Case Management Exam: Questions and Answers, Exams of Nursing

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Case Management Exam correctly

answered 2023

Two definitions of case management, what are they? - correct answer process of assessment, planning, implementation, monitoring and review and aims to strengthen outcomes for clients through intergrated and co-ordinates service delivery. A service that links and co-ordinates assistance from both paid and unpaid providers. To enable consumers to achieve the highest level of independence with their capacity and preference to care. What is linking and co-ordination? - correct answer Constantly reviewing, evaluating. It begins firstly with assessing and planning in partnerships with clients co-ordinating, facilitating, resourcing, implementing, interventions, advocacy, monitoring and constant review. What would you summarise case management as? - correct answer A process or method in which for ensuring that consumers are provided with needed services in a co- ordinated, effective and effeicent manner. Types of case management contexts? - correct answer Child welfare Disability services Protective services Criminal Justice Mental health Rehabilitation vocational counselling Community based services Healthcare Are peoples problems limited to one area? - correct answer No, for example someone leaving prison could have acquired a mental health problem or brain injury Is human need simple? - correct answer No, it is rarely simple as the neccesities and the capacity to identify complexity and respond to it. What was the social forces in the 1970's? - correct answer It was a increased delivery of health services in the community What did the de-institualisim see in the 1980's? - correct answer It was seen that services increasingly delivered in communities and characterised by: Complexity of service mix

Barriers in access to services Lack of continuity of care What is examples of shifting of paradigms? - correct answer - social construction of disability

• individual rights
• independent living movements
• political and economoic forces
• neoliberalisim
• conservative and maverick politics Why is case management attractive to government organisations? - correct answer Because many are served with little & creates tension between client and organisational needs, What skills do you need to have and out in place when managing tensions in practice? - correct answer reflection, awareness, critical thinking, and professional supervision will help you manage those tensions When would someone need a care plan? - correct answer people with disabilities, elderly, mentally ill, accident victims What is the key to case management? - correct answer Collaboration What are main goals and key points when doing a case management plan? - correct answer Manage peoples needs, advocate for the client, educate the client and empower the client What are the aims of case management? - correct answer - continuity of care
• make sure services are available to an individual at any time
• to ensure services are ongoing and responsive to changing needs Can clients have trouble accessing services? - correct answer Yes, and case management should assist clients to neogotiate these services Who are case managers accountable to? - correct answer To clients, organisations and their own proffessional ethics. What can happen if clients dont have case managers? - correct answer they can fail to get services they need and sometimes case management will reduce costs What are the two basic functions of case management? - correct answer Enablers and Faciliators What does the "enablers" function of case managers focus on? - correct answer maximises the potential of individuals to acheive goals and function independtly

What does the "faciliators" function of case managers focus on? - correct answer requires a focus on the interface between the individuals and the environment What are two basic principles for case management? - correct answer always be flexible and creative What could happen if your clients values and beliefs are different to yours? - correct answer benefits and limitations and being critical What types of limitations can we experience in case management? - correct answer - services in the community are fragmentel and resources are limited

• does not fix all issues
• usually comes with high caseloads
• balancing multiple obligations can be difficult Types of knowledge? - correct answer - Theoretical
• Specialised (mental health and child protection)
• Legilsitive and regulatory
• Resource
• Local communities
• Organisational Types of theories in brief? - correct answer Humaninisim, person centered approaches, empathy and non-judgemental
• Systems - micro, meso, macro
• Task centered
• Crisis intervention
• Strengths
• Identifying and building on strengths When in case management what is narrative practice approach defined as? - correct answer Listening to stories, identifying patterns and exceptions What is speacilist knowledge? - correct answer Each field has its own speacialist knowledge that includes polices and legislation Types of resources in case management? - correct answer Government- federal, state, local Agencies and other professionals Informed resources What sort of organisational knowledge do you need in case management? - correct answer - your organisation
• the service
• the target population

• polices and procedures
• other organisations
• key people and contacts
• inter-organisational practice
• building relationships and collorabrations Most important skill needed for case management? - correct answer Capacity to see the micro, macro picture of the client, agency, inter agency and policy. First step to case management? - correct answer Intake- initial interview and engagement Second step to case management? - correct answer Assessment of needs Third step to case management? - correct answer Goal setting Fourth step to case management? - correct answer developing the plan Fifth step to case management? - correct answer implement the plan Sixth step to case management? - correct answer monitoring seventh step to case management - correct answer evaluating the process Hope is..... - correct answer functional Functions of case management - correct answer - montioring and what the organisation is doing
• montioring cost
• record keeper
• evaluator
• co-ordinator
• gate keeper
• problem solver
• consultant
• planner resposibilties and accountabilties to the ..... - correct answer client organisation community case managers What is a model to case management? - correct answer a pattern or a plan that is undertaken with plans

