Clinical Application & Case Management Flashcards
7 cards from real CLT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Application & Case Management flashcards as text
A client with schizophrenia insists they do not need medication because they are 'completely fine.' Using the LEAP framework, what is the therapist's best immediate response?
Answer: Reflect the client's perspective back without challenging it
LEAP begins with Listen — reflecting the client's view without debate builds alliance before any agreement or partnership can occur.
When a LEAP therapist uses 'strategic empathy,' they are primarily attempting to:
Answer: Validate feelings to reduce defensiveness and open dialogue
Strategic empathy communicates genuine understanding of the client's emotional experience, lowering resistance so productive conversation can follow.
A case manager finds that a client with anosognosia has stopped attending appointments. Which LEAP-consistent approach should guide the outreach strategy?
Answer: Lead with curiosity about what the client has been experiencing
Resuming the 'Listen' phase by expressing genuine curiosity reestablishes alliance without triggering power struggles.
During case formulation for a LEAP client, which factor most directly influences the therapist's pacing of the 'Agree' phase?
Answer: The client's current level of trust in the therapeutic relationship
Agreement in LEAP requires sufficient relational trust; moving too quickly without trust causes the client to feel manipulated.
A LEAP therapist is working with a client who has bipolar disorder and refuses mood stabilizers during a manic phase. The most appropriate clinical goal at this stage is:
Answer: Identify one shared concern the client acknowledges regardless of diagnosis
Finding even a small area of shared concern anchors the partnership phase and keeps dialogue open without requiring full insight from the client.
Which documentation element is most critical when recording a LEAP-based session for case management purposes?
Answer: The specific concerns the client expressed in their own words
Recording the client's own language preserves the relational context needed to maintain continuity of the LEAP alliance across sessions.
A client tells their LEAP therapist, 'You only agree with me to manipulate me into taking pills.' The therapist's best response is to:
Answer: Acknowledge that this is a fair concern and invite the client to set the agenda
Validating the client's skepticism and returning control to them repairs trust and models the authentic listening central to LEAP.