?
• What is the typical cognitive functioning characteristic at Level 7?
• Which type of safeguard focuses on technology to control access to ePHI?
• What does the Nurses Bill of Rights guarantee regarding safe work environments?
• In case management, which ethical principle is primarily concerned with equity?
• How does the ANA Code of Ethics impact nursing professionalism?
• What does the measurement at the Ranchos Los Amigos scale help guide in treatment planning?
• What is the DAST - Drug Abuse Screening Test used for?
• Which factor is NOT associated with behavioral change?
• What is critical in forming relationships within the case management process?
• What does the term "break-even point" refer to in business?
• In provision 6 of the ANA Code of Ethics, what is the nurse responsible for establishing and improving?
• What rights does the Patient Self-Determination Act entitle patients to?
• What is the primary responsibility of a case manager regarding the health care team?
• Which of the following is considered an instrumental activity of daily living (IADL)?
• What does the term 'transference' refer to in a learning context?
• Which of the following is classified as an unintentional tort?
• What type of data pertains to repeated measurements or a collection of data on groups?
• In a Health Maintenance Organization (HMO), what is required before seeing a specialist?
• What is the primary purpose of Risk Evaluation and Mitigation Strategies (REMS) according to FDA regulations?
• What does role modeling entail in a professional context?
• What is the term used for the use of multiple medications by a single patient?
• What does the Employee Retirement Income Security Act (ERISA) primarily regulate?
• Employers in a self-insured workers compensation program often rely on which of the following?
• What does data analysis involve?
• What is one potential consequence of operating independently in health care silos?
• Which step is NOT part of the SOAPIE charting method?
• What type of consultation is recommended for older adults regarding their medications?
• What does resource management involve?
• Why is timely data important in healthcare?
• What is a primary goal of concurrent review in healthcare?
• What does the Nurse Practice Act primarily ensure?
• What is the purpose of case management planning?
• What focus did B.F. Skinner have regarding behavioral issues?
• What does a Functional Capacity Evaluation (FCE) primarily assess?
• Which of the following is a component of the Rehabilitation Process for Persons Served?
• Which statement best represents the Nurses Bill of Rights?
• What is the focus of a descriptive screening tool?
• What does operating in "health care silos" imply for health practices?
• Which of the following best describes Jung's theory of personality development?
• In which stage do individuals focus on contributing to society and family?
• What is the significance of promoting accountability as outlined in the ANA Code of Ethics?
• What is an essential feature of quality data?
• Which step in Kotter’s change model aims to build in the change permanently?
• What is a predictive screening tool primarily used for?
• What does the Nurses Bill of Rights specify about competitive compensation?
• What is a key component of successful case management?
• What would be an example of individual data?
• What is the primary purpose of Provision 9 of the ANA Code of Ethics?
• What is the first step in Kotter's 8 Steps for Change?
• What is the RMNCH continuum of care aimed at?
• Which organization is known for accrediting rehabilitation facilities?
• What does a Third Party Administrator (TPA) provide?
• Which pediatric theorist is known for emphasizing the social environment's impact on children's adherence to treatment?
• What subject areas does the Pediatric IM-CAG aim to address?
• Which of the following tools is aimed at measuring work-related task performance?
• Which of the following best describes "negotiation" in conflict management?
• What is the purpose of Current Procedural Terminology (CPT) codes?
• What is an example of a disease management technique?
• Which risk assessment type uses a scoring system to prioritize risk?
• What is a key aspect of collaboration in conflict management?
• What is the primary virtue developed during the stage of Generativity vs. Stagnation?
• Which core aspect is NOT typically emphasized in critical thinking?
• Which level represents the lowest level of cognitive functioning in the Ranchos Los Amigos scale?
• What does the 'F' in the FACT documentation acronym stand for?
• What is the role of Quality Improvement Organizations in healthcare?
• What does the Purnell Model for Cultural Competence primarily represent?
• What is the primary commitment of a nurse as outlined in provision 2 of the ANA Code of Ethics?
• What does the Pareto Principle, or 80/20 rule, indicate about health resource usage?
• Bundled payments in healthcare reimbursement refer to what?
• Which of the following is NOT a conflict management strategy?
• What does the Centers for Medicare and Medicaid Services (CMS) Standard of Practice focus on?
• What does the COBRA act enable individuals to do?
• Which condition ensures nurses can advocate for their patients without fear?
• What is the purpose of a Case Record in professional practice?
• What is one aspect of root-cause analysis?
• Which stage follows the action stage in the change process?
• Which level is the highest in Maslow's Hierarchy of Needs?
• What significant components are included in the Patient's Bill of Rights established in 1998?
• What should case managers prioritize according to the principle of nonmaleficence?
• What does root-cause analysis seek to identify?
• What does the acronym CUPS stand for in patient transport categorization?
• In risk assessment, what distinguishes qualitative risk assessment from other types?
• Why is integrated case management important?
• Which of the following describes the execution during case management?
• What is a key focus area for CARF accreditation?
• What does “focus on interests rather than positions” suggest in negotiation?
• According to Medicare guidelines, what is a criterion for admitting a patient to an inpatient rehabilitation center?
• What is the primary goal of the Case Management Society of America Standards of Practice?
• During what age range does the stage of Initiative vs. Guilt typically occur?
• What does system variance refer to?
• Which cognitive level may show confusion and short attention spans?
• What is the purpose of a preauthorization review?
• What does the 'R' in the RULE mnemonic stand for?
• How many medications are recommended to be minimal for older adults to prevent fall risks?
• Which principle advises case managers to advocate for patient good and to actively prevent harm?
