CBHCM Engagement and Assessment 3 — Questions and Answers
Question 1: A case manager uses open-ended questions, affirmations, reflective listening, and summaries during client engagement. This set of techniques is associated with:
- Cognitive Behavioral Therapy
- Dialectical Behavior Therapy
- Motivational Interviewing (OARS) (Correct answer)
- Solution-Focused Brief Therapy
Correct answer: Motivational Interviewing (OARS)
OARS — Open questions, Affirmations, Reflective listening, and Summaries — are the core communication techniques of Motivational Interviewing.
Question 2: Which assessment tool is specifically designed to screen for alcohol use disorder in primary and behavioral health settings?
- PHQ-9
- GAD-7
- AUDIT (Correct answer)
- PCL-5
Correct answer: AUDIT
The Alcohol Use Disorders Identification Test (AUDIT) is a validated 10-item tool developed by the WHO to screen for harmful and hazardous alcohol consumption.
Question 3: A case manager is assessing a Spanish-speaking client using a family member as an interpreter. The MAIN concern with this approach is:
- The family member may not be available for future sessions
- Confidentiality breaches and inaccurate translation may compromise assessment quality (Correct answer)
- The family member will become too involved in the treatment plan
- Insurance may not reimburse sessions conducted through informal interpreters
Correct answer: Confidentiality breaches and inaccurate translation may compromise assessment quality
Using family members as interpreters risks confidentiality violations, inaccurate translation, and power dynamics that distort clinical information.
Question 4: A client scores 15 on the PHQ-9. This score indicates:
- Minimal depression — no intervention needed
- Mild depression — watchful waiting recommended
- Moderately severe depression — active treatment is warranted (Correct answer)
- Anxiety disorder — refer for GAD-7 follow-up
Correct answer: Moderately severe depression — active treatment is warranted
A PHQ-9 score of 15-19 indicates moderately severe depression, which typically warrants initiation or adjustment of active treatment.
Question 5: When conducting a mental status examination (MSE), which domain specifically evaluates whether a client understands the nature and consequences of their condition?
- Affect
- Insight (Correct answer)
- Orientation
- Memory
Correct answer: Insight
Insight in the MSE refers to the client's awareness and understanding of their illness, symptoms, and the need for treatment.
Question 6: During engagement, a client states, 'I only came here because my parole officer said I had to.' The case manager's BEST initial response is to:
- Explain that mandated clients cannot benefit from treatment and document accordingly
- Acknowledge the external pressure and explore what the client personally hopes to get from the meetings (Correct answer)
- Immediately contact the parole officer to confirm the referral mandate
- Set firm expectations that the client must be internally motivated to participate
Correct answer: Acknowledge the external pressure and explore what the client personally hopes to get from the meetings
Acknowledging external pressure while exploring any personal goals the client may have builds engagement even with initially unmotivated clients.
Question 7: Which of the following is a key principle of trauma-informed care that should guide the engagement and assessment process?
- Asking clients to recount traumatic events in detail during the first session
- Prioritizing safety, trustworthiness, choice, collaboration, and empowerment (Correct answer)
- Requiring clients to complete trauma processing before receiving case management services
- Focusing assessment exclusively on present symptoms rather than historical events
Correct answer: Prioritizing safety, trustworthiness, choice, collaboration, and empowerment
SAMHSA's six principles of trauma-informed care — safety, trustworthiness, peer support, collaboration, empowerment, and cultural issues — guide engagement to avoid re-traumatization.
CBHCM Engagement and Assessment 3
A case manager uses open-ended questions, affirmations, reflective listening, and summaries during client engagement.
This set of techniques is associated with: