CRC Exam Case Management Scenarios: Practice with Real-World Examples

Preparing for the Certified Rehabilitation Counselor (CRC) exam? One of the most effective ways to study is by working through realistic case management scenarios. These test your understanding of key concepts and prepare you for the decision-making skills you’ll need in professional practice.

In this post, we’ll walk through five real-world case scenarios for the certified rehabilitation counselor exam that reflect the situations you may encounter on the exam—and in your future role as a CRC.

Why Practicing Case Management Scenarios is Essential for the CRC Exam

Case management plays a central role in rehabilitation counseling. You’ll be expected to create individualized plans, coordinate services, evaluate progress, and advocate for your clients—all while working within ethical, legal, and professional guidelines.

Rehabilitation counseling scenarios help you:

  • Apply theoretical knowledge to practical situations
  • Practice critical thinking and ethical decision-making
  • Prepare for the CRC exam’s structure and question style

CRC Exam Case Management Scenario 1

You are assigned to work with James, a 38-year-old client recovering from a traumatic brain injury sustained in a car accident. James has difficulty with memory retention and organizational skills, and he has been out of work for nearly a year. He expresses frustration and concern about returning to employment and managing daily responsibilities.

As James’ rehabilitation counselor, what should be your FIRST step in developing a case management plan?

A. Refer James to a vocational rehabilitation program
B. Administer a comprehensive needs assessment
C. Recommend cognitive behavioral therapy for memory training
D. Coordinate with his primary care provider for medical documentation

Correct answer: B. Administer a comprehensive needs assessment

Before making referrals or treatment recommendations, it’s critical to assess James’ current needs, strengths, and limitations. A comprehensive needs assessment is a foundational step in case management planning, ensuring that interventions are client-centered and appropriate.

CRC Exam Case Management Scenario 2

You are assigned to work with Maria, a 45-year-old woman who recently experienced a spinal cord injury. Maria was previously employed as a retail store manager, but due to her injury, she uses a wheelchair and is unable to return to her former job. She expresses a strong desire to work but is unsure about what kinds of jobs are available to her now.

As Maria’s rehabilitation counselor, what should be your FIRST step in the case management process?

A. Refer Maria to an employer who accommodates individuals with disabilities
B. Initiate job placement services
C. Conduct a transferable skills analysis
D. Recommend assistive technology assessments

Correct answer: C. Conduct a transferable skills analysis

Understanding Maria’s existing skill set is key to identifying realistic and satisfying employment options. A transferable skills analysis helps determine which of her skills can be applied to new job roles, guiding the rehabilitation process effectively.

CRC Exam Case Management Scenario 3

Lamar, a 29-year-old client with a history of substance use disorder, is referred to you after recently completing an inpatient rehabilitation program. He is eager to rejoin the workforce and maintain sobriety. However, he has limited job experience and a criminal record.

What is the MOST appropriate initial action in Lamar’s case management?

A. Develop an Individualized Plan for Employment (IPE)
B. Refer Lamar to a peer support group for accountability
C. Coordinate with a substance abuse counselor for relapse prevention planning
D. Complete a psychosocial evaluation and vocational history

Correct answer: D. Complete a psychosocial evaluation and vocational history

A comprehensive understanding of Lamar’s background, strengths, challenges, and goals is essential to guide his rehabilitation plan. This evaluation sets the groundwork for realistic and supportive interventions.

CRC Exam Case Management Scenario 4

Nina, a 50-year-old woman with progressive multiple sclerosis, reports increased fatigue and difficulty performing her duties as a data entry specialist. She has begun missing work and is worried about job security. Her employer has expressed concern but is willing to provide accommodations.

As her rehabilitation counselor, what is your FIRST step?

A. Request a functional capacity evaluation
B. Recommend she take a medical leave
C. Suggest she apply for disability benefits
D. Facilitate a job site analysis and accommodation assessment

Correct answer: D. Facilitate a job site analysis and accommodation assessment

Before making drastic changes, it’s important to explore how workplace accommodations might support Nina’s ability to continue working. A job site analysis helps determine feasible adjustments tailored to her condition.

CRC Exam Case Management Scenario 5

You are working with Tyler, a 22-year-old client who has a diagnosis of autism spectrum disorder. He recently graduated from college and is interested in pursuing employment in computer programming. Tyler has strong technical skills but struggles with social interactions and workplace communication.

What is the BEST first step in preparing Tyler for employment?

A. Refer Tyler to an employer who hires neurodiverse individuals
B. Begin workplace social skills training
C. Recommend a job trial or internship
D. Administer a vocational interest inventory

Correct answer: B. Begin workplace social skills training

Although Tyler has the technical qualifications, his challenges in communication could hinder employment success. Targeted training in social and workplace communication will help him better navigate professional environments.

Tips for Using Scenarios in Your CRC Exam Prep

  • Think like a counselor: Consider ethics, client autonomy, and evidence-based practice
  • Review answer rationales: Understanding why an answer is correct is just as important as knowing the right answer
  • Practice timed questions: Simulate exam conditions to build test-taking endurance

Get More CRC Practice Questions

Want more case-based practice? Pocket Prep’s CRC exam prep gives you access to expertly written questions, detailed explanations, and helpful progress tracking tools — all backed by learning science. Get started today and feel confident on exam day!