QPCM - Qualified Professional Case Manager
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The Certification for Healthcare Professional transitioning into Case Management, Utilization Review, Discharge Planning and Disease Management


QPCM Practice Test
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1. All of the following are primary purposes of case management communication EXCEPT:
A. To inquire
B. To entertain
C. To persuade
D. To inform
2. Case managers help to ration healthcare in the following ways:
  1. Limiting care to noncompliant patients who engage in unhealthy lifestyles
  2. Avoiding duplication and overutilization of finite resources
  3. Superimposing the role of patient advocate on that of gatekeeper
  4. Introducing incentives to improve the quality of care provided
A. 1 and 2 only
B. 1 and 3 only
C. 2 and 4 only
D. 3 and 4 only
3. During care transitions, patients may experience a higher risk of medical errors due to:
  1. System efficiencies
  2. Poor communication
  3. Observance of organizational boundaries
  4. Lack of appropriate follow-up services
A. 1 and 3 only
B. 2 and 4 only
C. 1, 2, and 3
D. 2, 3, and 4
4. Within the Case Management Practice Guidelines the following attributes are discussed:
  1. Psychosocial issues
  2. Barriers to effective outcomes
  3. Medication protocols
  4. Medical and special considerations
A. 1 and 3 only
B. 2 and 4 only
C. 1, 2, and 4
D. 1, 3, and 4
5. The primary goal of workersí compensation is for the patient to:
A. Maintain compliance with physicianís treatment plan
B. Report any work related injury to supervisor immediately
C. Obtain legal representation to act as his/her advocate
D. Reach maximum medical improvement and return to work
6. The following criteria reflect Medicare requirements for authorization in an inpatient rehabilitation facility:
A. Patient has mental and psychosocial ability to follow three to four step commands
B. Physician documents expectation for improvement within a reasonable time frame
C. The patientís diagnosis must not include: cardiac or neurologic conditions
D. The patient must be independent with Activities of Daily Living (ADLs)
7. Regardless of the ethical issues faced, case managers can ensure the achievement of desired outcome(s) if:
  1. They keep the hospitalís religious persuasions above all others
  2. Their actions are based on ethical principles and professional codes of conduct
  3. They keep the patient/family interests above all others
  4. They follow the guidance of the patientís primary physician
A. 1 and 2 only
B. 2 and 3 only
C. 2 and 4 only
D. 3 and 4 only
8. Orders that prescribe diagnosis or procedure-specific activities that have traditionally required a written order in the medical record are defined as clinical:
A. Algorithms
B. Guidelines
C. Pathways
D. Protocols
Questions 9 and 10 are based on the following case scenario:

Mr. Phillipo is an 80 year old unmarried male admitted to the hospital for open reduction and internal fixation of a left tibial fracture. According to his physical therapist, he can walk only 10 ft with a front wheeled walker and maximum assist of two. According to the patientís nurse, Mr. Phillipo refuses to be discharged to a skilled nursing home upon discharge from the hospital.

9. To assure adequacy of discharge plan, the case manager should:
  1. Obtain consent from the patient prior to making any referrals
  2. Document all communications with patient and/or significant others
  3. Document the patientís limitations and refusals in a subjective manner
  4. Obtain an understanding of patientís current psychosocial environment
A. 1, 2, and 3
B. 1, 2, and 4
C. 1, 3, and 4
D. 2, 3, and 4
During Mr. Phillipoís hospital stay and rehabilitation, he becomes increasingly overwhelmed with the information given to him regarding risks and dangers inherent in a possible return to his home alone.

10. The case managerís role in developing a workable discharge plan for Mr. Phillipo includes all of the following activities EXCEPT:
A. Modify educational documents to meet patientís current needs
B. Prioritize the most cost-efficient mechanisms for continuity of care
C. Complete evaluation of patientís psychosocial status and mental health
D. Develop discharge plan that considers patientís safety needs












































1. All of the following are primary purposes of case management communication EXCEPT:

B. To entertain














































2. Case managers help to ration healthcare in the following ways:

  1. Limiting care to noncompliant patients who engage in unhealthy lifestyles
  2. Avoiding duplication and overutilization of finite resources
  3. Superimposing the role of patient advocate on that of gatekeeper
  4. Introducing incentives to improve the quality of care provided

C. 2 and 4 only














































3. During care transitions, patients may experience a higher risk of medical errors due to:

  1. System efficiencies
  2. Poor communication
  3. Observance of organizational boundaries
  4. Lack of appropriate follow-up services

B. 2 and 4 only














































4. Within the Case Management Practice Guidelines the following attributes are discussed:

  1. Psychosocial issues
  2. Barriers to effective outcomes
  3. Medication protocols
  4. Medical and special considerations

C. 1, 2, and 4 only














































5. The primary goal of workers' compensation is for the patient to:

D. Reach maximum medical improvement and return to work














































6. The following criteria reflect Medicare requirements for authorization in an inpatient rehabilitation facility:

B. Physician documents expectation for improvement within a reasonable time frame














































7. Regardless of the ethical issues faced, case managers can ensure the achievement of desired outcome(s) if:

  1. They keep the hospitalís religious persuasions above all others
  2. Their actions are based on ethical principles and professional codes of conduct
  3. They keep the patient/family interests above all others
  4. They follow the guidance of the patientís primary physician

B. 2 and 3 only














































8. Orders that prescribe diagnosis or procedure-specific activities that have traditionally required a written order in the medical record are defined as clinical:

D. Protocols














































9. To assure adequacy of discharge plan, the case manager should:

  1. Obtain consent from the patient prior to making any referrals
  2. Document all communications with patient and/or significant others
  3. Document the patientís limitations and refusals in a subjective manner
  4. Obtain an understanding of patientís current psychosocial environment

B. 1, 2, and 4














































10. The case managerís role in developing a workable discharge plan for Mr. Phillipo includes all of the following activities EXCEPT:

B. Prioritize the most cost-efficient mechanisms for continuity of care







































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