Fundamentals of Case Management Practice: Skills for the Human Services 5th Edition Test Bank

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Fundamentals of Case Management Practice: Skills for the Human Services 5th Edition Test Bank helps you revise quickly and efficiently with a well-organized collection of exam questions and answers.

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Multiple Choice
1. The responsibility of the case manager includes:
a. Diagnosing the patient
b. Finding payment sources for the patient’s care
c. Creating a treatment plan for the patient’s diagnosis type
d. Assessing the individual’s total situation and addressing the needs and problems found in that assessment
ANSWER: d
POINTS: 1
REFERENCES: Introduction
2. The purpose of the intake assessment is to:
a. Pinpoint the person’s specific disorder
b. Develop an accurate profile of the client’s problem
c. Avoid delving into the person’s social life
d. Keep the person focused on presenting problem
ANSWER: b
POINTS: 1
REFERENCES: Case Management as a Process
3. The case manager should avoid using the following resource(s) in the planning stage of the client’s care:
a. A family member suspected of abusing the client
b. Peer support
c. Social service agencies
d. Community resources
ANSWER: a
POINTS: 1
REFERENCES: Case Management as a Process
4. The individualized treatment plan would avoid taking into consideration:
a. The person’s individual strengths and interests
b. The person’s personal goals
c. Recruiting community support for donations of services and resources
d. Streamlining the plan for efficiency of managing the group’s care
ANSWER: d
POINTS: 1
REFERENCES: Case Management as a Process
5. The case manager links the client to a specific social service that:
a. Is open-ended so that the client can continue with the program indefinitely
b. Will work on the identified issues to the exclusion of other issues that may come up during treatment
c. Will help the client to implement the goals and work on the issues that both the case manager and the client
deemed important
d. Is looking for patients to fill their available slots
ANSWER: c
POINTS: 1

REFERENCES: Case Management as a Process
6. Once the client has been linked to the services he or she needs, the case worker must:
a. Continue monitoring the client’s progress and advocating for his or her needs
b. File a report and close the client’s case
c. Allow the client’s other social service workers’ requirements to take precedence
d. Avoid contacting the client’s other service professionals to coordinate care, in the interest of protecting the
client’s privacy
ANSWER: a
POINTS: 1
REFERENCES: Case Management as a Process
7. In considering the level of assistance a client needs, the agency will:
a. Always assign the most intensive level case manager so that the client can have the most individual attention
b. Assess the client’s situation during the intake interview, and assign a case manager based on determined need
c. Simply assign an administrative case manager at first to assess the level of need
d. Assign a resource coordinator to assist the client in handling the details of the treatment plan
ANSWER: b
POINTS: 1
REFERENCES: Levels of Case Management
8. A case manager’s interventions can be considered therapeutic in that:
a. The case manager is a trained psychotherapist
b. The case manager can provide medications that help the client deal with emotional disorders
c. The case manager can help the client learn life skills that will make the client more effective in his or her daily
life
d. The case manager can treat the client’s problems without making a referral to a clinical therapist
ANSWER: c
POINTS: 1
REFERENCES: Separating Case Management from Therapy
9. As a case manager representing a client who is within a Managed Care Organization, you:
a. Owe it to the client to advocate for services that you feel are in the client’s best interest
b. Keep your focus on controlling costs
c. Use a decision tree to help decide what treatments and services are appropriate
d. Defer to the MCO case manager when deciding on the client’s treatment options
ANSWER: a
POINTS: 1
REFERENCES: Managed Care and Case Management
10. The resiliency model of case management refers to:
a. The changing view of mental illness and substance abuse from one of gradual deterioration to one of recovery
and a productive life
b. Emphasis on the client’s personal choices and activities for the life that is most meaningful to that individual
c. A positive view of the child’s life and circumstances in which the provider actively seeks the child’s strengths
on which to build
d. The movement toward services that are diverse enough to meet the client’s needs, are well coordinated and

