BHP Treatment Planning & Intervention Strategies 2 — Questions and Answers
Question 1: A client with co-occurring substance use disorder and major depression is entering treatment. Which approach is considered best practice?
- Treat the depression first, then address substance use
- Treat the substance use first, then address depression
- Integrate treatment for both disorders simultaneously (Correct answer)
- Refer to separate specialists for each condition
Correct answer: Integrate treatment for both disorders simultaneously
Integrated dual diagnosis treatment addresses co-occurring disorders simultaneously, producing better outcomes than sequential treatment.
Question 2: Which element is most critical when establishing measurable goals in a treatment plan?
- Using clinical terminology familiar to the treatment team
- Specifying observable behaviors, timelines, and success criteria (Correct answer)
- Ensuring goals align with the clinician's theoretical orientation
- Limiting goals to no more than two per treatment plan
Correct answer: Specifying observable behaviors, timelines, and success criteria
Measurable goals must include observable behaviors, realistic timelines, and clear criteria for evaluating success.
Question 3: A BHP is using Motivational Interviewing (MI) with a resistant client. Which MI technique involves reflecting both sides of a client's ambivalence?
- Simple reflection
- Double-sided reflection (Correct answer)
- Amplified reflection
- Reframing
Correct answer: Double-sided reflection
Double-sided reflection acknowledges both the client's stated resistance and their previously expressed reasons for change.
Question 4: In crisis intervention using the ABC model, what does 'B' represent?
- Behavioral responses to the crisis
- Beliefs and perceptions about the crisis event (Correct answer)
- Background history of the client
- Barriers to treatment engagement
Correct answer: Beliefs and perceptions about the crisis event
In the ABC Crisis Intervention model, 'B' stands for Beliefs — the client's perceptions and thoughts about the precipitating event.
Question 5: Which behavioral intervention is most appropriate when helping a client reduce anxiety through gradual exposure?
- Flooding
- Systematic desensitization (Correct answer)
- Aversion therapy
- Operant conditioning
Correct answer: Systematic desensitization
Systematic desensitization pairs progressive relaxation with gradual, hierarchical exposure to anxiety-provoking stimuli.
Question 6: A client refuses to take prescribed psychiatric medication. The BHP's most appropriate first response is to:
- Document the refusal and notify the prescriber immediately
- Explore the client's reasons for refusing with open-ended questions (Correct answer)
- Remind the client of the consequences of non-compliance
- Contact the client's family to encourage medication adherence
Correct answer: Explore the client's reasons for refusing with open-ended questions
Exploring the client's reasons for refusal using open-ended questions respects autonomy and uncovers barriers to adherence.
Question 7: Which of the following best describes the purpose of a safety plan in behavioral health treatment?
- To outline physical safety protocols within the treatment facility
- To document a client's coping strategies and support contacts to use during a crisis (Correct answer)
- To establish legal boundaries for duty-to-warn obligations
- To summarize risk factors identified during the initial assessment
Correct answer: To document a client's coping strategies and support contacts to use during a crisis
A safety plan provides clients with personalized coping strategies, warning signs, and emergency contacts to use when crisis risk escalates.
BHP Treatment Planning & Intervention Strategies 2
A client with co-occurring substance use disorder and major depression is entering treatment.
Which approach is considered best practice?