CBHT Behavioral Health Basics 3 — Questions and Answers
Question 1: When using a trauma-informed care approach, a BHT should PRIMARILY ask:
- 'What is wrong with you?'
- 'Why do you keep making the same choices?'
- 'What happened to you?' (Correct answer)
- 'Have you tried just thinking positively?'
Correct answer: 'What happened to you?'
Trauma-informed care shifts the question from 'What's wrong with you?' to 'What happened to you?' to acknowledge the role of past trauma.
Question 2: Active listening in a therapeutic interaction includes all of the following EXCEPT:
- Maintaining appropriate eye contact
- Reflecting back what the client has said
- Interrupting to offer immediate solutions (Correct answer)
- Using open-ended questions
Correct answer: Interrupting to offer immediate solutions
Interrupting to provide solutions undermines active listening, which requires the technician to focus on fully understanding the client's perspective first.
Question 3: Which stage of the grief process described by Kübler-Ross involves a person making deals or promises in hopes of reversing their loss?
- Anger
- Depression
- Bargaining (Correct answer)
- Acceptance
Correct answer: Bargaining
The bargaining stage involves the person attempting to negotiate or make deals (often with a higher power) to undo the loss or avoid pain.
Question 4: A client with schizophrenia says they can hear voices telling them they are worthless. This symptom is classified as:
- A delusion
- A hallucination (Correct answer)
- A mood episode
- Disorganized behavior
Correct answer: A hallucination
Hearing voices that are not present is an auditory hallucination, a positive symptom of schizophrenia.
Question 5: Motivational Interviewing (MI) is BEST described as:
- A directive approach that tells clients what changes to make
- A collaborative, client-centered method that strengthens motivation for change (Correct answer)
- A technique used exclusively for substance use treatment
- A behavioral intervention based on punishment and reward schedules
Correct answer: A collaborative, client-centered method that strengthens motivation for change
Motivational Interviewing is a person-centered counseling style designed to elicit and strengthen a client's own motivation and commitment to change.
Question 6: Which of the following BEST describes a 'safety plan' in behavioral health?
- A document outlining facility emergency procedures for staff
- A written personal plan a client follows when they feel at risk of self-harm (Correct answer)
- A legal order preventing a client from leaving treatment
- A supervision protocol created by the treatment team only
Correct answer: A written personal plan a client follows when they feel at risk of self-harm
A safety plan is a personalized, written guide a client uses to identify warning signs and coping steps when suicidal or self-harming thoughts arise.
Question 7: In behavioral health documentation, the SOAP note format stands for:
- Situation, Observation, Assessment, Plan
- Subjective, Objective, Assessment, Plan (Correct answer)
- Safety, Outcome, Action, Progress
- Summary, Observation, Analysis, Procedure
Correct answer: Subjective, Objective, Assessment, Plan
SOAP notes include Subjective (client's self-report), Objective (observable data), Assessment (clinical interpretation), and Plan (next steps).
CBHT Behavioral Health Basics 3
When using a trauma-informed care approach, a BHT should PRIMARILY ask: