CMGT-BC Practice Questions - CMGT-BC Nursing Case Management Exam - CMGT-BC Practice Questions

Question 1

A case manager is advocating for a patient with a rare disease who requires an expensive experimental treatment not covered by their insurance. Which of the following actions best demonstrates the case manager's role as an advocate?

Informing the patient that the treatment is not covered and exploring alternative, less effective treatments. Contacting the insurance company to appeal the denial and providing a detailed letter of medical necessity from the patient's physician. Suggesting the patient start a crowdfunding campaign to pay for the treatment out-of-pocket. Advising the patient to switch to a different insurance plan during the next open enrollment period.

Correct Answer:

Contacting the insurance company to appeal the denial and providing a detailed letter of medical necessity from the patient's physician.

Question 2

When coordinating a patient's discharge from the hospital to a skilled nursing facility, what is the most critical piece of information the case manager must communicate to the receiving facility?

The patient's preferred visiting hours. A summary of the patient's dietary preferences. The patient's complete medical history, current medication list, and recent clinical updates. The contact information for the patient's family members.

Correct Answer:

The patient's complete medical history, current medication list, and recent clinical updates.

Question 3

A case management department is reviewing its performance metrics and notes a high rate of hospital readmissions for patients with congestive heart failure (CHF). Which of the following interventions is the most appropriate next step?

Discharge all CHF patients with a referral to a cardiologist. Implement a post-discharge follow-up call program for all CHF patients within 72 hours of discharge. Provide all CHF patients with a standard brochure about the importance of a low-sodium diet. Assume the data is flawed and re-run the report in three months.

Correct Answer:

Implement a post-discharge follow-up call program for all CHF patients within 72 hours of discharge.

Question 4

A case manager is developing a health education plan for a patient with low health literacy and a new diagnosis of diabetes. Which strategy is most likely to be effective?

Providing the patient with a comprehensive, text-heavy booklet on diabetes management. Using the 'teach-back' method to confirm the patient's understanding of key concepts after a verbal explanation. Recommending the patient watch a series of lengthy online videos with medical terminology. Advising the patient to ask their pharmacist if they have any questions about their new medications.

Correct Answer:

Using the 'teach-back' method to confirm the patient's understanding of key concepts after a verbal explanation.

Question 5

A case manager receives a phone call from a patient's adult child, who is requesting information about their parent's recent diagnosis. The patient has not signed a release of information for this family member. How should the case manager respond?

Provide the requested information, as the caller is an immediate family member. Inform the caller that they cannot share any information due to patient privacy laws, and explain how the patient can provide consent. Ask the caller to provide some personal details about the patient to verify their identity before sharing the information. Put the patient on the phone to give verbal consent to share the information.

Correct Answer:

Inform the caller that they cannot share any information due to patient privacy laws, and explain how the patient can provide consent.

Question 1

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About this Exam

Prepare with the CMGT-BC Practice Questions - CMGT-BC Nursing Case Management Exam practice quiz. This question bank includes 100 questions covering case, patient, manager, care, and management. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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CMGT-BC Practice Questions - CMGT-BC Nursing Case Management Exam

This practice set contains 100 questions from the matching question bank and focuses on case, patient, manager, care, and management. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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CMGT-BC Practice Questions - CMGT-BC Nursing Case Management Exam

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