Exam 4: Ethical and Legal Perspectives

In what way have the policies of deinstitutionalization and treatment within the least restrictive environment contributed to the escalating violence in our society?

When helping clients who are thinking about end-of-life decisions, case managers can support client autonomy by attending to which of the following guidelines? I.         Help the client decide who he or she would want to make decisions on his or her behalf II.         Help the client decide the kind of medical treatment that he or she wants or does not want III.         Help the client decide how he or she wants to be treated during end-of-life care IV.         Help the client decide whether or not he or she would lie to establish advance directives

If a case manager is asked to testify in court regarding the confidential information of a client, he or she is required to do so unless:

Prior to collecting any information from clients, the case manager-in order to anticipate confidentiality problems-should address which of the following? I.   Decide what information is needed to do the job, and why. II.Decide what you, as the case manager, would like to know. III.Decide under what circumstances the information will be shared. IV. Decide what information will become a part of the permanent record.

When addressing issues of violence, the case management team should follow which of the following guidelines? I. Members of the team need to identify potentially violent clients and vulnerable situations. II.Members of the team need to understand several triggers of violence such as lack of control. III. Members of the team should receive training to de-escalate a potentially violent situation. IV.Members of the team need to know how to write a report on violence in the workplace.

Julia is a case manager at a domestic violence shelter in a small, rural community. Because this agency is the only one of its kind in several surrounding counties, Julia's responsibilities include traveling to different counties and communicating with different officials in these communities. Oftentimes, Julia is called to respond to crises many miles from her office. She has found herself spending hours at a time away from her desk and has had trouble keeping up with necessary paperwork. Because her job involves so much time away from her office, Julia has started using her personal laptop computer whenever she is working in other locations. By doing so, she has found that she can complete client intake forms and other required documentation more quickly and more accurately because she does not have to wait until she returns to her office to complete the forms. Instead, Julia can complete the forms, and then e-mail them back to the office. The use of the laptop has contributed to Julia's ability to complete needed paperwork quickly; because of this, her clients are able to receive services sooner. ​ Although the use of the laptop has ultimately benefited Julia's clients, she should be cautious because:

Julia is a case manager at a domestic violence shelter in a small, rural community. Because this agency is the only one of its kind in several surrounding counties, Julia's responsibilities include traveling to different counties and communicating with different officials in these communities. Oftentimes, Julia is called to respond to crises many miles from her office. She has found herself spending hours at a time away from her desk and has had trouble keeping up with necessary paperwork. Because her job involves so much time away from her office, Julia has started using her personal laptop computer whenever she is working in other locations. By doing so, she has found that she can complete client intake forms and other required documentation more quickly and more accurately because she does not have to wait until she returns to her office to complete the forms. Instead, Julia can complete the forms, and then e-mail them back to the office. The use of the laptop has contributed to Julia's ability to complete needed paperwork quickly; because of this, her clients are able to receive services sooner. In addition to protecting sensitive data, Julia also needs to consider which of the following before using e-mail in her work? I.What types of client services she will provide via e-mail II.How she will address issues of communicating with clients via e-mail III.Not allowing her family members to have full access to the laptop IV.Communicating to clients the steps she will take to protect their information.

When using technology to communicate, store, or retrieve confidential information about clients, the case manager must attend to which of the following security issues? I. Maintaining accurate contact information. II.The use of e-mail to send the data. III. Securing the communication site. IV.Using a firewall to protect the data.

Whenever a case manager believes that a client is a threat to him- or herself or to other people, the case manager:

In our society, managed care is a part of the health and mental health care system. Case managers today must be prepared to face challenges in working with managed-care organizations. Which of the following are challenges that case managers might face? I.Making treatment decisions II.Choosing cost-efficient providers III.Providing best services IV.Advocating for clients

When developing plans of care, the preferences of the client:

The purpose of the Health Insurance Portability and Accountability Act of 1996 was to:

Whenever family members disagree about the care of the patient and no advance directive is in place:

Julia is a case manager at a domestic violence shelter in a small, rural community. Because this agency is the only one of its kind in several surrounding counties, Julia's responsibilities include traveling to different counties and communicating with different officials in these communities. Oftentimes, Julia is called to respond to crises many miles from her office. She has found herself spending hours at a time away from her desk and has had trouble keeping up with necessary paperwork. Because her job involves so much time away from her office, Julia has started using her personal laptop computer whenever she is working in other locations. By doing so, she has found that she can complete client intake forms and other required documentation more quickly and more accurately because she does not have to wait until she returns to her office to complete the forms. Instead, Julia can complete the forms, and then e-mail them back to the office. The use of the laptop has contributed to Julia's ability to complete needed paperwork quickly; because of this, her clients are able to receive services sooner. In order to ensure that Julia's laptop is appropriate for use in her work, she needs to do which of the following? I.Install a firewall system II.Use an encryption program III.Ensure that others do not have access IV.Have a back-up battery

In an ethical dilemma, the case manager should consider which of the following guidelines? I.What is the purpose of the rule, and how does it help the client? II.What are the chances that I might get caught if I ignore the rule? III.What does the client lose and/or gain if the rule is followed? IV.What are the consequences for the client or for me if I violate the rule?

In addition to the policies of deinstitutionalization and treatment within the least restrictive environment, violence in our society is compounded by which of the following? I.Changing values II.Access to weapons III.Managed care IV.Government programs

When faced with an ethical dilemma, the case manager may be able to petition for an exception to a rule. This is beneficial because:

When working with managed-care organizations, case managers may serve their clients more effectively by adhering to which of the following guidelines? ​ I.Write clear, well-documented treatment plans II.Encourage clients to use a fee-for-service plan III.Help clients understand the managed-care system IV.Make treatment decisions on behalf of the client

Whenever a case manager is in a position of working with a difficult family (of an incompetent client), he or she should follow which of the following guidelines? I. Hold a private meeting with the interdisciplinary team and the spouse of the client. II. Ask family members to attend a meeting with the case manager and the team. III.If the family cannot reach consensus, the ask the spouse of the client to make a choice. IV.Encourage the patient's spouse to sign a medical power of attorney or a living will. ​

One of the fundamental principals of case management is: