Patient Safety & Risk Management Flashcards
7 cards from real ACT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Safety & Risk Management flashcards as text
A supervisee using ACT with a suicidal client becomes emotionally avoidant and stops asking about suicidal ideation. This behavior in the therapist is best described as:
Answer: Therapist experiential avoidance impeding safety assessment
Therapist avoidance of asking about suicidal ideation due to discomfort is a form of experiential avoidance that compromises clinical safety assessment.
Which of the following is a key difference between ACT's approach to self-harm and traditional CBT's approach?
Answer: ACT emphasizes acceptance of distress and values-based action rather than thought elimination
ACT targets experiential avoidance and values-based living rather than trying to eliminate self-harm thoughts, which distinguishes it from traditional CBT's cognitive restructuring approach.
A client with borderline personality disorder in ACT treatment calls the crisis line between sessions. What ACT-consistent approach should guide the therapist's response planning?
Answer: Integrate crisis resources into the overall ACT treatment plan and support their appropriate use
ACT treatment planning should include crisis resources as part of a comprehensive safety net while building long-term psychological flexibility.
What does the term 'lethal means counseling' refer to in suicide risk management?
Answer: Reducing access to means of suicide such as firearms or medications
Lethal means counseling involves working with clients and families to restrict access to highly lethal suicide methods, particularly firearms and stockpiled medications.
In an ACT framework, 'psychological flexibility' in the context of a high-risk client means the client can:
Answer: Contact and remain present with difficult experiences while moving toward valued living
Psychological flexibility is the ability to fully contact the present moment, accept difficult internal experiences, and pursue values-based action.
A client reveals that they have been giving away prized possessions. How should this be interpreted in a risk assessment context?
Answer: As a potential warning sign of suicidal intent requiring immediate assessment
Giving away prized possessions is a recognized behavioral warning sign of suicidal intent that warrants immediate and thorough risk assessment.
What is the purpose of the Columbia Suicide Severity Rating Scale (C-SSRS) in clinical practice?
Answer: To systematically assess and categorize the intensity and frequency of suicidal ideation and behavior
The C-SSRS provides a standardized framework for assessing the severity and type of suicidal ideation and behavior to guide clinical decision-making.