TSM Board Exam

When a case manager locates a reliable resource for a common client need, such as family budgeting skills, the case manager should A. Instruct the client to obtain the service. B. Educate the client to obtain the service. C. Ensure the services offered match client needs, then make the referral

C. Ensure the services offered match client needs, then make the referral

62. The main objective of a service plan review is to.. A. Continue assisting clients in achieving goals as requested by them. B. Ensure that resources available in the networks are working to assist clients in achieve their goals. C. Ensure that services, goals, and objectives remain appropriate to the clients needs.

C. Ensure that services, goals, and objectives remain appropriate to the clients needs.

39. When assessing and promoting the resource needs of an individual, the case manager should consider that... A. A mix of informal and formal resources usually results in the most appropriate care for an individual's needs. B. A family formal and informal resources centered service plan results in the most appropriate care for an individual's needs. C. Medical providers resources only results in the most appropriate care for an individual's needs.

A. A mix of informal and formal resources usually results in the most appropriate care for an individual's needs.

52. Ongoing monitoring should include information from.. A. All active participants involved in the client's service plan. B. All resources available at community. C. Medical, family and educational resources available at community.

A. All active participants involved in the client's service plan.

70. When developing goals with clients, a case manager should help the client set goals that A. Are achievable and reflect the client's strengths, needs, abilities and preferences. B. Are asked by significant others involving in client's services to achieve the goals. C. Are priority and discusses by the staffs involved in case management services.

A. Are achievable and reflect the client's strengths, needs, abilities and preferences.

22. When a case manager contemplates terminating case management services, it is CRITICAL that case he consider the A. Available community-based and natural supports the client can access to maintain wellness. B. Client achieved all the needs. C. Available family support to maintain wellbeing

A. Available community-based and natural supports the client can access to maintain wellness.

The BEST way to learn about current, new, and changing community resources is by A. Engaging in face-to face networking at professional and community events. B. Encourage client's relatives to search community services in the network. C. Transfer client to another level of care in order to find the community resources available.

A. Engaging in face-to face networking at professional and community events.

65.- On the following which statement is the MOST EFFECTIVE way to verbally assess client progress related to locating different housing? A. How is everything going with your housing search? B. Are you monitoring the housing in the community? C. Did you search housing in the community?

A. How is everything going with your housing search?

Many program funders regulatory agencies, and others set documentation timelines. Regardless of the client, which hierarchy must case managers follow when determine the agency to assist the client. A. Laws and statutes, agency operating procedure, funder requirements. B. HIPAA statutes. C. Laws and statutes of the state

A. Laws and statutes, agency operating procedure, funder requirements.

What is the purpose of ongoing assessment by the case manager? A. Monitoring client progress. B. Update client's demographic, health and principal resources information. C. Completing an assessment summary.

A. Monitoring client progress.

13. A client is seeking assistance with reemployment. He was a licensed commercial and residential reconstruction before he had to leave the workforce to attend to his behavioral health issues. Your client needing to hire a handyman and offers to do the work for your family. What is your BEST response? A. Politely decline his offer by explaining the concepts of dual boundaries. B. Thanks by the offer. C. Explain that you will assist him in solve this needs

A. Politely decline his offer by explaining the concepts of dual boundaries.

37. What are the basic components of a case management service plan? A. Problem, goal, objectives, interventions. B. Problem, goal, objectives. C. Problem, goal, objectives, interventions, progress, no progress,

A. Problem, goal, objectives, interventions.

78. In a person-centered practice, what is the best way for you, as the case manager, to begin the engagement process to ensure that clients understand how case management can assist them? A. Review self-advocacy skills with clients so they can express what they want from case management services. B. Encourage client to engage in treatments because it is the best option to improve the needs. C. Review network resources as primary information to assist client in achieving the goals.

A. Review self-advocacy skills with clients so they can express what they want from case management services.

A formal process that facilitates the clinically appropriate movement of clients from one level of care to another, including from one practitioner to another is called: A. Transitional planning. B. Initial Services Plan. C. Advocacy. D. Referral.

A. Transitional planning.

SHORT ANSWER 23. What is "shared decision-making" in the assessment process?

An approach in which case managers present potential service options and clients share preferences to achieve informed decisions about the direction for service plans

SHORT ANSWER 45. In the field of behavior health, the term "empowerment" refers to the process by which the helper

Assists clients in discovering strengths and capacities that make them more able to control of their lives.

A progress note should include: A. Detail statement of all words reported by client during a service. B. Actual events, important client statements, and dates C. An interpretative summary about the client statements

B. Actual events, important client statements, and dates

38. You are considering quitting your job because you cannot keep up with service delivery and documentation requirements. What would be your BEST response to this problem? A. Change to another agency with other rules and procedures. B. Ask senior staff for guidance about how to balance workload requirements. C. Ask coworker for guidance about how to balance workload requirements.

B. Ask senior staff for guidance about how to balance workload requirements.

28. A client presents with severe alcohol use disorder unemployment and strained relationships with family members. He states that he is only interested in getting back to work so he can reconcile with family. What is your BEST Response? A. Encourage client to stop drinking in order to safe her work and family relationships. B. Broach the idea that the alcohol use may affect employability and suggest he first obtains an alcohol and drug assessment. C. Link client with a substance abuse crisis center.

B. Broach the idea that the alcohol use may affect employability and suggest he first obtains an alcohol and drug assessment.

16. Case managers had scheduled to complete a home visit with the client before starting the assessment process. The client called case manager 30 minutes before to the schedule because he received unexpected houseguests. What is the case manger BEST response? A. Encourage the client and explain that it is mandatory to complete the home visit today. B. Cancel the home visit and reschedule the appointment for a time when houseguests will not be present. C. Explain that a home visit must be attended today in compliance with agency regulations

B. Cancel the home visit and reschedule the appointment for a time when houseguests will not be present.

30. You have been assigned a new case in which the mother has been investigated for child abuse, however, her son was not removed from the home. In analyzing assessment and collateral data in this case, what type of strategy do you need to use in formulating a service plan? A. Case manager will work in living environment, health, and economic needs avoiding the child abuse. B. Case manager will locate resources for the mother such as a family therapist and parenting classes to address deep-seated causes of the child abuse. C. Case manager will confront the mother about the child abuse

B. Case manager will locate resources for the mother such as a family therapist and parenting classes to address deep-seated causes of the child abuse.

77. When conducting a home visit your client tells you she no longer wants to work on one of her service plan goals even though the goal has not been achieved. As her case manager, how should you respond? A. Encourage the client to continue working in this goal because it is mandatory for the agency rules and procedures. B. Change the service plan goals and objectives based on her wants and needs to ensure better outcomes. C. Explain her that the services plan goals must be achieved as agreed in initial services plan.

B. Change the service plan goals and objectives based on her wants and needs to ensure better outcomes.

A case manager get must maintain progress notes that include.. A. Clear detail report of all information obtained in services delivered. B. Clear link between the identified service needs and the services delivered. C. Clear write all information authorized by client about the services delivered.

B. Clear link between the identified service needs and the services delivered.

In order for case managers to be competent in providing services to persons from many different cultures, they should be able to do all of the following EXCEPT: A. Gain knowledge about client's cultures. B. Communicate in the client's native language. C. Complete a deep assessment exploring cultural information

B. Communicate in the client's native language.

Your clients tell you that his sister, who pays her rent and household expenses, moved unexpected to another state last week. The client doesn't have money to afford the rent. Your client doesn't know how she will be able to obtain financial assistance to solve her actual need. What is the first steps to help his client. A. Find financial resources at community to pay client rent. B. Conduct an assessment and service plan update to include her new financial needs. C. Conduct an individualize service plan. D. Reported the new problem in a service note only.

B. Conduct an assessment and service plan update to include her new financial needs.

A client tells you that her therapist has a rude manner and makes her uncomfortable. How can you BEST help the client in addressing her concerns? A. Encourage the client to change to another therapist. B. Contact the therapist's supervisor and ask the client to explain her concerns. C. Cancel the Therapy session and transfer the client to another center.

