CBHCM Crisis Intervention Strategies 2 — Questions and Answers
Question 1: During a psychiatric crisis, a case manager uses the ABC model. What does 'B' stand for?
- Behavior
- Beliefs and cognitive appraisal (Correct answer)
- Biological factors
- Boundary setting
Correct answer: Beliefs and cognitive appraisal
In the ABC model of crisis intervention, 'B' refers to the individual's beliefs and cognitive appraisal of the precipitating event.
Question 2: A client in crisis states, 'No one can help me.' This is best understood as which type of cognitive distortion?
- Magnification
- Overgeneralization (Correct answer)
- Personalization
- Mind reading
Correct answer: Overgeneralization
Overgeneralization involves drawing broad negative conclusions from a single event or limited experience.
Question 3: Which de-escalation technique involves reflecting the emotional content of a client's statement back to them?
- Psychoeducation
- Empathic validation (Correct answer)
- Behavioral contracting
- Cognitive restructuring
Correct answer: Empathic validation
Empathic validation involves reflecting the client's feelings to demonstrate understanding and reduce emotional intensity.
Question 4: A case manager is assessing lethality after a client discloses suicidal ideation. Which factor most significantly increases immediate risk?
- Passive ideation with no plan
- Ideation with a specific plan and access to means (Correct answer)
- History of depression without prior attempts
- Expressing hopelessness about the future
Correct answer: Ideation with a specific plan and access to means
A specific plan combined with access to lethal means is the strongest predictor of imminent suicidal risk.
Question 5: The 'stabilization' phase of crisis intervention primarily aims to:
- Resolve the underlying mental health diagnosis
- Restore the client to pre-crisis equilibrium (Correct answer)
- Discharge the client from services
- Conduct a full psychosocial assessment
Correct answer: Restore the client to pre-crisis equilibrium
Stabilization focuses on reducing acute distress and returning the client to a functional baseline, not resolving underlying issues.
Question 6: When a client in crisis refuses all intervention, the case manager's first priority should be to:
- Immediately initiate an involuntary hold
- Maintain engagement and continue to assess safety (Correct answer)
- Terminate the session and document refusal
- Contact family members without client consent
Correct answer: Maintain engagement and continue to assess safety
Maintaining therapeutic engagement while continuously assessing safety is the priority before escalating to involuntary measures.
Question 7: Which model emphasizes that crises occur when a person's coping mechanisms are overwhelmed by a stressful event?
- Diathesis-stress model
- Caplan's equilibrium model (Correct answer)
- Transtheoretical model
- ACT model
Correct answer: Caplan's equilibrium model
Gerald Caplan's equilibrium model defines crisis as a state of disequilibrium when usual coping methods fail.
CBHCM Crisis Intervention Strategies 2
During a psychiatric crisis, a case manager uses the ABC model.
What does 'B' stand for?