easily accessible
ANSWER: c
POINTS: 1
REFERENCES: Managed Care and Case Management
Subjective Short Answer
11. What is the foundation for the development of a client plan for service or treatment?
ANSWER: Assessment
POINTS: 1
REFERENCES: Page 4
12. Give 3 examples of Informal and Folk supports that a case manager will refer a client to for help.
ANSWER: Any services identified by the Instructor in their community is an appropriate answer.
POINTS: 1
13. Beyond assessment and planning, what are the 2 other steps of case management?
ANSWER: Monitoring and linking
POINTS: 1
REFERENCES: Page 11-12
14. What are the 4 levels of case management?
ANSWER: Intensive, Administrative, Resource Coordination and Blended
POINTS: 1
REFERENCES: Page 16-17
15. A plan that is formulated after the assessment phase is a/n?
ANSWER: Individualized plan
POINTS: 1
Essay
16. Peer support has many benefits. Outline at least 2 and describe who and how they benefit.
ANSWER: Answers will vary
POINTS: 1
17. Briefly describe an assessment of a client and a few of the elements the case manager looks at to formulate a plan.
ANSWER: Answers will vary
POINTS: 1
18. Briefly describe the use of Informal and Social support systems. How and when is it appropriate to use these systems.
ANSWER: Answers will vary
POINTS: 1
19. Describe briefly the 2 reasons a case manager monitors the services provided to clients.
ANSWER: Answers will vary

Multiple Choice
1. Ethical practices in the social services are in place because:
a. They prevent a civil suit being brought against the human service worker
b. They prevent the social human worker from being fired
c. They prevent the exploitation of the individuals seeking human services
d. Most professions monitor the behavior of their members
ANSWER: c
POINTS: 1
REFERENCES: Introduction
2. A social services case manager should avoid a dual relationship with his or her client because:
a. The case manager may not be available to return a favor to the person who did the case manager a favor
b. Exchanging favors with a person is inconsequential
c. In small communities, the case manager cannot avoid seeing his or her neighbor in contexts other than the
professional one
d. It creates a conflict of interest for the case manager
ANSWER: d
POINTS: 1
REFERENCES: Dual Relationships
3. In order for a person to agree to services, he or she must have the capacity to give permission willingly. This patient
right is called:
a. Comprehension of information
b. Informed consent
c. Self-determination
d. Confidentiality
ANSWER: b
POINTS: 1
REFERENCES: The Rights of Individuals Receiving Services
4. Guarding an individual’s confidentiality means that the human services provider can/should:
a. Use an openly dated release of information form
b. Discuss the case only with colleagues for their professional opinion with a patient’s verbal consent
c. Talk about the case with others, leaving out the patient’s identifying information
d. Discuss the case with others to prevent the person from harming himself or herself
ANSWER: d
POINTS: 1
REFERENCES: Confidentiality
5. Under the Health Insurance Portability and Accountability (HIPAA) Act, for an agency to share a client’s private
information, it must:
a. Restrict the patient’s identifying information if requested by the patient in writing
b. Share a person’s medical information only orally and never in writing
c. Never share a patient’s private information outside the agency
d. Never allow a patient to make changes to his or her professional records
ANSWER: a

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POINTS: 1
REFERENCES: Health Insurance Portability and Accountability Act
6. On a social networking site such as Facebook, a social services provider may discuss a client:
a. When the patient’s identifying information is removed
b. When the site is a private one and not part of the caring institution or agency
c. Under no circumstances
d. Only with people who do not know the patient
ANSWER: c
POINTS: 1
REFERENCES: Social Networking
7. A care provider would not break a client’s confidentiality when:
a. State law in the particular case does not include a duty to warn
b. The client poses a threat to others
c. The court mandates that the social service provider turns over certain information about the client
d. Your agency is sued for malpractice
ANSWER: a
POINTS: 1
REFERENCES: When You Can Give Information
8. Courts may commit a patient to a care facility without the patient’s consent when:
a. The patient has a mental illness
b. The courts determine that the mentally ill patient must be punished
c. The institution provides the patient with the most comprehensive treatment available
d. The patient is a risk to himself or herself but refuses to sign a commitment for appropriate treatment
ANSWER: d
POINTS: 1
REFERENCES: Involuntary Commitment
9. A social service provider’s ethical responsibilities to the individual in his or her care include:
a. Insisting on his or her solution to the client’s problem
b. Meeting the client’s own needs and best interest
c. Sharing personal concerns about his or her own life that are similar to the client’s
d. Letting the client know of the social service provider’s disappointment when the client did not follow the
provider’s advice
ANSWER: b
POINTS: 1
REFERENCES: Ethical Responsibilities
10. It is an ethical violation to:
a. Report on an impaired colleague to a senior professional
b. Withhold information about an impaired colleague
c. Refuse to treat a client just because you have personal problems that may affect that person
d. Discuss your ethical concerns with the service provider in question
ANSWER: b

