Case Management Nurse Exam Review
The Nursing Case Management certification indicates a higher level of specialization in the field of case management to help facilitate patient care in an effective manner. Nursing Case Managers work closely with patients and the healthcare team in order to expedite and ensure efficient care of the patient. Nursing Case Managers are employed in hospitals, federal and state institutions, and short and long-term care facilities.
In order to take the Nursing Case Management exam, the applicant must be licensed Registered Nurse who has worked full-time as an RN for at least 2 years. At least 2,000 hours of employment should have been completed in the field of Case Management Nursing within the last 3 years, as well as a minimum of 30 continuing education hours in case management within the same time frame.
The Nursing Case Management exam is available to RNs throughout the year at various testing sites across the United States. The fee to take the exam is $230 for American Nurses Association (ANA) members and $370 for non-members.
The exam consists of 125 questions of which 25 of the questions are used for pre-testing purposes only for possible inclusion on future exams. Approximately one-quarter of the exam consists of questions that test the RN's knowledge of clinical practice, with the bulk of the remainder of the exam focusing on case management concepts and resource management. There are also questions pertaining to patient data and professional issues.
The Nursing Case Management certification is valid for 3 years. At the end of that time period, the licensed RN must have completed at least 1,000 hours of employment as a Nursing Case Manager. In addition, at least 75 continuing education hours should have been completed or other educational activities should have been completed as outlined by the American Nurses Credentialing Center. The fee for renewal is $160 for ANA members and $290 for non-members as long as the practice hour and continuing education hour requirements are met. For those who wish to retake the exam in order to recertify, the fee is $230 for ANA members and $370 for non-members.
For more information regarding Nursing Case Management certification, go to www.nursecredentialing.org/cert/TCOs.html or www.nursingworld.org.
Case Management Nursing Certification Practice Questions
1. The term "least restrictive setting" refers to:
- the voluntary nature of patient-provider health care delivery
- a "start low and go slow" approach to treatment
- protocols regarding the use of patient physical restraints
- treatment in settings that promote maximal patient autonomy
2. The Health Insurance Portability and Accountability Act of 1966 grants individuals the right to all of the following EXCEPT:
- copies of health records and notices about how health information will be used and shared
- corrections added to the health information, and reports about why health information was shared in certain situations
- the option to give or refuse permission for information sharing, such as for marketing or certain other purposes
- deletion or removal of negative personal health information from a treating provider's records
3. Clinical "decision trees" are most frequently used when:
- a situation does not clearly present a best course of action
- a clinician is relatively inexperienced
- a specialist is not available in an urgent situation
- numerous comorbidities are present
4. Malcolm Knowles' theory of "andragogy" includes which of the following three key characteristics of the adult learner?
- Self-direction, learning readiness, and a problem-centered orientation to learning
- Autonomy, self-direction, and a life-experience orientation to learning
- Practicality, goal-orientation, and respect
- Life-experience, practicality, and self-direction
5. The most common screening tool in managed care and among health care providers is the:
- functional living index
- mini-mental status examination
- Hopkins symptom checklist 25
- short-form 36 health survey
Case Management Nursing Certification Answer Key
1. Answer: D
Treatment in settings that promote maximal patient autonomy. Historically, patient treatment was provided in settings that optimized a health care provider’s convenience and control. Over the years, it was discovered that patients could become overly dependent and even “institutionalized” by such approaches, leaving them unable to function independently or to return to normal life patterns. To counteract this historical mindset, regulations and policies were promulgated that fostered maximal patient autonomy and independence, ultimately benefiting patients, providers, and the institutional care settings.
2. Answer: D
Deletion or removal of negative personal health information from a treating provider’s records. The health provider has the right, and indeed an obligation, to maintain accurate health records regarding all patients being treated. Even if a patient has a history of treatment for an awkward or sensitive health issue, the patient does not have the right to demand that the information be removed from his or her health records. The patient does, however, have a right to confidentiality and privacy and the assurance that the health information is properly protected.
3. Answer: A
A situation that does not clearly present a best course of action. This often occurs when only limited or incomplete information is available, and circumstances require timely intervention. At such times, it may be necessary to estimate the optimum course of treatment or intervention. In certain circumstances, decision trees may also be computerized to aid in analyzing the relevant information and determining a most likely course of action. The goal is to optimize outcomes, reduce treatment variation, and improve guideline compliance.
4. Answer: A
Self-direction, learning readiness, and a problem-centered orientation to learning. Adult learners are more likely to adopt positive health practices when they believe they are at risk of developing a specific condition, when the practices or behaviors will reduce the specific risks, when the condition involved is perceived as serious and burdened with negative consequences, and when they perceive that relevant barriers can be overcome.
5. Answer: D
Short-form 36 health survey. The short-form 36 health survey (SF-36) is composed of 36 questions about health and well-being. It does not target any specific disease but functions as a generic measure of overall wellness. It can be reduced to eight profiles of functional health and well-being. The eight scales can also be configured to form two physical and mental health clusters. The SF-36 has a proven record of reliability and validity and has been useful in general and specific populations and in comparing the relative burdens associated with various disease processes. It has also been used to evaluate the health benefits of varying treatment interventions.
Last Updated: 04/18/2018