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MSNCB-CCTM
MSNCB Certified in Care Coordination and Transition Management
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Question: 1
As a care coordinator, you are responsible for advocating for the needs and rights of patients. Which of the following actions best reflects effective advocacy?
noring patient concerns and preferences when making decisions. rioritizing the organization's financial interests over the well-being of nts.
isregarding patient privacy and confidentiality.
wer: A
anation: Effective advocacy involves ensuring that patients have acces ssary healthcare services and resources. Advocacy focuses on promoti afeguarding the rights, well-being, and best interests of patients. itizing the organization's financial interests over patients, ignoring pat erns and preferences, or disregarding patient privacy and confidentiali ot aligned with effective advocacy practices.
stion: 2
care coordinator, you encounter a patient who is facing barriers in
Ensuring that patients have access to necessary healthcare services and resources.
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accessing healthcare services due to their socioeconomic status. Which of the following actions best reflects effective advocacy in this situation?
1. Dismissing the patient's concerns and focusing solely on medical interventions.
2. Providing the patient with a list of available services without offering any assistance or guidance.
3. Collaborating with community organizations and resources to help the patient overcome the barriers and access necessary healthcare services.
4. Ignoring the patient's socioeconomic challenges and treating them solely based on their medical condition.
Answer: C
anation: Effective advocacy in this situation involves collaborating wi munity organizations and resources to help the patient overcome the ers and access necessary healthcare services. This may include identif cial assistance programs, connecting the patient with social services, o iding guidance and support in navigating the healthcare system.
missing the patient's concerns, providing a list of services without tance, or ignoring their socioeconomic challenges are not effective cacy approaches in addressing barriers to healthcare access.
stion: 3
care coordinator, you are responsible for managing the transition of c patient with multiple chronic conditions. Which of the following acti eflects effective communication and transition throughout the care nuum?
ischarging the patient without any follow-up appointments or referral
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1. D s.
2. Failing to communicate with the primary care physician about the patient's hospitalization.
3. Providing the patient with a detailed summary of their medical history at the time of discharge.
4. Notifying the patient of any changes to their medication regimen after they have been discharged.
Answer: C
mmunicate with the primary care physician, not arranging follow-up intments or referrals, or neglecting to notify the patient of medication ges can lead to fragmented care and potential adverse health outcome
stion: 4
care coordinator, you are responsible for patient-centered care planni upport for self-management. Which of the following actions best refl tive patient-centered care planning and support for self-management?
ictating the care plan to the patient without considering their preferen oals.
ollaborating with the patient to develop a care plan that aligns with th rences, values, and goals.
ot involving the patient in the decision-making process regarding thei
roviding minimal support and resources for the patient to manage thei ition independently.
Explanation: Effective communication and transition throughout the care continuum require providing the patient with a detailed summary of their medical history at the time of discharge. This information ensures that the patient and their primary care physician have a comprehensive understanding of the patient's health status, previous treatments, and ongoing care needs. Failing to co
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Answer: B
Explanation: Effective patient-centered care planning and support for self- management involve collaborating with the patient to develop a care plan that aligns with their preferences, values, and goals. This approach recognizes the
importance of patient autonomy, shared decision-making, and tailoring care plans to individual needs. Dictating the care plan without considering the patient's input, excluding the patient from the decision-making process, or providing minimal support and resources undermine patient-centered care.
Question: 5
ch of the following actions best reflects effective population health agement?
ocusing solely on individual patient care without considering broader h trends or community needs.
mplementing preventive measures and health promotion activities to ess the specific needs of the population.
noring social determinants of health and their impact on population h omes.
elying solely on reactive interventions rather than proactive approach ess population health issues.
wer: B
anation: Effective population health management involves implementi entive measures and health promotion activities to address the specific of the population. This approach emphasizes proactive strategies to
As a care coordinator, you are responsible for population health management.
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improve health outcomes, prevent diseases, and promote wellness at a population level. Focusing solely on individual patient care without considering broader health trends or community needs, ignoring social determinants of health, and relying solely on reactive interventions are not comprehensive approaches to population health management.
Question: 6
You are the case manager at a public hospital. A 45-year-old male patient is admitted from a physician's office with colon cancer. The patient lives with his wife and 1 teenage son. His immediate family does not have any medical problems. An uncle of the patient's had colon cancer and was treated 10 years ago.