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POINTS: 1
REFERENCES: Responsibility to Your Colleagues and the Profession
Subjective Short Answer
11. What are the 3 components of Informed Consent?
ANSWER: Answers will vary
POINTS: 1
REFERENCES: Page 46
12. The term confidentiality is best described as an ethical and (fill in the blank) concept.
ANSWER: Answers will vary
POINTS: 1
REFERENCES: Page 47
13. Name one of the situations where it legally fine to break confidentiality.
ANSWER: Answers will vary
POINTS: 1
REFERENCES: Page 51
14. Who “owns” the right of privileged communication?
ANSWER: Answers will vary
POINTS: 1
REFERENCES: Page 56
15. When a client is tld about effects, adverse effects, services being offered and any alternatives, this is called what?
ANSWER: Answers will vary
POINTS: 1
REFERENCES: Page 46
Essay
16. Briefly describe the minimum necessary rule.
ANSWER: Answers will vary
POINTS: 1
17. Name and describe 2 of the four requirements for agencies under HIPAA that protect a client’s information.
ANSWER: Answers will vary
POINTS: 1
18. Briefly describe 3 of the rights client’s have regarding their files under HIPAA.
ANSWER: Answers will vary
POINTS: 1
19. Describe briefly the reason Tarasoff v Regents of the University of California is considered so important.
ANSWER: Answers will vary

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Multiple Choice
1. We apply the ecological model of human services in order to:
a. Understand the client’s problem on its own, without the distraction of others’ opinions
b. Help patients who express an interest in environmentalism
c. Weed inappropriate candidates from the helping professions
d. Understand the individual within the overall context
ANSWER: d
REFERENCES: Introduction
2. In order to develop a balanced understanding of the client, the case manager must:
a. Determine the probable outcome of services provided to the client based on his or her problem type
b. See what the client brings to the situation, such as personality characteristics that affect the larger context of
that person’s life
c. Discount distracting information such as the client’s environment
d. Determine if the client receives the majority of care within the home environment
ANSWER: b
REFERENCES: Introduction
3. The context level immediately surrounding the client such as family, church group, close friends, etc. would be
considered:
a. The micro level
b. The meso level
c. The macro level
d. Unimportant because human service workers should be able to intervene on all three levels
ANSWER: b
REFERENCES: The Three Levels of the Ecological Model
4. A person’s individual characteristics interact with external circumstances to affect his or her outcome. Some of these
individual characteristics (micro level context) include:
a. Prejudice and discrimination
b. Family
c. Motivation
d. Social class
ANSWER: c
REFERENCES: The Micro Level: Looking at What the Person Brings
5. Aspects of the personal context that a person grew up in and is now functioning in (meso level context) include:
a. Social class
b. Motivation
c. Personality
d. Life transitions
ANSWER: a
REFERENCES: Looking at What the Context Brings
6. Aspects of the social context that a person grew up in and is now functioning in (macro level context) include:
a. Religious group

