PSS Documentation, Person-Centered Language, and Goal Setting 5

Question 1

A peer specialist is completing a service plan with someone who has never set goals before and feels overwhelmed. The best approach is to:

Accepted Answer

Break the process into small steps, starting with one area of life the peer cares about.

Answer

Complete the plan quickly and have the peer sign it.

Answer

Ask the clinical team to set the goals for the peer.

Answer

Postpone goal setting until the peer is more stable.

Question 2

Which of the following is an example of an objective, fact-based documentation entry?

Accepted Answer

The peer stated he slept four hours last night and missed his morning medication.

Answer

The peer appeared depressed and unmotivated throughout the session.

Answer

The peer is clearly not trying hard enough to find housing.

Answer

The peer seems to be hiding something about her living situation.

Question 3

The language 'wheelchair-bound' is considered problematic because:

Accepted Answer

It implies the person is restricted by their wheelchair rather than enabled by it.

Answer

It is too informal for clinical documentation.

Answer

It reveals too much personal medical information.

Answer

It is not an accepted insurance term.

Question 4

Which question would BEST help a peer identify a personally meaningful long-term goal?

Accepted Answer

What would your life look like if things were going really well?

Answer

What does your doctor think you should work on?

Answer

What goals did you have in your last treatment program?

Answer

What does your family want for you?

Question 5

Why is it important to document the date and time of each peer support interaction?

Accepted Answer

To create a chronological record that demonstrates accountability and continuity of support.

Answer

So the peer specialist can calculate their hours for payroll.

Answer

Because HIPAA requires timestamps on all health documents.

Answer

To track how often the peer cancels appointments.

Question 6

A well-written peer support progress note should include:

Accepted Answer

The peer's self-reported status and movement toward their identified goals.

Answer

A clinical diagnosis and medication list.

Answer

The specialist's personal opinions about the peer's behavior.

Answer

Detailed childhood history collected during the session.

Question 7

Which scenario demonstrates an appropriate use of 'I' statements in peer documentation?

Accepted Answer

'I observed the peer arrive on time and report completing two job applications.'

Answer

'I think the peer is making poor choices.'

Answer

'I believe the peer will relapse without more support.'

Answer

'I felt the peer was dishonest during our conversation.'