-------------
ent medication: Chemotherapy ation level: High school graduate
ent height and weight: 5'11'', 180 pounds anagement: Pain management therapy
ng situation: Lives with healthy spouse and child ly history: Uncle had colon cancer (Survived)
the given information, which of the following should you do first? ischarge the patient and prescribe multiple medications that may help.
ontinue medication and arrange home care.
ontinue medication, review the care plan with the patient, and encoura anagement therapy and following the care plan precisely.
rrange home care, change medications, and stop pain management the wer: C
Simulation History:
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Explanation: In this scenario, the appropriate course of action is to continue the patient's medication, review the care plan with the patient, and encourage pain management therapy and following the care plan precisely. This ensures that the patient's treatment is not interrupted and that the patient is well-informed about their care plan. Discharging the patient without proper guidance and support or making significant changes to the medication regimen without justification may compromise the patient's well-being. It is important to
prioritize patient-centered care planning and support for self-management in this case.
Question: 7
ns best reflects effective teamwork and interprofessional collaboration
orking independently without seeking input or collaboration from oth hcare professionals.
ssigning tasks to other healthcare professionals without considering th load or capabilities.
isregarding the expertise and perspectives of other healthcare essionals.
ommunicating effectively with other healthcare professionals and acti cipating in interdisciplinary team meetings.
wer: D
anation: Effective teamwork and interprofessional collaboration invol municating effectively with other healthcare professionals and activel cipating in interdisciplinary team meetings. This approach promotes s ion-making, coordination of care, and the utilization of diverse pectives and expertise. Working independently without seeking
As a care coordinator, you are responsible for fostering teamwork and interprofessional collaboration in a healthcare setting. Which of the following actio ?
1. W er
healt
2. A eir
work
3. D
prof
4. C vely
parti Ans
Expl ve
com y
parti hared
decis pers
collaboration, disregarding the expertise of others, or assigning tasks without considering workload or capabilities can hinder effective teamwork and collaboration.
Question: 8
As a care coordinator, you are conducting patient education and engagement
sessions. Which of the following strategies best reflects effective education, engagement, coaching, and counseling of patients, caregivers, and support networks?
1. Providing written materials without any opportunity for interactive discussions.
ailoring the educational content based on patients' preferred learning s roviding opportunities for questions and discussions.
tilizing complex medical terminology that may be difficult for patient rstand.
wer: C
anation: Effective education, engagement, coaching, and counseling o nts, caregivers, and support networks involve tailoring the educational ent based on patients' preferred learning styles and providing opportun uestions and discussions. This approach promotes active participation rstanding, and retention of information. Providing written materials al nducting group sessions without interaction may limit the effectivene ation and engagement. Additionally, using complex medical terminol inder patients' comprehension of the information.
stion: 9
Conducting group sessions where patients are not encouraged to ask questions or share their experiences.
2. T tyles
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As a care coordinator, you are responsible for supporting patients in self- management of their health conditions. Which of the following actions best reflects effective support for self-management?
1. Dictating strict rules and restrictions without considering the patient's preferences and capabilities.
2. Providing minimal information and resources for the patient to manage their condition independently.
3. Disregarding the patient's knowledge and experiences when creating a care plan.
4. Collaborating with the patient to set realistic goals and develop personalized strategies for self-management.
anation: Effective support for self-management involves collaborating atient to set realistic goals and develop personalized strategies. This oach recognizes the patient's autonomy, preferences, and capabilities, owers them to actively participate in managing their health condition. ating strict rules, providing minimal support and resources, or disregar atient's knowledge and experiences undermine the principles of self- agement support.
stion: 10
re a care coordinator involved in care transitions for a patient with plex medical needs. Which of the following actions best reflects effect munication and transition throughout the care continuum?
ailing to communicate with the patient's primary care physician about ming care transition.
roviding the patient with incomplete and inaccurate information regar
Answer: D
Expl with
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emp
Dict ding
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their post-transition care.
3. Discharging the patient without any follow-up appointments or referrals.
4. Collaborating with the patient, primary care physician, and other healthcare providers to ensure a smooth transition and continuity of care.
Answer: D
omes.
Explanation: Effective communication and transition throughout the care continuum involve collaborating with the patient, primary care physician, and other healthcare providers to ensure a smooth transition and continuity of care. This includes sharing relevant information, coordinating appointments and referrals, and facilitating the transfer of necessary medical records. Failing to communicate with the primary care physician, providing incomplete or inaccurate information, or discharging the patient without follow-up appointments or referrals can lead to fragmented care and compromised patient outc

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