2.6 Behavioral Health Concepts, Crisis Intervention, End of Life

Question 1

____ ____ describes patients with coexisting mental

illness and substance abuse disorders.

Answer 1

Dual diagnosis

Question 2

Psychiatric treatment is more successful with patients who are _________________________.

Answer 2

not actively abusing substances

Question 3

The American Psychiatric Association’s​ Diagnostic and Statistical Manual of Mental Disorders, 4th Edition ​ (DSM-IV) defines substance abuse as:
A maladaptive pattern of substance use leading to clinically significant impairment or distress,
as manifested by one (or more) of the following, occurring within a 12-month period:
• __________________________
• __________________________
• __________________________
• __________________________

Answer 3

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• Recurrent use resulting in failure to fulfill role
obligations
• Recurrent use in physically hazardous situations
• Recurrent substance-related legal problems
• Continued use despite persistent or recurrent
social/interpersonal problems caused by effects of the
substance

Question 4

______ ______ ______ such asAlcoholics Anonymous and Narcotics Anonymous have been found to be the most successfulin treating substance abuse.

Answer 4

Community based programs

Question 5

Inpatient hospitalization for substance abuse ​( is / is not)​ the preferred method of treatment.

Answer 5

is NOT

Question 6

A _____ can refer to any situation in which the client perceives the inability toeffectively problem-solve and/or cope.

Answer 6

crisis

Question 7

When faced with a conflict, it is important for all parties to focus on the _____, rather than the person or persons they are in conflict with.

Answer 7

goal

Question 8

The following five conflict resolution strategies are listed from most to least desirable for mostsituations.

1. _______________________
2. _______________________
3. _______________________
4. _______________________
5. _______________________

Answer 8

1. Collaboration
2. Negotiation
3. Accommodation
4. Competitive
5. Avoidance

Question 9

_______ is comprised of languages, beliefs, values, traditions, and customs.

Answer 9

Culture

Question 10

The case manager is to practice ______ ______

with awareness and respect for diversity.

Answer 10

cultural competence

Question 11

While it is necessary for a case manager to understand general cultural norms as they relate tohealthcare, it is more important that she understands that each patient is ____________________________________.

Answer 11

an individual with his own individual, family, and cultural beliefs

Question 12

Case managers should assess the client’s ________ needs and identify resources to enhance proper communication.

Answer 12

linguistic

Question 13

When using an interpreter it is best to use a _______________________________.

Answer 13

professional interpreter - not a family member - whenever possible

Question 14

The _____ _____-_____ ______ (PSDA)amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act. It requires allhospitals, skilled nursing facilities, home health agencies, hospice programs, and healthmaintenance organizations that receive Medicare and Medicaid reimbursement to recognizethe living will and durable power of attorney for healthcare.

Answer 14

Patient Self-Determination Act

Question 15

______ ______ come in two forms: those that dictate the kind of medical treatment to be given or withheld, such as a ____ _____or ___ ___ ______ , and those that appoint anagent or proxy to make healthcare
decisions.

Answer 15

Advance directives; living will; do not resuscitate

Question 16

A ____ ____ states which specific medical treatments thedesignated person would like to receive or have withheld.

Answer 16

living will

Question 17

_________________ or _________________
this type of advance directive stipulates who is to make healthcare decisions for the personnamed if he is unable to make decisions for himself.

Answer 17

Health Care Power of Attorney; Durable Power of Attorney

Question 18

A ____________________ (DNR) is a request not to have CPRperformed.

Answer 18

do not resuscitate

Question 19

_______ provides comprehensive end of life care and support toterminally ill patients and their families.

Answer 19

Hospice

Question 20

A Do Not Resuscitate (DNR) ​(is / is not)​ necessary before enrolling in hospice, but patients and families are educated on this topic, with the goal of having the DNR in place before a patient’sdeath.

Answer 20

is NOT

Question 21

_______ care can be employed with a patient at any stage of a severe illness.

Answer 21

Palliative

Question 22

______ care is not dependent on prognosis.

Answer 22

Palliative

Question 23

______ care provides comprehensive care, including palliative care, for terminally ill patients with a life expectancy of six months or less, who are no longer receivingcurative treatment.

Answer 23

Hospice

Question 24

______ care is specialized medical care for patients suffering fromserious and chronic illnesses, such as cancer, CHF, COPD, kidney failure, and ALS, just to
name a few.

Answer 24

Palliative

Question 25

_________ care can be given alongside other medical treatment, such aschemotherapy and radiation, and can improve the ability to tolerate those treatments.

Answer 25

Palliative

Question 26

The main goal of _______ care is symptom management to allow the best quality of life for the patient.

Answer 26

Palliative

Question 27

The ______ are at increased risk for abuse, with those over age 80 at the highest risk.

Answer 27

elderly

Question 28

The perpetrators of abuse and neglect are most often ______ _____, with the majority of them being spouses and adult children.

Answer 28

family members

Question 29

______ – The failure or inability to provide for basic needs. This can beintentional or unintentional.

Answer 29

Neglect

Question 30

________/_______ – The infliction of anguish, pain, or distress through verbal or nonverbal acts, such as gestures or writing,resulting in trauma. This also includes threats of harm used to intimidate a person intocomplying or cooperating.

Answer 30

Emotional/Psychological

Question 31

_______ – The use of physical force, such ashitting, beating, pushing, shaking, slapping, kicking, burning, and pinching, that results inphysical pain, bodily injury, or impairment. Also included in physical abuse is force-feeding andthe use of drugs and physical restraints.

Answer 31

Physical

Question 32

__________________ – Failing to use the patient’s incomeor assets for the benefit, support, and maintenance of the patient. The illegal, unauthorized, or
improper use of the resources of the patient.

Answer 32

Financial Abuse and Neglect