BHP Treatment Planning & Intervention Strategies 3 — Questions and Answers
Question 1: A BHP is reviewing a client's treatment plan at the 30-day mark. The client has not met any goals. The most appropriate action is to:
- Extend the timeline without modifying the plan
- Discharge the client for lack of progress
- Reassess barriers and revise goals collaboratively with the client (Correct answer)
- Increase session frequency only
Correct answer: Reassess barriers and revise goals collaboratively with the client
When goals are not met, the clinician should reassess barriers to progress and revise the plan collaboratively to ensure it remains relevant and achievable.
Question 2: Which of the following is an evidence-based intervention specifically developed for borderline personality disorder?
- Eye Movement Desensitization and Reprocessing (EMDR)
- Dialectical Behavior Therapy (DBT) (Correct answer)
- Cognitive Processing Therapy (CPT)
- Interpersonal Therapy (IPT)
Correct answer: Dialectical Behavior Therapy (DBT)
Dialectical Behavior Therapy (DBT) was developed by Marsha Linehan specifically to treat borderline personality disorder and focuses on distress tolerance, emotional regulation, and interpersonal effectiveness.
Question 3: When developing a treatment plan for a client from a collectivist cultural background, a BHP should:
- Apply standard Western individualistic goal-setting approaches
- Incorporate family and community roles into treatment goals when appropriate (Correct answer)
- Avoid discussing cultural values to maintain objectivity
- Defer all cultural considerations to a cultural liaison
Correct answer: Incorporate family and community roles into treatment goals when appropriate
Culturally competent treatment planning for clients from collectivist backgrounds should acknowledge and incorporate family and community dynamics into goals.
Question 4: Which of the following best describes the role of psychoeducation in a behavioral health treatment plan?
- Providing academic instruction on mental health research
- Teaching clients about their diagnosis, symptoms, and coping strategies to enhance self-management (Correct answer)
- Replacing therapy sessions with educational workshops
- Assigning reading materials as homework to supplement medication management
Correct answer: Teaching clients about their diagnosis, symptoms, and coping strategies to enhance self-management
Psychoeducation equips clients with knowledge about their condition and evidence-based coping strategies, improving engagement and self-management.
Question 5: A client with PTSD is being treated using Cognitive Processing Therapy (CPT). A core component of CPT involves:
- Prolonged imaginal exposure to traumatic memories
- Identifying and challenging 'stuck points' — distorted cognitions about the trauma (Correct answer)
- EMDR bilateral stimulation techniques
- Gradual in vivo exposure to trauma-related triggers
Correct answer: Identifying and challenging 'stuck points' — distorted cognitions about the trauma
CPT targets 'stuck points,' which are maladaptive beliefs about the trauma and its aftermath, and helps clients develop more balanced thinking.
Question 6: A BHP sets a short-term goal: 'Client will report using a coping skill during urges to self-harm at least 3 times per week by session 6.' This goal is best categorized as:
- Vague and unenforceable
- Measurable, behavioral, and time-bound (Correct answer)
- Outcome-based but not client-centered
- Appropriate only for inpatient settings
Correct answer: Measurable, behavioral, and time-bound
This goal includes a specific behavior (using a coping skill), a frequency (3 times per week), and a timeline (by session 6), meeting SMART criteria.
Question 7: Which stage of change in the Transtheoretical Model describes a client who has been consistently using new behaviors for more than six months?
- Preparation
- Action
- Maintenance (Correct answer)
- Contemplation
Correct answer: Maintenance
The Maintenance stage begins after six months of sustained behavior change, during which the client works to prevent relapse.
BHP Treatment Planning & Intervention Strategies 3
A BHP is reviewing a client's treatment plan at the 30-day mark.
The client has not met any goals.
The most appropriate action is to: