Psychosocial Assessment and Intervention Flashcards

A case manager is working with a client who has paranoid ideation and refuses to engage with healthcare providers due to distrust. Which approach is MOST effective?

Answer: Build trust gradually through consistent, transparent interactions

Building a trusting therapeutic relationship through consistency and transparency is essential when working with clients who have paranoid ideation.

Which of the following is an example of a psychosocial stressor that a case manager should assess as part of a comprehensive evaluation?

Answer: Recent job loss and financial strain

Psychosocial stressors such as job loss, financial difficulties, and relationship problems significantly impact health outcomes and must be assessed comprehensively.

A case manager is planning interventions for a client diagnosed with post-traumatic stress disorder (PTSD). Which evidence-based therapy should the case manager coordinate with the treatment team?

Answer: Cognitive Processing Therapy (CPT) or Prolonged Exposure (PE)

Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE) are the gold-standard, evidence-based psychotherapies for PTSD endorsed by major clinical guidelines.

A case manager observes that a client consistently denies having any problems with daily functioning despite clear evidence to the contrary. This defense mechanism is known as:

Answer: Minimization

Minimization is a defense mechanism where an individual downplays the significance of their problems or symptoms to avoid confronting them.

A case manager is assessing a client's readiness to transition from inpatient psychiatric care to community living. Which factor is MOST critical to evaluate?

Answer: Availability of community support systems and follow-up care

Adequate community support systems and coordinated follow-up care are the most critical factors in preventing psychiatric rehospitalization after discharge.

Which of the following BEST describes secondary traumatic stress as it relates to case managers?

Answer: Trauma symptoms experienced by helpers as a result of working with traumatized clients

Secondary traumatic stress (also called compassion fatigue) occurs when case managers develop trauma-like symptoms from indirect exposure to clients' traumatic experiences.

A case manager is coordinating care for a client with severe mental illness who has been living on the streets. Which model of care is MOST appropriate to address both housing and psychiatric needs simultaneously?

Answer: Housing First model

The Housing First model provides immediate stable housing without prerequisites, recognizing that housing stability is foundational to addressing mental health and other needs.