B. Contact the therapist's supervisor and ask the client to explain her concerns.

61. Your client asks you to attend a picnic that is a benefit for her church. The tickets cost $15.00 each. How should you respond? A. Accept the invitation and use this picnic to obtain information about relatives other in order to assist client in achieve the goals. B. Decline the invitation and explain the concept of dual relationship. C. Decline the invitation.

B. Decline the invitation and explain the concept of dual relationship.

31. During an assessment you learn that your client is on probation and must complete a program in anger management. The probation program uses two management providers to meet this requirement, but neither is within driving distance from the client's home. As the case manager, what is the BEST response? A. Explained to client that he must attend the anger management meeting in the location imposed by the probation program. B. Encourage the probation office to include other service providers offering anger management programs on their list of options for the client. C. Encourage the client to attend the anger management program in other location that must be seeking by client.

B. Encourage the probation office to include other service providers offering anger management programs on their list of options for the client.

Your client has just revealed that she has been in an abusive relationship for two years and doesn't know how to safety leave. What would be an appropriate response. A. Encourage the client's partner. B. Engage the client in developing a safety plan. C. Explain that case manager can't assist in familiar issues

B. Engage the client in developing a safety plan.

44. You are meeting with your client for the first time. She states that she spends a lot of time at home due to her anxiety and depression and would like to become more social. Your client has identified which element on the case management plan? A. Objective. B. Goal. C. Task.

B. Goal.

29. As part of your assessment process you plan to contact your client's landlord, her friend who provides transportation, and a family member who lives in a nearby county. You do this in order to A. Assess client's needs to complete a service plan. B. Incorporate your client's environmental/natural supports in the case management activities. C. Incorporate client's needs and domains in the assessment

B. Incorporate your client's environmental/natural supports in the case management activities.

58. You are friendly with another case manager at your agency. Over lunch, she tells you about a new business that she just launched with a former client. She tells you that he is an artist and she offered, and they will split any profits from his sales. What is the BEST response to your colleague? A. Let her know that this is a good business, but she must do it out of work hours to avoid dual relationship. B. Let her know that this is a violation of ethical and professional conduct and she needs to remedy the situation immediately. C. Encourage her to seek a family or friend to work with her client, she cannot work with her client directly because this is a violation of ethical and professional conduct.

B. Let her know that this is a violation of ethical and professional conduct and she needs to remedy the situation immediately.

35. Of the following which statement may indicate that the current service plan is NOT effective in meeting client needs? A. Mark was progress on his service goals, but he said, "I have a new need". B. Mark has made no progress on his service goals for the last two months and says he "feels like giving up". C. Mark has made progress on his service goals and says he "feels happy with the services but has a new need".

B. Mark has made no progress on his service goals for the last two months and says he "feels like giving up".

You go to visit your client's school to monitor the progress. Client is 11-year-old what will be the right A. Obtain a signed release information from any family. B. Obtain a signed release information from parent or legal tutor. C. A release of information is not mandatory when case manager requests information from client's school.

B. Obtain a signed release information from parent or legal tutor.

The principal purpose of involving collateral sources in case management activities is to: A. Assist client in obtaining benefits. B. Obtain resources necessary to assist the client in meeting long-and short-term goals. C. Assist client to assess the needs

B. Obtain resources necessary to assist the client in meeting long-and short-term goals.

17 . What is the main purpose for reviews of assessment data in case management services? A. Change any data in the initial assessment if it is necessary. B. Ongoing assessed needs and new ones. C. Develop a review service plan

B. Ongoing assessed needs and new ones.

18. A client is being referred to another provider to step down into a lower level of care. Your client has agreed to the referral. What information can be disclosed to the new provider? A. The intake, assessment, services plan and service notes information. B. Only the information that is specifically identified in a signed release of information. C. The information requested by new provider.

B. Only the information that is specifically identified in a signed release of information.

56.- What is the PRIMARY reason professional networks are important to case managers? A. Professional networks are centered of the services plan. B. Professional networks increase familiarity with the community resources and offer more options to improve client outcomes. C. Professional networks works actively with case manager in the services plan to achieve client's goals.

