CBHCM Engagement and Assessment 2

Question 1

A client with schizophrenia refuses to acknowledge any mental health concerns but agrees to meet weekly to discuss 'life problems.' Which engagement strategy is most appropriate?

Accepted Answer

Use motivational interviewing to explore ambivalence without confrontation

Answer

Insist the client accept their diagnosis before continuing sessions

Answer

Discharge the client for non-compliance with treatment

Answer

Refer immediately to a psychiatrist for medication evaluation

Question 2

During an initial assessment, a client discloses a history of childhood trauma. The case manager should FIRST:

Accepted Answer

Acknowledge the disclosure and assess current safety and coping resources

Answer

Ask detailed questions to document the full trauma history immediately

Answer

Refer the client to a trauma specialist before proceeding

Answer

Record the information and continue with the standard intake questions

Question 3

Which of the following BEST describes the purpose of a biopsychosocial assessment in behavioral health case management?

Accepted Answer

To identify biological, psychological, and social factors that influence the client's health and functioning

Answer

To determine eligibility for Medicaid reimbursement

Answer

To establish a primary psychiatric diagnosis for the treatment record

Answer

To screen for substance use disorders only

Question 4

A client from a collectivist culture defers all treatment decisions to their family elder. The most culturally competent response is to:

Accepted Answer

Engage the family elder as a key stakeholder while ensuring the client's voice is heard

Answer

Insist the client make independent decisions to build autonomy

Answer

Document that the client lacks decision-making capacity

Answer

Limit family involvement to protect client confidentiality

Question 5

The Columbia Suicide Severity Rating Scale (C-SSRS) is used during assessment to:

Accepted Answer

Standardize the evaluation of suicidal ideation and behavior intensity

Answer

Measure depression symptom severity over the past two weeks

Answer

Screen for co-occurring substance use disorders

Answer

Assess cognitive functioning and memory impairment

Question 6

When engaging a client who has had multiple unsuccessful treatment episodes, which approach is most likely to build therapeutic alliance?

Accepted Answer

Validate the client's frustration and explore what has worked or felt helpful before

Answer

Review all previous treatment failures to identify what the client did wrong

Answer

Emphasize the consequences of continued non-compliance

Answer

Focus exclusively on new treatment options not previously tried

Question 7

During a functional assessment, a case manager identifies that a client with bipolar disorder is unable to maintain employment. This information is PRIMARILY used to:

Accepted Answer

Establish baseline functioning to set realistic, measurable goals in the care plan

Answer

Justify a lower level of care to reduce treatment costs

Answer

Determine if the client qualifies for Social Security disability benefits

Answer

Document poor prognosis in the clinical record