Assessment and Planning Flashcards
7 cards from real CBHCM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Assessment and Planning flashcards as text
A case manager is using motivational interviewing techniques during assessment. Which response BEST demonstrates reflective listening?
Answer: 'It sounds like you feel torn between wanting to change and fearing what that change might look like.'
Reflective listening involves restating the client's expressed feelings and ambivalence in a way that demonstrates empathy and deepens understanding.
An assessment reveals a client has 'anosognosia' related to bipolar disorder. This finding MOST directly affects care planning by:
Answer: Necessitating strategies to engage a client who lacks awareness of their illness
Anosognosia — the neurological inability to recognize one's own illness — requires engagement strategies that do not rely on the client's insight into their condition.
When conducting an environmental assessment for a client with severe mental illness, which factor is MOST likely to predict rehospitalization?
Answer: Unstable or unsafe housing conditions
Research consistently shows that housing instability is one of the strongest predictors of psychiatric rehospitalization among individuals with severe mental illness.
The AUDIT (Alcohol Use Disorders Identification Test) is a validated screening tool designed to detect:
Answer: Hazardous and harmful alcohol use as well as possible dependence
The AUDIT was developed by the WHO to identify hazardous and harmful alcohol consumption patterns, including possible alcohol dependence.
A case manager is completing a cultural formulation interview (CFI) as part of a comprehensive assessment. The PRIMARY goal of the CFI is to:
Answer: Understand how the client's cultural background shapes their illness experience and help-seeking
The CFI explores how cultural factors influence the client's explanatory model, illness experience, coping, and preferences for care.
A case manager identifies that a client has unmet social determinants of health (SDOH) needs. In the care plan, these should be addressed by:
Answer: Integrating SDOH-targeted goals and community resource linkages into the care plan
Addressing SDOH directly in the care plan through targeted goals and resource linkages is integral to whole-person, outcomes-focused behavioral health case management.
During reassessment, a client who previously engaged well now shows decreased participation and missed appointments. The case manager should FIRST:
Answer: Explore possible barriers and changes in the client's circumstances
Decreased engagement often signals new barriers, life stressors, or symptom worsening; exploring these collaboratively is the appropriate first step.