B. Professional networks increase familiarity with the community resources and offer more options to improve client outcomes.

48. The purpose of developing a service is to A. Provide client with resources and do the services on his behalf. B. Provide a roadmap to assist clients in reaching goals. C. Provide significant others with roadmap to assist clients in reaching goals.

B. Provide a roadmap to assist clients in reaching goals.

68. On the following which action is NOT in the scope of practice for a case manager? A. Providing services ongoing. B. Providing therapy. C. Providing education.

B. Providing therapy.

60. Best practice when documenting case management activities is to. A. Transcript word by word all information received during the services. B. Record facts with enough detail to ensure clarity. C. Document information giving by significant others.

B. Record facts with enough detail to ensure clarity.

25. What is the BEST way to identify the strengths and needs of the client? A. Review educational and sociocultural needs. B. Review the client's treatment and personal history outcomes to identify successes and ongoing needs. C. Review the client's mental history as primary way to assess the needs and strengths.

B. Review the client's treatment and personal history outcomes to identify successes and ongoing needs.

54. A client is on treatment to a Marchman Act order initiated by the client's mother with whom he lives. The client's mother has left several telephone messages saying she wants to know how he is doing in treatment and wants to confirm her payment for a hallway house post treatment. After checking the clinical record, you find there is no Release of information pertaining to the mother. Which of the following is the BEST response? A. Release information to client's mother because it is a client's right. B. Speak with the client and ask he is willing to complete a Release of information that will allow you to speak with his mother. C. Contact the mother to sign the release and give her the information

B. Speak with the client and ask he is willing to complete a Release of information that will allow you to speak with his mother.

You receive a call from your best friend whose 16-years-old daughter has been asked to the prom by a boy who is a former client of your agency. She wants to know a little more about him before allowing them to go to the dance. What is your BEST response? A. Tell your friend that you will contact the client to request a consent to release this information in compliance with client's right. B. Tell your friend that this is against the law and professional ethics to share any information about any current former clients, regardless of the reason. C. Tell your friend that they must contact the client to ask this information.

B. Tell your friend that this is against the law and professional ethics to share any information about any current former clients, regardless of the reason.

24. Which of the following phrases BEST describes the concept of "the client's natural environment"? A. The family support. B. The community in which the client lives. C. The network in which the client solve the health needs.

B. The community in which the client lives.

Which of the following should the case manager know before making formal and informal referrals to service providers? A. If the client can afford the service fee. B. The eligibility criteria of resource agencies and service providers. C. The staff in the services providers.

B. The eligibility criteria of resource agencies and service providers.

21. A prioritized need refers to something that... A. The individual desires for personal wellbeing. B. The individual wants to work on first. C. The case manager considers it the first need to work

B. The individual wants to work on first.

41. You are in a team meeting where the focus of the discussion is on medication management for your client, who has complained to you about his medication's negative side effects. Team members have different opinions about how to address your client's complaints. As his case manager what is your role? A. To ask to change the medication because you think that it is not the adequate treatment for your client. B. To share your client's concerns and questions about the side effects and medication management. C. To share all information about client in relation with medication side effects, and family's relationships.

B. To share your client's concerns and questions about the side effects and medication management.

19. Case Manager must continually assess their client's safety and wellbeing in order to ensure they are: A. Working with collateral resources to achieve client's needs. B. Using interventions that are adequate to maintain client safety and well-being. C. Attending task of the services plan.

B. Using interventions that are adequate to maintain client safety and well-being.

Under what circumstances can substance use information be disclosed? A. It is not required in substance abuse treatment. B. Whenever a release of information is signed to disclose information to another part C. If a client's family request information about the treatment.

B. Whenever a release of information is signed to disclose information to another part

When can you share information about a client with a third party WITHOUT a valid release of information on file? A. Never, information can only be released when the release is on file. B. With a court order. C. To a family.

B. With a court order.

42. Your client is hearing impaired and has an appointment at a federally qualifies health center. He has been told he must bring an interpreter. What should you do? A. Encourage and assist client to find an interpreter in the community. B. With the client's permission, call the health center to advise them that the client has the right to have the interpreter provided at no cost to the client. C. Case manager will be the client interpreter because the client has the right to do it.

B. With the client's permission, call the health center to advise them that the client has the right to have the interpreter provided at no cost to the client.

53. Acting intended to influence decisions or achieve certain outcomes on behalf of an individual, group, organization or cause is known as A. Referral. B. Coordination. C. Advocacy.

C. Advocacy.

15. A client recently missed an appointment to get his medication refilled. Your client asks if you can call his doctor to help him get a new follow-up appointment. What is the next step? A. Assist the client in scheduling a new appointment to obtain the refill. B. Advocate for a client to her his medication and assist him in follow up. C. Ask your client to sign a release of information so the authorization is documented

C. Ask your client to sign a release of information so the authorization is documented

36. What should you do if your client does not seem to be making progress on achieving service plan goals?. A. Discharge the client. B. Transfer the client to another provider in order to achieve the service plan goals. C. Conduct a reassessment and update the service plan with alternative strategies and interventions.

C. Conduct a reassessment and update the service plan with alternative strategies and interventions.

You are assigned a client whose cultural background is not typically served by your agency. What should you do? A. Work with this client in same manner with others. B. Be objective and work with the client focus in the need. C. Gain knowledge about and competence with the client's culture.

C. Gain knowledge about and competence with the client's culture.

43. When discussing case plans with your client you ask why she no longer wants to see Doctor Jones. She corrects you and says that she wants to continue seeing the doctor. You realize you made an error when you were writing up your notes from your last meeting. How do you respond? A. Write a new note and change the note in record, sign and date the note and continue the meeting. B. Document a new note, sign and date the note and continue the meeting. C. Mark through the first note, write in the correct information with an explanation, sign and date the note and continue the meeting.

C. Mark through the first note, write in the correct information with an explanation, sign and date the note and continue the meeting.

27. Under what circumstances can a client provide verbal consent instead of written consent? A. Never will provide a verbal consent instead of written consent. B. Only if the client is agreed to do it. C. Only when the consent would delay the delivery of critical information that is necessary to prevent imminent harm.

C. Only when the consent would delay the delivery of critical information that is necessary to prevent imminent harm.

32. When identifying problem areas and categorizing service deficits after a client assessment which three areas should be addressed as a baseline? A. Community, Family and partners. B. Community, network and medical providers. C. Personal interpersonal and community

C. Personal interpersonal and community

20.- How should a case manager proceed if a collateral service provider wants to update the service plan without the client being present? A. Work with the collateral service provider to update the service plan. B. Present the potential change to the client to determine their interest in changing the service plan after updating the service plan without the client being present. C. Present the potential change to the client to determine their interest in changing the service plan before updating the service plan without the client being present.

C. Present the potential change to the client to determine their interest in changing the service plan before updating the service plan without the client being present.

You are working with a client who is reluctant to engage in services. You are frustrated and starting to dread upcoming sessions with this client. What should you do next? A. Transfer and refer the client to another case manager. B. Discharge the client. C. Seek training to increase your engagement skills

C. Seek training to increase your engagement skills

40.- The MOST IMPORTANT reason for ongoing collaboration between service and treatment team providers is to assess A. Client and significant others participation in services. B. The client's participation in services. C. The client's goals achievement.

C. The client's goals achievement.

SHORT ANSWER 26. What does the term "evidence-based practices" mean?

Clinical and administrative interventions that have been proven through research to consistently produce specific, intended results. The practice of health care based on information gathered by a systematic and critical review of published literature.

Of the following which is not considered a client need? A. Social skills. B. Living environment. C. Vocational orientation. D. Bank assistance.

D. Bank assistance.

The MOST IMPORTANT reason to communicate with collateral resources during initial assessment and ongoing planning is to: A. Ensure you have a complete client assessment. B. To inform the resources about case management services. C. Help client to request assistance for the resources in advocacy process.

Ensure you have a complete client assessment.

SHORT ANSWER Strength-based treatment referred means to?

When clients choose their service array and participate in all decisions regarding their care.