CCM Psychosocial Assessment and Intervention 2 — Questions and Answers
Question 1: A case manager is assessing a client who recently lost their job and is showing signs of depression. Which screening tool is most commonly used to assess depression severity in case management settings?
- Beck Anxiety Inventory (BAI)
- Patient Health Questionnaire-9 (PHQ-9) (Correct answer)
- Mini-Mental State Examination (MMSE)
- Generalized Anxiety Disorder-7 (GAD-7)
Correct answer: Patient Health Questionnaire-9 (PHQ-9)
The PHQ-9 is the most widely used validated tool for screening and measuring depression severity in clinical and case management settings.
Question 2: When conducting a psychosocial assessment, a case manager discovers that a client's cultural background influences their perception of mental illness. What is the most appropriate response?
- Educate the client that cultural beliefs do not affect diagnosis
- Incorporate cultural considerations into the care plan (Correct answer)
- Refer the client to a psychiatrist immediately
- Document the information but proceed with the standard care plan
Correct answer: Incorporate cultural considerations into the care plan
Culturally competent case management requires integrating the client's cultural beliefs, values, and practices into individualized care planning.
Question 3: A case manager notices a client is using alcohol to cope with chronic pain. This behavior best exemplifies which psychosocial concept?
- Cognitive dissonance
- Maladaptive coping (Correct answer)
- Secondary gain
- Somatization
Correct answer: Maladaptive coping
Using alcohol to manage pain represents maladaptive coping — a harmful strategy that provides short-term relief but worsens long-term outcomes.
Question 4: Which of the following is the PRIMARY goal of motivational interviewing in case management?
- Confronting the client about harmful behaviors
- Eliciting the client's intrinsic motivation to change (Correct answer)
- Providing expert advice on behavior modification
- Establishing consequences for non-compliance
Correct answer: Eliciting the client's intrinsic motivation to change
Motivational interviewing is a client-centered approach designed to evoke the client's own motivation and commitment to change.
Question 5: A case manager is working with a client who has schizophrenia and is non-compliant with medications due to lack of insight. This lack of insight is clinically referred to as:
- Anhedonia
- Anosognosia (Correct answer)
- Alexithymia
- Alogia
Correct answer: Anosognosia
Anosognosia is the clinical term for impaired awareness of one's own illness, which is common in schizophrenia and a major barrier to medication adherence.
Question 6: During a home visit, a case manager observes signs of domestic violence. The client asks the case manager not to report it. What should the case manager do?
- Honor the client's wishes and maintain confidentiality
- Immediately call law enforcement without informing the client
- Follow mandatory reporting laws and explain the process to the client (Correct answer)
- Consult with the client's physician before taking any action
Correct answer: Follow mandatory reporting laws and explain the process to the client
Case managers must comply with mandatory reporting obligations while keeping the client informed and maintaining the therapeutic relationship as much as possible.
Question 7: A case manager is using Maslow's Hierarchy of Needs to prioritize interventions for a homeless client with depression. Which needs should be addressed FIRST?
- Esteem needs such as self-confidence
- Belonging needs such as social support
- Safety and physiological needs such as food and shelter (Correct answer)
- Self-actualization needs such as personal growth
Correct answer: Safety and physiological needs such as food and shelter
Maslow's hierarchy dictates that basic physiological and safety needs — food, water, and shelter — must be addressed before higher-level psychosocial needs.
CCM Psychosocial Assessment and Intervention 2
A case manager is assessing a client who recently lost their job and is showing signs of depression.
Which screening tool is most commonly used to assess depression severity in case management settings?