CCTC CCTC - Certified Clinical Transplant Coordinator Psychosocial Assessment and Support Questions and Answers 4

Question 1

A transplant candidate reports feeling "numb" and detached since receiving their diagnosis. Which psychosocial concept best describes this response?

Accepted Answer

Dissociative reaction as a grief response

Answer

Emotional numbing or dissociation is a recognized grief response to a life-threatening diagnosis and is distinct from a psychiatric disorder.

Question 2

When assessing a transplant candidate's social support network, which factor is MOST predictive of post-transplant adherence?

Accepted Answer

Presence of at least one reliable caregiver committed to post-transplant care

Answer

Having at least one reliable, committed caregiver is the strongest social-support predictor of post-transplant medication adherence and outcomes.

Question 3

A pediatric transplant patient's parents consistently override the 16-year-old's expressed preferences about treatment. The CCTC's best initial action is to:

Accepted Answer

Facilitate a family meeting to explore the adolescent's developing autonomy within the care plan

Answer

Adolescent assent and developing autonomy should be respected; a facilitated family meeting balances parental authority with the patient's emerging decision-making role.

Question 4

Which validated tool is MOST commonly used to screen transplant candidates for alcohol use disorder?

Accepted Answer

AUDIT (Alcohol Use Disorders Identification Test)

Answer

The AUDIT is the WHO-endorsed, validated 10-item tool most widely used for alcohol use disorder screening in transplant evaluations.

Question 5

A liver transplant candidate with a history of alcohol use disorder has 18 months of documented sobriety. The ethics committee is debating listing. The CCTC should present:

Accepted Answer

A comprehensive psychosocial risk profile including relapse risk factors, support systems, and engagement with treatment

Answer

Ethical listing decisions require a holistic psychosocial risk profile rather than sobriety duration alone, as no single factor predicts relapse with certainty.

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC - Certified Clinical Transplant Coordinator Practice Test

CCTC CCTC - Certified Clinical Transplant Coordinator Psychosocial Assessment and Support Questions and Answers 4