Deck 2: Case Management

Question 1

What does case finding and pretreatment mean?

A)Methods used to get clients.
B)Services identified to assist a particular client.
C)The methods used to locate missing clients, usually adolescents.
D)The case used by discharge planning.

Answer 1

Methods used to get clients.

Question 2

In evaluating case management effectiveness, counselors are not expected to monitor the effectiveness of case management activities for individual clients. Which aspect is Considered most important?

A)Tracking frequency of certain groups of client relapses.
B)Tracking urine screen results.
C)Tracking effectiveness of individual clients.

Answer 2

Tracking frequency of certain groups of client relapses.
Tracking urine screen results.
Tracking effectiveness of individual clients.

Question 3

Why is it necessary for a counselor to be familiar with the case management community resources?

A)Familiarity with client's needed resources insures a smoother discharge.
B)To better engage in price fixing to get a referral fee.
C)To avoid engaging in rivalry with many resources.
D)Knowing something of the treatment philosophies, personnel, logistics and hours of operation assists in the linking of needed services for a client will be helpful.

Answer 3

Familiarity with client's needed resources insures a smoother discharge.

Question 4

In a Service-driven case management model if a client quickly enters substance abuse treatment what might be his or her motivation?

A)To avoid being arrested as his lab work is going to show positive and he is on probation requiring a clean state.
B)The client wants to try again.
C)You very likely will not know.

Question 5

In the principles of case management which of those statements do not apply?

A)The principle of consolidating client to a single point of responsibility.
B)The principle of always being community-abased, culturally sensitive, pragmatic and client driven.
C)The principle that strives for interventions that intrudes on client's life as little as possible.
D)The principle of striving to fit the client to the services.

Question 6

Of the four models of case management adopted below from the mental health treat field for use with substance abuse and dependent clients, which has frequent and long term contact with clients?

A)Brokerage/generalist.
B)Assertive community treatment.
C)Strengths-based.
D)Clinical/rehabilitation.

Question 7

What is not considered one of the functions of case management?.

A)Assessment
B)Planning.
C)Disconnecting.
D)Monitoring.

Question 8

In case management certain barriers may prevent successful treatment. Of these listed what is considered to be the most difficult barrier to overcome?

A)Family relationships/friends.
B)Employment and lack of.
C)Lack of resources.
D)None of the above.

Question 9

Which of the case management models listed below can increase or intensify problems for some clients?

A)Assertive community treatment model
B)Clinical/rehabilitation model
C)Strength-based model
D)None of the above

Question 10

Which particular treatment group would most likely use the resources of school, work, community and the justice systems?

A)Women.
B)Adolescence.
C)Culturally sensitive clients.
D)Impaired nurses.

Question 11

What does the term pretreatment refer to in case management?

A)Client monitoring.
B)Clinical case management.
C)Pretreatment.
D)Aftercare.

Question 12

Which case management model is said by some to increase the problems involved in services involved?

A)Clinical/rehabilitation model
B)Assertive community treatment model.
C)Strength-based model.

Question 13

A fifty six year old mother in good health called a chemical dependency program asking to be admitted. It seems that every few months she feels it best if the "dries out." As she has been through this particular program two times in the past year with the staff confronted her lack of investment counseling staff is considering what would be the best choice for the alcoholic?

A)Deny admission.
B)Admit for withdrawal only,refer to an AA member.
C)Refer the woman to another treatment center.

Question 14

Continuing Care is another term for what of the following?

A)Aftercare.
B)Primary Treatment
C)Disengagement.
D)Primary Care.

Question 15

Disengagement takes place over time and is used to discuss certain aspects following discharge by counselor and client. Which of the following do they discuss?

A)The progress in the life goals the client set while in treatment.
B)The people contacted to apologize following discharge.
C)The resources the client has assessed.

Question 16

During a group process a client discloses communicating with her decreased husband. What assumption would be wrong for the counselor to make?

A)The client needs to be assessed by a licensed mental health professional to identify a substance abuse disorder.
B)It is inappropriate to interpret that behavior as pathological.
C)For some cultures it is appropriate to continue communicating with a deceased loved one.

Question 17

During the counselor's interview with a potential client the client kept calmly asking that the knife be removed from her stomach. What would be the most important for the counselor to act on?

A)Take the opportunity early on to persuade the client that she is a drug addict. Argue there is no knife. Ask her to describe it.
B)If the client's other responses seem reasonable complete the interview saying you would get some help as soon as this interview was completed. Refer the client to the appropriate medical staff.
C)Now is the time to assert your authority and set bounds. Tell her she is faking and this behavior will interfere with her treatment.

Question 18

During what phases does the Treatment Continuum Case Management model support the client during substance abuse treatment?

A)During the planning and discharge.
B)When the client's case requires an outside resource.
C)During family treatment.
D)The Treatment Continuum supports the client and family throughout all phrases of substance abuse treatment.

Question 19

For case management to respond therapeutically and efficiently what document needs to be included?

A)Notes regarding case management activities.
B)Notes of counselor's efforts.
C)Electronic files.
D)All records need to be included.

Question 20

If a client entering treatment presents a physical health problem such as diabetes. What of the following might that indicate?

A)Due to the health problem the effect of client's alcohol consumption has probably been low.
B)Alcohol consumption may have increased the severity of the other health problem.
C)The effects of alcohol consumption may have been reduced by the mental health problem.

Question 21

In case management, certain barriers may prevent successful treatment. Of those listed below, which is considered the most difficult to overcome?

A)Relationships with family and/or friends
B)Employment or lack thereof
C)Resources or lack thereof
D)Management of barriers to treatment

Question 22

In motivational interviewing which term is not recommended?

A)Homosexual.
B)Person first language.
C)Schizophrenia.
D)Alcoholic.

Question 23

In order to be effective, counselor interventions must match the client's stage of readiness. Which of these instruments can be used to signal a client's willingness to change?

A)The SADS Persons Scale.
B)Treatment Eagerness Stage.
C)Prevention Severity Index.
D)Family Tree Questionnaire.

Question 24

In the administration of a client's assessment which of the statements is not appropriate?

A)The language the counselor uses during the administration should be nontechnical.
B)If possible the language used to administrate the assessment by the counselor is Clearly understood by the client.
C)Questions should not be allowed.

Question 25

In the initial interview the client complained of not being able to stop drinking. The reason she said was when attending AA meetings they had talked about tumors and seizures. When she did not drink she became afraid because she would start shaking inside. Which would be the most appropriate action to take regarding the client's disclosure?

A)Administer CAGE Questionnaire that answers a yes to questions about alcohol dependency
B)Flag file for possibly withdrawal reaction to alcohol
C)Administer the TWEAK

Question 26

In these principles of case managements one below does not belong; which one does not?

A)Assertive Community Treatment.
B)Independent Strength Based Treatment.
C)Community Treatment, Strength- Based.
D)Clinical/ rehabilitation Model.

Question 27

It is important that quality case management ensures that all serve a client cooperatively toward meeting the client's needs. Which consideration is not utilized by this case management system?

A)Familiarity with community resources,
B)Self-help groups.
C)Social service providers.
D)Criminal justice institutions.

Question 28

Most of the case management models listed below are used for mental heath treatment plans. Which one is not?

A)Community-based
B)Culturally sensitive
C)Client-driven
D)Strength-based model

Question 29

Most of these case management models were adopted from the mental health treatment plan; one was not. Which one is not?

A)Assertive community treatment.
B)Clinical/ rehabilitation model.
C)Community treatment, strength-based.
D)Strength based model.

Question 30

Some of the Cluster B personality disorders in the DSM-5 code often co-occur with substance abuse. Which statements explain the importance of being familiar these disorders? Choose all that apply.

A)This knowledge is needed to complete and interpret a comprehensive diagnostic impression of a client.
B)The counselor needs to be able to recognize disorders that might interfere with the course of treatment in order to know how best to deal with it.
C)It is not your concern; your concern is the course of a client's substance abuse treatment.
D)It is important to be able to describe these orders in detail to the client so that the client can correct it.

Question 31

These are phases of Treatment Continuum. Which listed is not one of those phrases?

A)Case finding Pretreatment.
B)Primary Treatment.
C)Aftercare.
D)Clinical/rehabilitation.

Question 32

The value of traditional substance abuse treatment is that it gives straightforward structure to a life that may have lacked rules and structure. Which of the below gives that structure?

A)Assertive community treatment model.
B)Strengths-based model.
C)Clinical/rehabilitation model.
D)Brokerage/generalist model.

Question 33

Though it seldom occurs withdrawal from substances can cause a physical threat. What one symptom would not be considered withdrawal symptom?

A)Severe tremors
B)Confusion or delirium
C)A strong craving for a chocolate covered pickle.

Question 34

To assess families while establishing a possible suicide risk for a client which assessment is recommended?

A)FTQ.
B)Genogram.
C)Family interview.
D)A & C.

Question 35

What case management terms refer to the phases of substance abuse/dependence treatment, aftercare and disengagement?

A)Strength-based.
B)Advocacy.
C)Treatment continuum.
D)Monitoring.

Question 36

What instrument evaluates a client's person, place and time while taking the assessment?

A)The Minnesota Multiphasic Personality Inventory.
B)The Strong interest Inventory.
C)The Wechsler Adult Intelligence.
D)The Mental Status Exam.

Question 37

What is the proper diagnosis for a direct physiological consequence of a drug or medication abuse?

A)Substance Abuse Mood disorder.
B)Obsessive-compulsive disorder.
C)Cognitive Disorders.
D)Acute Stress Disorder.

Question 38

What items are counselors not expected to evaluate in monitoring the effectiveness of case management activities for individual clients?

A)Groups of clients entering treatment.
B)Interviews.
C)Case management activities
D)The father's job's performance.

Question 39

What model utilizes the counselor as the case manager?

A)Strengths-based model.
B)Brokerage/generalist model.
C)Assertive community treatment model.
D)Clinical/rehabilitation model.

Question 40

What of the following items is not a reason to be familiar with the DSM-5?

A)Counselors often refer to these psychiatric codes for assistance in assessing a comprehensive, diagnostic personality impression.
B)LCDC counselors sometimes find it necessary to update their copy of this psychiatric code as it is revised periodically.
C)Experienced counselors may have accrued enough knowledge while working with clients to be able to establish the extent of the client's substance abuse relapse potential without consulting this instrument.
D)Counselors need to be able to identify disorders by this assessment to better help client plan for successful long term recovery.

Question 41

What steps might the counselor do to assist a client in successfully entering aftercare?

A)Collaborate to pre-contract services to ensure they are available to the client
B)Give the client a list of services upon discharge
C)Let the client locate their own services

Question 42

What symptoms indicate immediate medical evaluation for a client entering treatment? Choose that apply?

A)Hallucinations
B)Severe tremors
C)Uncontrollable agitation

Question 43

What treatment plan element is not necessary to document for a client's record file.

A)Laboratory records.
B)Treatment Plan
C)Discharge Summary.
D)Client's Treatment Diary.

Question 44

When is a client's treatment plan due?

A)On the day of discharge.
B)Two weeks after discharge.
C)One week after a client admits to the group that the person is an alcoholic or an addict.
D)None of the above.

Question 45

Which Cluster are the personality disorders featuring odd and isolative behaviors grouped into?

A)Cluster A.
B)Cluster B.
C)Cluster C.
D)Cluster D.

Question 46

Which of the following are generally considered responsibilities of case management staff in evaluating case management effectiveness?

A)Tracking the frequency of client relapses for certain groups
B)Tracking urine screen results
C)Tracking effectiveness of individual clients
D)All of the above

Question 47

Which of the following are not considered a suicide risk?

A)Single and over 65.
B)A long history of depression.
C)Having an alcohol or drug abuse diagnosis.
D)Female over the age of twenty one.

Question 48

Which of the following case management models can sometimes increase or intensify problems for some clients?

A)Assertive community treatment model
B)Strength-based model.
C)Clinical/ rehabilitation model.
D)Strength based model

Question 49

Which of the following case resources is the most important for the 16 to 60 year old group?

A)A family physician
B)An STD screening clinic
C)An abortion clinic
D)An AARP meeting

Question 50

Which of the following functions described intercede on behalf of the client to obtain needed resources?

A)Treatment continuum.
B)Advocacy.
C)Planning.
D)Linking.

Question 51

Which of the following is the reason the counselor might act as the case manager for a client?

A)The client has multiple needs and the counselor's; resources may be limited.
B)In being involved in a client's substance abuse treatment the counselor is more likely to know what other services the client might need.
C)The client's family is already involved in the client's case management.
D)The needs of the client's supporting services appear to be few.

Question 52

Which of the following phrase best pertains to the resources that might be needed after discharge from treatment?

A)Primary treatment.
B)Disengagement.
C)Family assessment.
D)Psychological assessment.

Question 53

Which of the following principles do not apply to case management models management?

A)It prepares clients for the next stage of treatment,
B)It consolidates client care to a point of responsibility.
C)It intervenes quickly in client's life if incidences indicate.
D)It is always community based.

Question 54

Which of the following statements are true when conducting a written assessment with a client?

A)It is important that a counselor conduct themselves forcefully in order to let the client know who is in charge while conducting interviews.
B)An Interview can be used to establish rapport between client and counselor helping create a comfortable situation that encourages progress.
C)All interviews can be used by clients to evaluate counselors.
D)None of the above

Question 55

Which of the following statements would not be an example of case management advocacy?

A)Giving or receiving information about a specific client.
B)Keeping another agency informed about the client's treatment process.
C)Communicating with other agencies in planning aftercare.
D)Investigating a furniture sale for a client's needed apartment.

Question 56

Which of these instruments are considered the most appropriate screening assessment in determining relapse possibilities?

A)TWEAK.
B)CAGE.
C)CBI.
D)SASSI.

Question 57

Which of these screening instruments are considered particularly useful in working with the elderly client?

A)ADS.
B)TLFD.
C)TWEAK.
D)SASSI.

Question 58

Which of these tests is self-administrated and assesses the attempts to control the drinking during the past six months and now?

A)Diagnostic Interview Schedule (DIS-IV)
B)Impaired Control Scale (ICS).
C)Instruments to Aid Treatment Planning (IATP).
D)Addiction Severity Index (ASI).

Question 59

Which particular treatment group listed below would most likely use the resources of school, work, community, and the justice systems?

A)Women
B)Adolescents
C)Minorities
D)None of the above

Question 60

Why might a woman not be referred to an AA meeting?

A)A woman that is a member of an oppressed group might have difficulty with the concept of powerlessness
B)The culture and the sex of a group might cause resistance, blocking information needed for treatment
C)Female clients benefit less from open support groups
D)None of the above

Question 61

With adolescents, as they are minors, the management of case falls primarily to the following aspects involved: family, school, community resources, the adolescent, other youth, and the treatment staff. Which aspect is considered the most important in determining the outcome of treatment?

A)Family
B)Community resources
C)Treatment staff
D)Adolescent

Question 62

The employee of a large company has relapsed for a fourth time. Though the company has good medical insurance related to chemical dependency the maximum has been reached. What is the best option?

A)Aftercare.
B)Outpatient Treatment.
C)Pretreatment.
D)Inpatient Treatment.