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b. Social class
c. Prejudice and discrimination
d. Family values
ANSWER: c
REFERENCES: Looking at What the Context Brings
7. Some people have difficulty coping with the changes brought on by developmental transitions in life. These life stages
may include:
a. Early shaping experiences
b. Prejudice and discrimination
c. Going to high school
d. Role status, conflict and strain
ANSWER: c
REFERENCES: Developmental Transitions
8. The service plan the human services worker designs for the client should be two-pronged and should
include___________ interventions.
a. Life transitions and cognition
b. Substance abuse and job training
c. Workplace and community
d. Personal and environmental
ANSWER: d
REFERENCES: Developing the Interventions
9. The case manager’s ability to address issues on the three context levels is referred to as:
a. The generalist approach
b. The ecological model
c. The individual environmental approach
d. The macro level
ANSWER: a
REFERENCES: Working with the Generalist Approach
10. Approaching the school superintendent together with the social service professionals in the children’s case
management unit to advocate for an improvement in the school’s academic supports offered would be referred to as a(n)
______ intervention.
a. Two-pronged
b. Macro-level
c. Transition
d. Meso-level
ANSWER: b
REFERENCES: Macro Level Interventions Are Advocacy
Subjective Short Answer
11. What are the 3 levels of the Ecological Model?
ANSWER: Answers will vary
REFERENCES: Page 79

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12. Name 4 characteristics a person brings to their situation.
ANSWER: Answers will vary
REFERENCES: Page 80
13. Name 4 elements of context in which the client operates.
ANSWER: Answers will vary
REFERENCES: Page 81
14. What 3 life transitions that may effect a client?
ANSWER: Answers will vary
REFERENCES: Page 86
15. Give an example of an intervention that strengthens the individual?
ANSWER: Answers will vary
REFERENCES: Page 87
Essay
16. Briefly describe the why context is important.
ANSWER: Answers will vary
17. Why would a client seek help during a period of transition?
ANSWER: Answers will vary
18. Briefly describe, that while case managers work with individuals, why macro level intervention is an important aspect
to assisting clients.
ANSWER: Answers will vary

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Multiple Choice
1. It is the ethical responsibility of human services workers to become familiar with the culture of the client so that:
a. Cultural differences do not become obstacles to good communication
b. Every possible culture that a client represents is part of the human services worker’s cultural repertoire
c. The client will feel more affinity toward human services workers
d. The human services worker’s own ethnic group does not color the client’s opinion
ANSWER: a
REFERENCES: Where Are the Differences?
2. Cultures, subcultures, race and ethnic groups are examples of:
a. Reasons not to serve certain clients
b. Prejudice
c. Sociological divisions among people
d. Political divisions among people
ANSWER: c
REFERENCES: Where Are the Differences?
3. Strangers are:
a. Whomever the minority culture defines as different
b. People whose ways of acting are different and who are not members of our in-group
c. People whose behavior is inferior to ours
d. Persons whom human services workers should avoid serving
ANSWER: b
REFERENCES: Strangers
4. When we project our own assumptions about persons from a different culture, we:
a. Are creating the opportunity for clearer communication with them
b. Improve our understanding of their culture
c. Are including them into our group
d. Are attempting to reduce our own anxiety or uncertainty about them
ANSWER: d
REFERENCES: Anxiety and Uncertainty
5. In our efforts to improve communication with someone who is different from us, we:
a. Habitually categorize them
b. Establish eye contact with them
c. Remove distractions from the environment
d. Attribute their positive behavior to the environment or the circumstances
ANSWER: a
REFERENCES: Thoughtless versus Thoughtful Communication
6. Seeking exceptions to cultural stereotypes helps us to:
a. Understand the individual’s culture better
b. Better place the individual in the context of his or her culture
c. Reduce our own anxiety or uncertainty about the individual

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d. Gain a more accurate understanding of the individuals we are serving
ANSWER: d
REFERENCES: Thoughtless versus Thoughtful Communication
7. Because of internalized verbal and nonverbal scripts within a culture that may be different from your own, you should:
a. Memorize the other culture’s scripts to help the client adapt to his or her new environment
b. Check your perceptions with the person in a nonjudgmental way
c. Never confront the person about his or her behavior because that individual may take offence
d. Understand that some cultural perspectives are superior to others
ANSWER: b
REFERENCES: Thoughtless versus Thoughtful Communication
8. A person from a collectivist culture would tend to:
a. Rely on low-context communication for comprehension of meaning
b. Communicate in a similar way to members of in-groups and out-groups
c. Communicate in a more ambiguous way to avoid hurting or imposing on others
d. Support unique individual beliefs
ANSWER: c
REFERENCES: Dimensions of Culture
9. Mental mechanisms that can block clear communication and create conflict include:
a. Persuasion, emotion and saving face
b. Ethnocentrism, prejudice and stereotypes
c. Psychological barriers and low self-disclosure
d. Time compartmentalization and focus on punctuality
ANSWER: b
REFERENCES: Obstacles to Understanding
10. Cultural competence in human services workers to improve cross-cultural communication is achieved by:
a. Being more adaptable to, and flexible in, choosing how to respond to situations
b. Focusing on serving one or two cultural groups in order to increase specialization
c. Increasing opportunities for persons from individualistic and collectivist cultures to interact
d. Attributing the client’s negative behavior to the environment or his or her circumstances
ANSWER: a
REFERENCES: Competence
Subjective Short Answer
11. Name 4 countries that tend to be individualistic
ANSWER: Answers will vary
REFERENCES: Page 105
12. Name 4 countries that tend to be collectivistic.
ANSWER: Answers will vary
REFERENCES: Page 105

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13. Name 3 ways that people in collectivistic cultures handle conflict.
ANSWER: Answers will vary
REFERENCES: Page 108
14. What are 3 ways individualistic cultures view time?
ANSWER: Answers will vary
REFERENCES: Page 107
15. Describe what the author defines as a stranger?
ANSWER: Answers will vary
REFERENCES: Page 89
Essay
16. Briefly define culture.
ANSWER: Answers will vary
17. Briefly define prejudice.
ANSWER: Answers will vary
18. Briefly define ethnocentrism.
ANSWER: Answers will vary
19. Briefly define race.
ANSWER: Answers will vary

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Multiple Choice
1. The attitudes of good human services workers influence their interactions with their clients in that:
a. When a worker judges his or her own mistakes critically, that worker can then understand those of clients
more accurately
b. A correspondence exists between positive and supportive attitudes toward a client and the establishment of
rapport with that person
c. Errors in judgment are stumbling blocks to personal growth
d. The personal struggles of the worker are different from those of the client
ANSWER: b
REFERENCES: Understanding Attitudes
2. A worker establishes a warm atmosphere by:
a. Directing the client to better decisions than the client would have made on his or her own
b. Expressing honest disapproval when the client’s decision is likely to lead to further trouble
c. Refraining from suggesting change in order to avoid confrontation with the client
d. Being friendly, nonjudgmental and receptive
ANSWER: d
REFERENCES: Basic Helping Attitudes
3. In order to develop our sense of empathy, we need to:
a. Learn to listen with the third ear
b. Learn to sympathize with the client
c. Learn to use the phrases and speech patterns of the client’s culture or subculture
d. Realize that the client does not need to be talked down to, that he or she can understand the advice we give
ANSWER: a
REFERENCES: Basic Helping Attitudes
4. It is the role of the human services worker to support patients’ efforts to take charge of their lives and make decisions.
This support can take the form of:
a. Giving honest criticism when the client makes a mistake
b. Assuming control of the client’s daily activities to ensure that goals are accomplished
c. Having realistic goals for the client and encouraging progress toward the goals
d. Insisting that the client take the necessary steps toward the goal when that person appears to be malingering
ANSWER: c
REFERENCES: How Clients Are Discouraged
5. As case managers, we need to erect useful boundaries between ourselves and the client. This means:
a. Understanding the differences between our situation and the client’s situation despite possible similarities
b. Letting the client know that he or she can benefit from our similar experiences
c. Ensuring the client makes continued progress toward goals by stepping up our level of involvement in the case
d. Seeking employment in an agency that deals with issues similar to those in our own life
ANSWER: a
REFERENCES: A Further Understanding of Boundaries
6. As case managers, we need to refrain from erecting boundaries that are not useful between ourselves and the client.
This means:

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