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MSNCB Certified in Care Coordination and Transition Management - Reviews


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"Current and up to date topics, with challenging questions"



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See why our users from 154 countries love us for their exam prep! Including 145 reviews for the MSNCB CCCTM exam.

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MSNCB Certified in Care Coordination and Transition Management - Test Reviews Sample Questions

You are the case manager at a large general hospital. A 69-year-old female patient is admitted from a physician’s office with dementia. The patient lives with her husband who is healthy.

 Simulation History

Current medication: Cholinesterase inhibitors

Other treatments: Vitamins, thyroid hormones

Symptoms:  Memory loss, depression, difficulty finding the correct words, difficulty remembering events and people

Education level:  College

Current height and weight: 5'04'', 125 pounds

Pain management: None

Therapy: Occupational therapy

Living situation: Lives with husband

Family history: None

You are aware that this patient is not reacting well to the treatment, what should you do first?



Correct Answer:
evaluate the patient, determine another treatment option, discuss the new care plan with the patient, and implement new care plan.
when faced with the challenge of a 69-year-old female patient with dementia who is not responding well to her current treatment regimen, a case manager at a general hospital must undertake a series of critical steps to optimize her care. this involves a comprehensive evaluation and potentially revising her treatment plan based on the latest clinical findings and patient-specific factors.

the first step should be a thorough re-evaluation of the patient’s current health status. this involves assessing her cognitive, emotional, and physical health to understand the progression of her dementia and the efficacy of the current treatments, including cholinesterase inhibitors and other supportive therapies like vitamins and thyroid hormones. the patient's symptoms of memory loss, depression, difficulty with language, and recalling recent events need to be quantified and documented. this evaluation should also consider her overall nutritional status, daily functionality, and any new or worsening symptoms.

subsequently, it is crucial to explore other treatment options. given the complexity of dementia, a multifaceted approach that could include adjustments in pharmacological treatments, enhanced psychological support, physical and occupational therapy adjustments, or even alternative therapies should be considered. the case manager should consult with neurologists, psychiatrists, and other relevant specialists to gather insights on the most recent and effective treatment modalities for dementia.

upon determining a potentially more effective treatment plan, the next step involves discussing these new approaches with the patient and her husband. given her college education level, presenting information in a clear, respectful, and comprehensible manner is vital to ensure she understands the changes and implications of the new treatment plan. her input and preferences, as well as those of her husband who is her primary caregiver, should be taken into account to ensure the treatment plan is practical and acceptable to them both.

after aligning with the patient and her caregiver on the new care plan, implementation is the next crucial step. this involves coordinating with the healthcare team to administer the new treatments, monitor their effectiveness, and make adjustments as necessary. continuous monitoring is key to assess the impact of the new treatments on her symptoms and overall quality of life.

it is also imperative throughout this process to ensure that all necessary data is collected systematically. this includes regular updates on the patient’s response to the new treatment, side effects, any changes in her physical or mental condition, and feedback from her caregiver. regular team meetings can be useful to evaluate progress and make timely adjustments to the care plan.

in conclusion, when a patient with dementia is not responding adequately to treatment, it is essential to undertake a comprehensive re-evaluation, explore other treatment options, engage in detailed discussions with the patient and caregiver, and implement a new, tailored care plan. continuous monitoring and readiness to adjust the plan based on patient response are crucial to improving the patient's health outcomes and quality of life.

The insuring by one insurer for the liability of another insurer when a certain threshold has been met is known as which of the following?



Correct Answer:
stop loss
*

*the concept in question is known as "stop loss" insurance, which essentially functions as a form of reinsurance. this type of arrangement is designed to protect insurers from unexpectedly large or catastrophic losses by transferring some of the risk to another insurer. when the claims associated with a particular policy exceed a predetermined financial threshold, the stop loss coverage kicks in, and the reinsurer becomes responsible for covering the excess amount. *

*this mechanism is crucial for insurance companies because it provides a safety net that helps manage risk and stabilize financial operations. by capping their potential losses, insurers can ensure financial stability even in the face of large or unpredictable claims. the primary insurer pays a premium to the reinsurer for this service, which is calculated based on the probability and potential severity of excess claims surpassing the threshold. *

*stop loss insurance is particularly common in sectors where high-cost claims are more likely, such as health insurance and catastrophic property insurance. it allows insurance companies to offer coverage for wide-ranging policies without bearing the entire financial risk themselves. this form of reinsurance is vital for maintaining the solvency and financial health of insurance companies, especially in industries where large-scale claims are not just possible but expected. *

*in practice, once a claim reaches the threshold specified in the stop loss agreement, the reinsurer must be notified. the reinsurer then evaluates the claim to determine their responsibility under the terms of the stop loss policy. it's important for the primary insurer and reinsurer to maintain clear communication and comprehensive records to manage these claims efficiently and accurately. *

*overall, stop loss insurance is a strategic tool used by insurance companies to distribute risk, manage large losses, and continue providing substantial coverage options to their clients without exposing themselves to disproportionate financial risk.

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