Deck 4: Completing a Clinical Assessment

Question 1

Regarding clinical assessment, a prognosis is ______________ typically framed in terms of "return to normal functioning".

A) an appointment
B) the expected outcome
C) an exam by the client's physician
D) a plan of action

Answer 1

B

Question 2

All of the following are typical areas assessed by the mental status exam regarding functioning EXCEPT: ____________.

A) sleeping and eating patterns
B) physical activity level
C) motor activity
D) social-legal issues

Answer 2

B

Question 3

What is a clinical assessment and what is the purpose of the clinical assessment?

Answer 3

Not Answer

Question 4

Creating a support network asks the counselor to identify unique needs of the client such as _________________, ______________, and _________________.

A) thoughts; feelings; goals
B) transportation; safe places to exercise; access to a computer or email
C) assessment; diagnosis; treatment
D) professional needs; financial stability; ability to pay for services

Question 5

In order to qualify for reimbursement, third-party payers require that counselors document that the condition meets the criteria for ___________________.

A) insanity
B) medical necessity
C) a DSM diagnosis
D) treatable conditions

Question 6

Depending on client function, the counselor may want to refer out for medical evaluation. If the client begins medication, the counselor is expected to keep a written record of all of the following EXCEPT: ____________________________.

A) the medication
B) the time the medication is taken
C) the dosage
D) the start date

Question 7

Case management activities include all of the following EXCEPT: __________________.

A) making collateral contacts
B) employment concerns
C) referrals to resources
D) creating a support network

Question 8

Risk management should include consideration of all of the following risk factors EXCEPT: _______________.

A) substance abuse
B) client diagnosis
C) sexual abuse
D) physical abuse

Question 9

"Loses focus after 15 minutes on task" is an example of which of the following?

A) DSM diagnostic language
B) symptom duration
C) behavioral descriptions
D) frequency

Question 10

If a client reports any risk factors such as suicide, homicide, or abuse the counselor should _______________, ________________, and ______________________.

A) call emergency services, inform the family, refer to a psychiatrist
B) document what the client expresses; seek advice from another professional, report
C) express empathy; normalize the feeling; agree on a no-harm contract with the client
D) assess for safety indicators, generate a safety plan; document legal actions taken

Question 11

In any situation in which potential risk is identified, a ___________________ should be made which includes a no-harm contract, emergency numbers, referral for medication, a plan for when crisis arises, and self-calming tasks.

A) detailed session note
B) list of referrals
C) diagnosis
D) safety plan

Question 12

Asking a client to assign a number representing severity, such as a "10" when things reach a crisis point, is an example of _____________________.

A) scaling for safety
B) understanding risk factors
C) analysis of stressor
D) communicating for understanding

Question 13

Which of the following must be ruled out when making a diagnosis?

A) medical history; family history; relational history
B) family process; birth order; age
C) medical causes; trauma; substance abuse
D) counselor bias; cultural differences; acculturation

Question 14

Most states require counselors to take action to protect clients who have a clear plan for killing themselves or others. When there is no clear plan, the counselor is ethically bound to create safety plans in case the situation escalates.

Question 15

While each clinical assessment form may look different, chances are that most contain the same information which includes all of the following, EXCEPT: _______________.

A) mental status
B) family history
C) risk assessment
D) case management

Question 16

When communicating with other professionals such as doctors and psychiatrists, counselors should utilize ________________ such as "depressed mood" rather than "feeling down/depressed".

A) descriptors in the past tense
B) colloquial terms
C) therapeutic terms
D) medical terms

Question 17

A ________________ can help the counselor to consider important contextual factors such as age, ethnicity, language, religion, sexual orientation, addictions, and trauma history before making a diagnosis.

A) clinical assessment
B) treatment plan
C) diagnosis
D) standardized measure

Question 18

____________________ is a collaborative process of working with clients to develop a comprehensive plan of care that takes into account resources and services necessary to successful treatment outcomes.

A) case management
B) safety planning
C) after care
D) case documentation

Question 19

The presenting problems includes the primary reason the client is seeking treatment and _______________________________________.

A) the universal patterns traced across time
B) the diagnosis given by the counselor or a physician
C) the goals the client expresses for counseling
D) the secondary issues the client may mention more casually

Question 20

The purpose of the mental status exam is _____________________________________.

A) to ensure the safety of the client and others
B) to measure the level of psychic disruption the client is experiencing
C) to provide a comprehensive overview of the mental health function of the client
D) to take the place of diagnosis

Question 21

Discuss how you would go about creating a safety plan with a client.

Question 22

What is the purpose of the mental status exam and what are some of the areas commonly assessed?

Question 23

When conducting a risk assessment, what types of questions might you ask to assess for suicide?

Question 24

When conducting a risk assessment, what types of questions might you ask to assess for childhood abuse and with which clients would you ask them?