Engagement and Assessment 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 Engagement and Assessment flashcards as text
A case manager notices that a newly engaged client avoids eye contact, gives one-word answers, and sits close to the door. The MOST appropriate interpretation is:
Answer: The client may be experiencing anxiety, fear, or distrust that warrants a slower, more supportive approach
Non-verbal cues such as limited eye contact and proximity to the exit often signal anxiety or distrust, signaling the need to slow down and build safety.
A comprehensive substance use assessment should include which of the following elements?
Answer: Substances used, age of first use, patterns of use, consequences, prior treatment, and family history
A comprehensive substance use assessment covers all substances, use patterns, developmental history, consequences, treatment history, and family factors to inform individualized care.
The ACE (Adverse Childhood Experiences) score is used during assessment to:
Answer: Quantify early trauma exposure and predict health and behavioral health risk across the lifespan
The ACE score summarizes childhood exposure to abuse, neglect, and household dysfunction, with higher scores correlating to increased risk of mental health, substance use, and physical health problems.
When a client presents with both a substance use disorder and a major depressive disorder, the case manager should treat these conditions as:
Answer: Co-occurring disorders requiring integrated, simultaneous treatment planning
Best practice for co-occurring disorders is integrated treatment that addresses both conditions simultaneously, as they interact and each impacts the other's course.
A case manager is conducting an initial engagement session and the client suddenly begins to cry. The MOST therapeutic response is to:
Answer: Sit quietly, offer a compassionate presence, and gently acknowledge the emotion before proceeding
Sitting with the client's emotion and acknowledging it with compassion validates their experience and strengthens the therapeutic alliance.
Which legal doctrine requires that clients receive information about their diagnosis, treatment options, risks, and benefits before consenting to treatment?
Answer: Informed consent
Informed consent requires that clients receive adequate information to make voluntary, competent decisions about their care before treatment begins.
A case manager working in a community mental health center serves a client who is homeless. Which domain should be PRIORITIZED in the initial assessment?
Answer: Basic safety needs including housing, food security, and immediate medical needs
Maslow's hierarchy and trauma-informed practice both indicate that basic safety and survival needs must be assessed and stabilized before higher-order therapeutic goals can be addressed.