CBHCM Assessment and Planning 2 — Questions and Answers
Question 1: A behavioral health case manager is conducting a biopsychosocial assessment. Which domain is MOST important to evaluate when determining a client's support network?
- Biological factors such as current medications
- Social factors such as family relationships and community ties (Correct answer)
- Psychological factors such as cognitive distortions
- Spiritual factors such as religious affiliation
Correct answer: Social factors such as family relationships and community ties
Social factors, including family relationships and community ties, directly reflect the strength and availability of a client's support network.
Question 2: When using the DSM-5 to guide assessment, a case manager notes a client has 'clinically significant impairment in social, occupational, or other important areas of functioning.' This criterion primarily helps distinguish:
- Acute from chronic conditions
- Disorder from normal variation (Correct answer)
- Axis I from Axis II diagnoses
- Primary from secondary diagnoses
Correct answer: Disorder from normal variation
Clinically significant impairment is a key DSM-5 criterion used to differentiate a diagnosable mental disorder from normal human experiences or stress reactions.
Question 3: A case manager is completing a functional assessment for a client with schizophrenia. Which tool is MOST appropriate for measuring the client's ability to perform activities of daily living?
- PHQ-9
- GAF (Global Assessment of Functioning) (Correct answer)
- CAGE questionnaire
- Columbia Suicide Severity Rating Scale
Correct answer: GAF (Global Assessment of Functioning)
The GAF scale specifically measures overall psychological, social, and occupational functioning, making it appropriate for evaluating ADL capacity.
Question 4: During care planning, a case manager identifies that a client's goals conflict with the treatment team's recommendations. The BEST initial action is to:
- Follow the treatment team's plan without modification
- Document the conflict and defer to the supervisor
- Facilitate a collaborative discussion between the client and treatment team (Correct answer)
- Override the client's goals to ensure clinical best practices
Correct answer: Facilitate a collaborative discussion between the client and treatment team
Person-centered care requires facilitating dialogue between clients and providers to reconcile differences and develop mutually agreed-upon goals.
Question 5: A case manager notices a client scored 20 on the PHQ-9 at intake and 12 at the 4-week follow-up. This change BEST indicates:
- The client has achieved remission of depression
- The client's depression severity has decreased from severe to moderate (Correct answer)
- No clinically meaningful change has occurred
- The client is at increased suicide risk
Correct answer: The client's depression severity has decreased from severe to moderate
A PHQ-9 score of 20 falls in the severe range and 12 falls in the moderate range, indicating a reduction in depressive symptom severity.
Question 6: Which assessment approach is MOST consistent with a strengths-based model of behavioral health case management?
- Focusing exclusively on symptom severity and functional deficits
- Identifying client abilities, resources, and past successes alongside challenges (Correct answer)
- Deferring all clinical assessments to licensed therapists
- Prioritizing diagnostic labeling before exploring client goals
Correct answer: Identifying client abilities, resources, and past successes alongside challenges
A strengths-based model emphasizes identifying and building on client abilities, resources, and past successes while also acknowledging challenges.
Question 7: A case manager is developing a crisis plan for a client with bipolar disorder. Which element is MOST critical to include?
- A list of the client's insurance benefits
- Early warning signs and individualized coping strategies (Correct answer)
- The case manager's personal contact information
- A schedule of future therapy appointments
Correct answer: Early warning signs and individualized coping strategies
An effective crisis plan must include the client's personalized early warning signs and coping strategies to help prevent or manage escalation.
CBHCM Assessment and Planning 2
A behavioral health case manager is conducting a biopsychosocial assessment.
Which domain is MOST important to evaluate when determining a client's support network?