Why have there been so many models of case management developed? - correct answer - for specific populations

• specific settings
• the diverse range demonstrates the wide use of case management in human services and health models usually fall under the categories of - correct answer - client focused models
• service focused models
• hybrid models what do client focused models do? - correct answer - emphazie providing appropiate services to meet clients needs: improving accessibility, responsivness and continiuity of care, co-ordinating services among differentcare delivery systems (formal and informal) enchancing clients and careers, satisfaction and optimizing outcomes what do service focused models do? - correct answer stress equity, effeciency effectivness, accountability and cost effectivness through effeicent management and allocation of available resources what do hybrid models do? - correct answer its a cobination of two or more models What is assessing? - correct answer the needs of the client, the needs of the family, whats happening in the background & medications just any thorough details What is really important do with client? - correct answer goal setting How do you link client to services? - correct answer arrange support depending on what model of case management you are using link them to the services, and checking them in with the services to make sure those services are running well with the client When monitioring it is important to keep - correct answer evaluating What four models of case management? - correct answer Brokerage Intensive case manager Clinical Strengths What is brokerage model definition? - correct answer assess-link-monitor What is intensive case manager model? - correct answer ensure the client is doing work to, short period of time What is clinical model? - correct answer mental health services, crisis counselling, phsyco education, depending on the needs of the client

What is strengths based model? - correct answer self-determination approach, identifying their strengths, doing the work themeselves which helping them to build on their strengths. what is rehabilitation management? - correct answer occupational rehabilition, intergrates injury and claims management, mulitidisciplinary approach to return to work, insurance; work cover, income insurance, compulsary third party etc. case manager roles are.... - correct answer - continue to assess individual need, analysis/hypothesis/plan/feedback/synthesis

• ascertain skill functioning and strengths
• helping individual reach goals
• evaluate and enchance skills deficts that act as barriers What does the rehabilitation plan outline? - correct answer - needs
• goals
• the interventions to reach these goals
• time frames
• reporting
• evaluation
• costs Clinical case management includes - correct answer - origins in social casework
• targets specific populations
• acknowledgements of people with chronic illness and is rarely straight forward
• Goals: physical, surrvival, health, mental health, personal growth, community functioning Kanter (2011) expressed distinct components to case management which were; - correct answer - modality of social work
• case management is intergrated into comprehensive psychosocial plan
• case management can be segregrated from other clinical interventions
• clinical case management can be one of several intervention strategies
• can be the primarily role of the social worker
• or implemented as a part of a team What is person environmental model? - correct answer - used in a range of areas: older people with adjustment and theories of aging
• the need to assess the individual under the disreprences between the person and their environment The world health organisation in (1973) said that the recovery model was - correct answer from clinical definitions Recovery model is - correct answer consumer/survivor movements, rights to self determination and inclusion in the community with a mental illness

Two types of recovery can exist which is defined as what? - correct answer muliti- dimensional and non-linear & does not have a predictable outcome Recovery is what? - correct answer - a journey with no end point

• it is not a cure
• it has an underlying hope that things do change
• learning how to deal with challenges What are some underlying principles of recovery? - correct answer - personal journey
• underlying principles of hope, empowerment, social inclusion and personal growth
• the process is unique to the individual and not based on a set of pro-convinced outcomes
• redistribution of power
• recovery does not occur in isolation What is the process of recovery? - correct answer - finding hope
• redefining identity
• finding meaning in life
• taking responsibility for recovery what are the strengths of the recovery model? - correct answer - draws on the strengths perspective
• connects people with others who are further along the recovery critiques of recovery model? - correct answer - not as firm based
• requires workers with specialist knowledge and support to the model
• indiviudalised approaches may be at odds with market based approaches to health care
• shifts responsibility radically - strength or critque Can you recover from mental health? - correct answer Yes Evidence based research suggests that recovery model is supported by what 5 things?
• correct answer - connections
• hope
• identity
• meaning/purpose
• empowerments Knowledge for recovery? - correct answer - DSM (mental health, diagnosis & treatment
• the recovery model
• clinical case management & strengths
• the consumer movement case management

