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Human Services > Case Man. Test 2 > Flashcards

Case Man. Test 2 Flashcards

1
Q

Inability to conceptualize probs clearly

A

Conceptual disorganization

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2
Q

when client’s speech/language is pressured, often rapid, constantly talking, possible manic/hypomanic episode

A

racing thoughts

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3
Q

loss of language abilities

A

aphasia

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4
Q

normal mood

A

euthymic

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5
Q

when client has minimal responses, possibly due to depression b/c client is being interviewed in a language other than their native tongue, lack of facility in language

A

impoverished speech

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6
Q

severe restlessness

A

akathisia

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7
Q

broad range of moods

A

normal range of mood

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8
Q

when client makes up entirely new words w/idiosyncratic meanings

A

neologisms

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9
Q

client appears to have abnormal movements in muscles of face, mouth and tongue, tics due to antipsychotic meds

A

tardive dyskenesia

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10
Q

client becomes too close in the relationship, touchy

A

seductive

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11
Q

client’s speech is reserved, suspicious, contributes to the bare minimum

A

guarded speech

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12
Q

client knows who he is, where he’s at and when it is

A

client is oriented x3

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13
Q

trouble falling asleep

A

initial insomnia

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14
Q

client’s belief that one’s thoughts are being taken out of one’s mind by an outside force

A

thought withdrawal

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15
Q

persistant in repeating verbal/motor response to prior stimulus, gets stuck on something to get their point across

A

perseverating

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16
Q

client appears rigid of posture, may voluntarily pose in bizarre ways & attempts to reposition client are resisted

A

catatonic

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17
Q

client believes her thoughts are being taken out of her head and broadcast so that others know what she’s thinking

A

thought broadcast

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18
Q

client says they feel detached from themselves

A

depersonalization

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19
Q

inability to remember

A

amnesia

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20
Q

client pulls her gloves on and off, repeatedly in a ritualistic fashion

A

stereotyping

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21
Q

ask client to interpret several proverbs to test her

A

abstract thinking

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22
Q

client blames wife for marital problems and brings them on herself. client’s insight is

A

derealization

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23
Q

body fxning has become irregualr: sleep, appetite, weight gain/loss, enjoyment of everyday life. client shows strong signs of

A

neurovegetative signs of depression

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24
Q

the sound of a word seems to trigger your client and a new line of thinking has occured within them

A

clang association

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25
Q

MSE

A

mental status exam

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26
Q

MSE includes

A
  • appearance
  • behavior
  • affect (mood)
  • thought process
  • insight
  • judgment
  • intelligence
  • reality testing
  • SI, HI (suicidal/ homicidal ideation)
  • cognitive fxning
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27
Q

this is the basis for understanding client’s presenting problem and beginning to conceptualize their fxning into diagnosis

A

MSE

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28
Q

making a diagnosis for the MSE is done by

A

listening/watching client very carefully

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29
Q

test client’s abstract thinking by seeing if they understand

A

proverbs

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30
Q

example of abstract thinking

A

don’t put your all your eggs in one basket

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31
Q

when documenting, what do you need to do if you didn’t finish writing and there’s an empty space left on the line of the page?

A

draw a line and initial at the end

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32
Q

while documenting in the contact log, what should you NEVER do?

A

skip lines

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33
Q

3 types of recordings when documenting

A
  • process
  • summary
  • staff notes
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34
Q

the most notes one takes is in the ____ recordings

A

process

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35
Q

the least notes one takes is in the ___

A

staff notes

36
Q

when documenting impressions of the client, how should you write it?

A

“it appeared that the client was…”

“client appeared to be…”

37
Q

Dx means

A

diagnosis

38
Q

never have loose papers/sidenotes of interview with client

A

true

39
Q

if there are separate notes about client, keep it in the client’s folder

A

true

40
Q

SOLER stands for

A
  • Sitting squarely
  • Open
  • Leaning in engaged posture
  • Eye contact
  • Relax
41
Q

In order to follow the strength approach, what should you have client fill out in the intake process?

A

ecological model

42
Q

6 steps for intake of client

A
  • introduction of self/agency
  • explain what services are available to client
  • explain confidentiality, being mandated reporter, exceptions/limitations of remaining confidential
  • engage client, develop rapport
  • PP (presenting problem)
  • SOLER
43
Q

informed consent should be stated in the beginning of relationship with client

A

true

44
Q

are you able to accept gifts from clients?

