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 suspects a client may have an undiagnosed intellectual disability affecting their comprehension during the assessment. The BEST next step is to:
Answer: Use plain language, check for comprehension frequently, and request a formal cognitive evaluation if indicated
Adapting communication strategies and pursuing formal evaluation when cognitive limitations are suspected ensures assessment validity and client dignity.
Under HIPAA, behavioral health case managers are permitted to share client information with other treating providers without a signed authorization under which provision?
Answer: Treatment, Payment, and Healthcare Operations (TPO)
HIPAA's TPO provision allows sharing of protected health information without client authorization when it is for the purpose of treatment coordination among providers.
A client with anosognosia (lack of illness awareness) refuses medication for psychosis. The MOST appropriate engagement strategy is:
Answer: Use motivational interviewing and focus on goals the client values, such as avoiding hospitalization or maintaining housing
Connecting treatment to the client's own valued goals is more effective than confrontation when anosognosia prevents illness recognition.
Which assessment approach asks clients to rate their confidence and importance of change on separate 0-10 scales?
Answer: Readiness ruler from Motivational Interviewing
The readiness ruler from Motivational Interviewing measures both the importance of change and the client's confidence in making that change to identify ambivalence and guide intervention.
During assessment, a client reports symptoms of both anxiety and PTSD. The case manager should:
Answer: Assess both conditions fully using validated tools, as they commonly co-occur and both inform treatment
PTSD and anxiety disorders frequently co-occur and using validated tools for each ensures comprehensive assessment that captures both sets of clinical needs.
A case manager is completing a level of care assessment. The LOCUS instrument evaluates which of the following dimensions?
Answer: Risk of harm, functional status, co-morbidity, recovery environment, and treatment history
LOCUS (Level of Care Utilization System) assesses six dimensions including risk, functional status, co-morbidity, recovery environment, treatment and recovery history, and engagement to determine appropriate care level.
Rapport building during the engagement phase is BEST supported by which case manager behavior?
Answer: Demonstrating empathy, consistency, non-judgment, and genuine interest in the client's perspective
Empathy, consistency, a non-judgmental stance, and genuine curiosity about the client are the foundational behaviors that build trust and therapeutic alliance.