• how recovery and case management work together Skills needed in recovery model? - correct answer - assessment
• planning
• linking
• monitoring
• advocacy What would a wellness plan include? - correct answer - creation of a daily mainitence strategy
• the identification of triggers and early warning signs
• development of a crisis action plan
• establishment of a healthy/nurturing lifestyle
• social support and self-advocacy planning
• fostering and building self esteem
• managing tension and stress recovery and pharmacology, how would you negoiate and talk about this? - correct answer - recovery informs treatment planning
• you cannot just ask someone if they are taking medications
• you have a conversation around the experience
• shared decision making What is intake? - correct answer - the process by which the person comes into the service Once the client has entered the service a ........... needs to be conducted - correct answer - needs assessment One we have a good understanding of the clients needs we work collaborativley to - correct answer set goals which is defined as ( goal setting)- What is the driving force of your case management plan? - correct answer - Goal setting During monitorng process we might pick up road blocks, if we do we must go back and - correct answer - re-asses
• reset goals
• and develop new strategies The plan is likely to fall apart in case management if you - correct answer - skip a step The intake process includes - correct answer - the initial interview stage
• starting point for providing help
• the process by which clients come into the service ( gate keeping, attracting and screening).

• Determine eligbility and appropiatness
• provide information about the services
• explore the reasons for wanting help Within the intake process you need to prepare; - correct answer - time and thought - includes persual or referral into and clarIfication of the unclear or controdictory referal information Consider in the intake process if they would or if - correct answer - like to be accompanied to the interview
• consider if they will require special seating etc.
• conduct of the interview
• if the environment is comfortable, the lighting etc.
• cultural sensitivity (interpreter)? What are some rules for understandable and meaningful information? - correct answer
• avoid use of jargon
• pitch the language used at clients level -avoid information overload
• let the client give interpretation so they understand
• summarise the key information at the end What is assessment defined as? - correct answer - a focused and organised method for understanding the client, their situation and their environment.
• enables the identification of met and unmet needs, resources and the opportunity for the case manager to determine the best ways to promote and evaluate change in the clients needs Before a case manager is able to effectivley assist a client, they must first understand their - correct answer - needs "An exploratory process that results in a formal statement of client needs" is what? - correct answer - Assessment How assess strengths? - correct answer - includes needs to resolve, contribution of relevant human services resources
• its more then just assessing someones needs
• also involves identifying the individuals strengths
• facilitate an understanding of how situational contexts work An assessment of needs should be? - correct answer - comprehensive For an assessment of needs to be comprehensive this entails the assessment of all domains of an individuals? - correct answer - life
• home
• work

• social what resources should be considered when meeting identified needs? - correct answer
• individuals personal resources
• the individuals social networks
• enviornmental resources
• appropiate human services Why do an assessment of needs? - correct answer - to identify met and unmet needs
• to identify resources (formal and un-formal)
• to determine the most effective ways to promote individuals towards goal
• to ensure appropiate decisions
• to monitor overall progress An assessment of needs should be - correct answer comprehensive and holistic Moxley's assessment of framework for assessing client need are as follows - correct answer - the nature of client needs
• the client capacity to address these
• the contribution of informal supports
• the contribution of human service agency (formal supports) clients capacity to address needs are what interpersonal resources - correct answer - emotional
• cognitive
• physical
• behavioural assessing formal services (also in the environment) MOXLEY'S 5A'S are - correct answer 1. Availabilty

2. Adequacy
3. Appropiatness
4. Acceptability
5. Accessibility 7 factors of need are - correct answer psychological make up their social situation their level of support their personal history environments in which they operate 4 domains when asking about someones life? - correct answer personal social work family

Assessment types - correct answer - physical functioning

• cognitive functioning
• emotional functioning
• behavioural functioning What are informal supports often referred to as? - correct answer - mutual care in the literature as without it we have very limited support and to make sure to be sensitive to informal support What are goals? - correct answer - specific statements about the desired outcomes of case management plan
• A goal is something that someone desires efforts towards " goals are clear specific statements of what a person wants to put in place in order to manage a problem, situation or develop an opportunity". what must be done before setting goals? - correct answer - needs must be clearly assessed 3 conditions to achieve goals - correct answer - formation to a trusting relationship
• assessment and identification of unmet needs
• the availaiblity of resources (formal or informal) to assist in addressing identified need Goals a mean to achieve a case management - correct answer plan Client ________ is particulary important in goal setting and is incredibly important - correct answer participation
• essential because it is about the person and their life -helps the client own the process
• encourages commitment and motivation SMART goals are - correct answer Specific/ what will be different? Measurable/ how will you go if goals are achieved? Achievable/ realistic Relevant/ relevant to the client Time bound/ time frames establish & make sure goals are established as long term or short term What are common mistakes in goal setting? - correct answer too big - not specific too many - not written Techniques to setting goals - correct answer - priortise goals
• may need to break down goals to make them more attainable
• celebrate smaller goals and relate them back to longer term goals Rothman and Sager (1998) stated 7 key techniques must be employed to establish goals - correct answer - behavioural specific

• ensure the goal is observable
• ensure the goal is measurable
• ensure a time frame is established
• make sure the client takes action in goal attainment
• write down who does what
• clear and concise 3 principles to goal setting - correct answer - everything is a state of mind
• state of mind is habit
• habits of change What are interventions - correct answer - developing plans and strategies
• are those strategies designed to help your client meet their goals What is a CM plan? - correct answer strategies/interventions What are guiding principles when thinking about strategies and interventions? - correct answer - feasibility (consider resources and situation)
• Effectiveness ( will the intervention produce the desired goals?)
• Evidence -how do you know what is effective?
• Acceptability - culturally appropiate and conductive to the clients data base
• ability to implement - can it be operationalised? What is development of case plan? - correct answer An overall plan is a framework of how you are going to do this monitoring of strategies and interventions for the client to achieve the goals. 5 characteristics of a case plan - correct answer - defines tasks and responsibilities
• is participating in nature
• accountability
• provides guidance
• measurable Rothman and Sager stated that there are 2 essential stages in case planning which are? - correct answer - to identify and or design appropiate strategies or techniques
• to operationalise Strategies to determine relevance in a case plan - correct answer - feasibility
• effectiveness
• acceptability
• ability to be implemented Unless a plan can be put into action it is - correct answer - not useful what are the two important parts of implementing a case management plan? - correct answer - linking and referral

What are the two types of monitoring? - correct answer - informal / qualitative

• formal / quantitative what is needs monitoring? - correct answer - client progress
• service delivery
• communications with client and service providers What is the final stage of a CM plan? - correct answer Evaluation What should be evaluated? - correct answer - if needs have been addressed
• client satisfaction
• service provision
• cost effectivness
• worthwhile process? What are the 8 major principles of CM practice? - correct answer - Respect for life
• Autonomy
• Non-malificence (do no harm)
• Beneficence ( to do good)
• Justice
• Privacy and confidentiality
• Fidelity (honest commitments)
• Veracity (use of truthfulness, disclosure) What are common ethical dilemmas faced in CM practice? - correct answer - a client asks you to be their friend on facebook
• a client gives you a gift to say thank you
• one client asks you how another client is going
• you overhear two staff members talking about a client in the elevator How is the ethical decision making process applied to practice? - correct answer 1. define the problem

2. who is affected by this issues?
3. consider guidelines (policy, laws)
4. Gather information (research, consultation)
5. what are possible courses of action
6. access consequences of each option for every stakeholder
7. consult and seek supervision
8. least harmful action What is caseload management? - correct answer is the systematic process of organising, planning, coordinating, directing and controlling for effective and efficient decision making by the case manager to enhance a proactive practice What are the five steps to case load management? - correct answer 1. planning

2. organising
3. coordinating
4. directing
5. controlling Why is effective care management documentation important? - correct answer - ensures continuity of service and quality

• helps synthesise information
• legal documentation - proof & evidence
• records verbal agreements
• aids with case monitoring & supervision
• informs policy decisions
• statistics - future funding & more What are some methods of documenting? - correct answer - established forms-->pro forms
• narrative recording
• summary recording
• research recording
• verbatism or process recording What are the four types of documentation? - correct answer 1. short form (case notes, forms, referral letters)

2. long term ( reports, summary reports, process reports)
3. statistics
4. organisational guidlines/proformas Why is self care important? - correct answer It is important for recognising symptoms, acting on them and using prevention strategies to remain healthy and avoid burnouts What is a burnout? and how does it happen? - correct answer - emotional exhaustion resulting from the stress of interpersonal contacts -caseload size -unrealistic expectations -empathetic & sensitive nature -lack of adequate resources and services

• lack of control and autonomy -poor supervision and support What are some symptoms of burnouts? - correct answer -recurrent illness
• over tired ----> exhaustion
• sleep disturbance
• inability to concentrate
• difficulties in personal relationships
• worn out and frustrated by responsibilities

-disorganised -- change in working patterns What are some steps to avoid and prevent a burnout? - correct answer Effectively manage time develop realistic expectations rethink priorities collaborate debrief and use supervision schedule "me time"