CIC Mental Health Crisis Types & Presentations 2

Question 1

Which of the following is a hallmark feature of a manic episode that distinguishes it from hypomanic presentation in crisis settings?

Accepted Answer

Marked functional impairment or psychotic features

Answer

Manic episodes are distinguished from hypomanic episodes by the presence of marked functional impairment or psychotic features, which are absent in hypomania.

Question 2

A crisis counselor working with a client presenting with post-traumatic stress disorder (PTSD) during a flashback should PRIMARILY:

Accepted Answer

Use grounding techniques to help orient the client to the present

Answer

During a PTSD flashback, grounding techniques help the client reconnect with present reality and reduce the intensity of the intrusive re-experiencing.

Question 3

When a client presents with pressured speech, flight of ideas, and grandiosity during a crisis call, the counselor should recognize these as potential indicators of:

Accepted Answer

Acute mania or hypomanic state

Answer

Pressured speech, flight of ideas, and grandiosity are classic triad symptoms of acute mania or hypomania in bipolar spectrum disorders.

Question 4

A crisis intervention counselor should suspect excited delirium when a client presents with:

Accepted Answer

Extreme agitation, hyperthermia, and unusual strength combined with confusion

Answer

Excited delirium is characterized by extreme agitation, hyperthermia, unusual strength, and confusion, representing a medical emergency often associated with stimulant intoxication.

Question 5

A client who experienced a natural disaster three days ago presents to crisis services with nightmares, hypervigilance, and emotional numbing. This presentation is BEST described as:

Accepted Answer

Acute Stress Disorder, given the timeframe within one month of the event

Answer

Acute Stress Disorder is diagnosed when trauma-related symptoms occur within three days to one month after a traumatic event, making it the appropriate descriptor here.

(CIC) Crisis Intervention Counselor Practice Test

(CIC) Crisis Intervention Counselor Practice Test

CIC Mental Health Crisis Types & Presentations 2