A

no

45
Q

if a client asks you to attend a bday party, what do you do?

A

if you do it for one, you do it for all

46
Q

establishing rapport with a client needs 2 things

A
  • positivity

- being supportive

47
Q

feeling sorry for ppl and believe they’re poor souls and their situations are w/o hope, what we often have for our friends/relations

A

sympathy

48
Q

capacity to feel what the client feels and grasp the significance and impact the client is experiencing, comprehending client’s point of view and see clearly what they need/feel

A

empathy

49
Q

when a client has a collection of feelings/attitudes about you, positive/negative

A

trasnference

50
Q

when you project onto the client with certain emotions/attitudes, client may remind you of your past or situations you’ve had

A

countertransference

51
Q

putting yourself in client’s situation

A

empathy

52
Q

being gentle, friendly, receptive, approachable and nonjudgmental to client

A

warmth

53
Q

listening to what client is saying w/o judgment

A

active listening

54
Q

being present, in the moment

A

mindfulness

55
Q

being yourself w/client

A

genuineness

56
Q

understanding strengths/limitations of the person/family

A

realistic expectations

57
Q

let client be who they are and start there

A

being where the client is

58
Q

point out clients strengths

A

focus of strengths

59
Q

understand it’s normal for clients to resist help at any given tiem

A

access client’s resistance

60
Q

work w/client together as a team

A

collaborations

61
Q

let client know you appreciate their efforts if they don’t succeed/succeed when they try something new

A

appreciation

62
Q

always point out/encourage client to see their potential, show them you have confidence in them

A

focus of potential

63
Q

things you shouldn’t do/tell client

A
  • tell them what YOU think they should do
  • pressure them when they’re not ready
  • use guilt statements
  • shame client by comparing them to others
  • don’t make assumptions
64
Q

client’s reaction/attitudes towards you b/c you remind them of someone in their life

A

transference

65
Q

this gives client responsibility for solving the prob, provides ways to help with the prob, and gives client opportunity to grow

A

ownership

66
Q

when you do a recall/memory test of client, you can test them by making an app. and ask them when that app. was made at end of session

A

true

67
Q

if it’s not documented, it didn’t happen

A

true

68
Q

someone other than the client, such as mother, nurse, minister

A

collateral contact

69
Q

summary recording is done after the client leaves

A

true

70
Q

gives a concise presentation of the content of the interview, focus remains on client

A

summary recording

71
Q

narrative telling of an interaction with another individual, accurate account of verbal exchange and interviewer’s analysis of observations

A

process recording

72
Q

aka case notes, written at the time of contact with client in chronological order

A

staff notes

73
Q

staff notes are important b/c

A
  • confirmed services
  • connecting service to client’s needs
  • recording client’s response
  • describing client’s status
  • providing direction for ongoing treatment
74
Q

communication skills include

A
  • comfort
  • verbal/nonverbal
  • active listening
  • presenting vs. underlying prob
75
Q

culture, religion, ethnicity, gender and lifestyle is a pattern of

A

communication

76
Q

assessement/interviewing skills include

A
  • listening
  • responding
  • questioning
  • roadblocks
  • confronting
  • disarming anger
77
Q

3 types of feedback when doing active listening

A
  • factual
  • emotional
  • solution-focused
78
Q

saying what you mean clearly/respectfully has 3 parts

A
  • what happened
  • what you feel
  • what you want
79
Q

ability to hear accurately the underlying feelings/emotions client is expressing

A

empathy

80
Q

roadblocks include

A
  • threats
  • commands
  • shaming/praising
  • premature prob solving
  • rushing to fill silence
  • over reliance on closed questions
  • judging
81
Q

sex, apparent age, ethnicity, weight (average, stocky, petite, healthy), physical dyformities

A

presenting appearence

82
Q

dress, is it weather appropriate? notice accessories (glasses, cane)

A

basic grooming/hygiene

83
Q

posture, mannerisms, gestures, motor coordination

A

gait/motor skills

84
Q

is client oppositional, resistant, submissive, defensive, open, friendly?

A

interpersonal characteristics

85
Q

is the client distant, unconcerned, evasive, negative, irritable, depressed, lethargic?

A

behavioral approach

86
Q

how can you read client’s thought process?

A
  • flight of ideas
  • illogical thinking
  • grandiosity
  • obsessions
  • perseveration
  • delusions
87
Q

based on explanations of what they did, what happened, expected outcome

A

judgment/insight

Human Services (14 decks)

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