• Which level meets criteria for normal cognitive functioning in the Ranchos Los Amigos scale?
• In which stage of change do individuals demonstrate serious commitment of time and energy?
• What purpose does an evaluative screening tool serve?
• What is the essence of provision 4 in the ANA Code of Ethics?
• What is indicative of reinforcing factors in behavior change?
• What does individual data consist of?
• Which characteristic of quality data ensures that information is not misleading?
• Which of the following activities is part of case management?
• Disease Management Programs are designed to:
• Which of the following is a foundational element of healthcare management?
• What purpose does a healthcare satisfaction survey serve?
• What does the Emergency Medical Treatment and Active Labor Act (EMTALA) require?
• Which of the following activities falls under the realm of basic activities of daily living (ADLs)?
• What age group is associated with the Industry vs. Inferiority stage?
• What does the FACT method in documentation stand for?
• Which ethical principle emphasizes a provider’s obligation to respect a patient’s decisions?
• What supplements are recommended for older adults at risk of falls?
• Which factors influence access to care according to ethical and legal standards?
• What is the primary purpose of the Ranchos Los Amigos Levels of Cognitive Functioning?
• How is health literacy defined?
• Which theorist's work emphasized child development through social interactions?
• What is the main objective of continuing education for health care team members?
• What type of interventions does the Continuum of Care Model encompass?
• What was the primary purpose of the HIPAA established in 1996?
• Instrumental Activities of Daily Living (IADLs) are characterized by which of the following?
• What benefit does proactive monitoring provide in a case management setting?
• What is the purpose of the INTERMED-Complexity Assessment Grid (IM-CAG)?
• What does the Nurses Bill of Rights establish about collective rights?
• What distinguishes Post Traumatic Stress Disorder (PTSD) from depression?
• Which version of the IM-CAG is specifically designed for children?
• What is the main purpose of NCQA?
• The RMNCH continuum of care includes which two main dimensions?
• What does the Security Rule under HIPAA primarily address?
• Which standard focuses on the ongoing research and its application in case management?
• What do Disease Management Programs primarily focus on?
• IADLs differ from basic daily living activities in that they require which of the following?
• What is the primary virtue associated with Identity vs. Role Confusion?
• At which level does a person demonstrate purposeful and appropriate behavior in the Ranchos Los Amigos scale?
• According to the WHO, what is the global ranking of depression as a cause of disability and premature death?
• What does a patient variance indicate?
• What is the function of a guardian ad litem?
• How does benchmarking benefit healthcare providers?
• What does Quality Management in healthcare focus on?
• Which level demonstrates an individual who is oriented to time and place?
• What is the primary purpose of Individual Treatment Plans (ITPs)?
• What is the primary purpose of documentation in a patient's medical record?
• What aspect of CQI focuses on exceeding customer expectations?
• What is the primary focus of motivational interviewing?
• What term describes the willful neglect by a caregiver towards a patient?
• Which of the following is NOT a part of Quality Management?
• Which virtue is associated with the stage of Initiative vs. Guilt?
• What does a Durable Power of Attorney (POA) allow an individual to do?
• What is the purpose of variance tracking in case management?
• Which of the following is NOT considered an activity of daily living (ADL)?
• What is a key element of successful case management?
• Which of the following is part of the Joint Commission National Patient Safety Goals for hospitals?
• How does the ANA Code of Ethics advise nurses handle concerns about unethical practices?
• What is emphasized during the stage of Industry vs. Inferiority?
• Which is a key component of successful negotiation?
• What role do evaluative screening tools play in healthcare?
• What is the focus of case management according to the defined process?
• What year was the Workers Compensation system established?
• What are quality indicators used for?
• According to provision 8 of the ANA Code of Ethics, what do nurses collaborate to promote?
• Which level indicates a patient is able to respond to simple commands at least 50% of the time?
• Which type of case management focuses on both medical and social aspects?
• What primary concern does Standard J of CMSA cover?
• Which principle is emphasized by the ANA Code of Ethics?
• Cultural competence in healthcare includes which of the following aspects?
• How many levels are included in the Ranchos Los Amigos Levels of Cognitive Functioning?
• Which technique is NOT a method used in utilization management?
• What is the first component of case management?
• During which developmental stage does a child develop a sense of independence?
• What is the primary role of guardianship in healthcare?
• What characteristic defines a descriptive screening tool?
• Which aspect does not fall under the Patient's Bill of Rights established in 1998?
• How many steps are there in Kotter's Change Model?
• Which organization serves as an accreditor of health and human services?
• What does a yearly evaluation of falls for older adults include?
• What is the primary purpose of Medicare Part D?
• Why is financial assessment important in case management?
• Which of the following is NOT a component of the COPA model?
• What does the term 'illness' generally refer to in a medical context?
• What is an algorithm in the context of healthcare?
• What does medication reconciliation involve according to The Joint Commission?
• In the context of case management, what does the term "utilization review" refer to?
• In medical terms, what does 'development' refer to?
• What does the term "veracity" primarily refer to in a professional context?
• Which of the following is NOT one of the AHA's five models of case management?
• Which of the following is included in administrative safeguards?
• What is the process of drawing relevant data from a larger dataset called?
• What is the primary goal of the Patient Protection and Affordable Care Act (PPACA)?
• What is a characteristic of workers' compensation as a form of insurance?
• Which aspect of the Nurses Bill of Rights relates to systemic issues in the workplace?
• What does the Integrity vs. Despair stage primarily focus on?
• What year was the Patient Protection and Affordable Care Act enacted?